RT info:eu-repo/semantics/article
T1 Patterns of use of vascular access devices in patients undergoing hematopoietic stem cell transplantation: Results of an international survey
A1 Morales González, Manuel José
A1 Toro, Juan J.
A1 Loberiza, Fausto
A1 Ochoa-Bayona, José L.
A1 Freytes, César O.
A2 Medicina InternaDermatología y Psiquiatría
K1 Central venous catheter
K1 Catheter-related thrombosis
K1 Catheter-related infection
K1 Hematopoietic stem cell transplantation
K1 Health care surveys
AB Introduction There is limited information regarding of use ofvascular access devices (VAD) in patients undergoinghematopoietic stem cell transplantation (HSCT). The frequentuse of VAD in HSCT and its potential to cause morbidityrequires understanding of the general use of VAD in HSCT.Materials and methods A World Wide Web-based 19-itemquestionnaire was designed to determine the patterns of useof VAD in patients undergoing HSCT. The questionnairewas sent via electronic mail to the directors of HSCTprograms throughout the world.Results Of the 445 centers surveyed, 163 centers replied fora response rate of 37%. The most commonly used catheter for autologous peripheral blood stem cell (PBSC) harvest isthe dual-lumen plasmapheresis/hemodialysis (62%). Of theinstitutions, 58% utilize the same catheter used for PBSCharvest to provide vascular access support during thetransplant. Catheter-related blood stream infection (36%)and withdrawal occlusion (31%) were the most frequentlyencountered complications of VAD. Of the centers, 65%have established criteria for VAD removal when infection issuspected and 48% when occlusion is suspected.Discussion Our study demonstrated that there are similarities in the utilization of VAD but also wide differences in thestandard procedures for the insertion and care of VAD in thetransplant setting. More comprehensive studies are needed toassess the use of central venous catheters in transplantrecipients. Important areas for future research include theimpact of VAD utilization on the quality of life of transplantrecipients and the final consequences of VAD complications
YR 2007
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DS Repositorio institucional de la Universidad de La Laguna
RD 26-dic-2024