Post Insertion Catheter Care in Peritoneal Dialysis Centres Across Europe: Results of the Post Insertion Project of the Research Board

Castro, M.J.; Vijt, Denise; Endall, Gerry; Elseviers, MM; Lindley, EJ

doi:10.1111/j.1755-6686.2004.tb00330.x

Cited by 10 publications

(9 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The current project resulted in an overview of different post-insertion treatment protocols across Europe. These results were reported in the previous EDTNA/ERCA Journal (2). The centre policies investigated in this study clearly showed that there was no consensus on the best way to manage a patient before and during PD catheter insertion and during the rest period before the first dialysis.…”

Section: Introductionsupporting

confidence: 64%

Post Insertion Catheter Care in Peritoneal Dialysis (Pd) Centres Across Europe. Part 2: Complication Rates and Individual Patient Outcomes

et al. 2004

View full text Add to dashboard Cite

The first part of this report, which looked at centre policy, showed that there was no consensus on the best way to manage a patient in the rest period between PD catheter insertion and the first use of the catheter for dialysis. This paper intends to investigate if the differences in policy had any effect on complication rate and individual patient outcomes. Data were included from 298 patients of 49 participating centres. The results revealed a high rate of catheter related complications, with half of the patients having been treated for complications including leakage (29%), malfunction (23%) or infection (10%), and a quarter of patients having been hospitalised for catheter problems. Leakage was more frequently observed in lean and obese patients and if the catheter was only immobilized for a short time period. Diabetes, having constipation at first use and having rested for less than 6 hours after catheter insertion were significant risk factors for malfunction. Infection seemed to be related to the type of catheter used and hygienic precautions (not significant) and showed a significant relationship with the frequency of dressing changes. There is still an important lack of evidence on which to develop an optimal protocol for PD catheter insertion and care before first use.

show abstract

Section: Introductionsupporting

confidence: 64%

Post Insertion Catheter Care in Peritoneal Dialysis (Pd) Centres Across Europe. Part 2: Complication Rates and Individual Patient Outcomes

et al. 2004

View full text Add to dashboard Cite

show abstract

“…Despite the existence of best-practice guidelines, concerns have been raised that these recommendations are not followed by practitioners (11,12,21,22,25). Furthermore, deviation from recommendations may be an underappreciated contributor to PD technique failure (11,12,21,22).…”

Section: Patient Education and Care For Pd Catheter Placementmentioning

confidence: 99%

“…Furthermore, deviation from recommendations may be an underappreciated contributor to PD technique failure (11,12,21,22).…”

Section: Patient Education and Care For Pd Catheter Placementmentioning

confidence: 99%

“…These events can be quite frustrating for patients and providers, increasing health care costs and potentially contributing to reduced utilization of PD (6,7,12,13,(15)(16)(17). Although the technical competence of operators is vital, successful PDC placement involves more than just the insertion procedure; it relies on adherence to established protocols and care before, during, and after surgery (1,2,(4)(5)(6)13,16,(18)(19)(20)(21)(22). Expert bodies have established clinical practice guidelines providing specific recommendations for each step involved in PDC placement (1)(2)(3)(4)(5) …”

Section: Original Articlesmentioning

confidence: 99%

“…Quality improvement for PDC placement may be challenging because of deficiencies in physician and nursing knowledge, lack of established protocols, and inconsistent practice patterns (10,12,21,22,26). In particular, the education and care patients receive related to PDC placement may be difficult to assess because of a lack of available metrics.…”

Section: Patient Education and Care For Pd Catheter Placementmentioning

confidence: 99%

See 2 more Smart Citations

Patient Education and Care for Peritoneal Dialysis Catheter Placement: A Quality Improvement Study

et al. 2014

View full text Add to dashboard Cite

ORIgINAL ARTICLES♦ Background and Objectives: Peritoneal dialysis catheter (PDC) complications are an important barrier to peritoneal dialysis (PD) utilization. Practice guidelines for PDC placement exist, but it is unknown if these recommendations are followed. We performed a quality improvement study to investigate this issue. ♦ Methods: A prospective observational study involving 46 new patients at a regional US PD center was performed in collaboration with a nephrology fellowship program. Patients completed a questionnaire derived from the International Society for Peritoneal Dialysis (ISPD) catheter guidelines and were followed for early complications. ♦ Results: Approximately 30% of patients reported not being evaluated for hernias, not being asked to visualize their exit site, or not receiving catheter location marking before placement. After insertion, 20% of patients reported not being given instructions for follow-up care, and 46% reported not being taught the warning signs of PDC infection. Directions to manage constipation (57%), immobilize the PDC (68%), or leave the dressing undisturbed (61%) after insertion were not consistently reported. Nearly 40% of patients reported that their PDC education was inadequate. In 41% of patients, a complication developed, with 30% of patients experiencing a catheter or exit-site problem, 11% developing infection, 13% needing PDC revision, and 11% requiring unplanned transfer to hemodialysis because of catheterrelated problems.♦ Conclusions: There were numerous deviations from the ISPD guidelines for PDC placement in the community. Patient satisfaction with education was suboptimal, and complications were frequent. Improving patient education and care coordination for PDC placement were identified as specific quality improvement needs. Perit Dial Int

show abstract

Complicaciones del túnel y orificio de salida del catéter peritoneal

Pesquera¹,

Gauna²,

González³

2009

Tratado De Diálisis Peritoneal

View full text Add to dashboard Cite

Post Insertion Catheter Care in Peritoneal Dialysis Centres Across Europe: Results of the Post Insertion Project of the Research Board

Cited by 10 publications

References 2 publications

Post Insertion Catheter Care in Peritoneal Dialysis (Pd) Centres Across Europe. Part 2: Complication Rates and Individual Patient Outcomes

Post Insertion Catheter Care in Peritoneal Dialysis (Pd) Centres Across Europe. Part 2: Complication Rates and Individual Patient Outcomes

Patient Education and Care for Peritoneal Dialysis Catheter Placement: A Quality Improvement Study

Complicaciones del túnel y orificio de salida del catéter peritoneal

Contact Info

Product

Resources

About