Predictors of central venous catheter use at the initiation of hyemodialysis

Haimanot Wasse, Rebecca A. Speckman, Diane L. Frankenfield, Michael V. Rocco, William M. McClellan

Research output: Contribution to journalArticle

Abstract

Central venous catheter (CVC) use at hemodialysis (HD) initiation remains high, despite reports of CVC-associated morbidity and mortality, and efforts at early arteriovenous fistula placement. In order to determine predictors of CVC use at the start of HD, data from the end-stage renal disease (ESRD) Clinical Performance Measures (CPM) Project was linked to the Centers for Medicare & Medicaid Services Medical Evidence (2728) Form. Of the 4071 incident hemodialysis patients in study years 1999-2003, 71.6% used a CVC at dialysis initiation. After controlling for demographic and co-morbid variables, patients with a CVC were 24% more likely to be female (p = 0.006), and 38% more likely to have ischemic heart disease (p = 0.002), while those with obesity (BMI ≥30) were 24% less likely to start dialysis with a CVC (p = 0.006). Pre-ESRD hypoalbuminemia (

Original languageEnglish (US)
Pages (from-to)346-351
Number of pages6
JournalSeminars in Dialysis
Volume21
Issue number4
DOIs
StatePublished - Jul 2008

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Central Venous Catheters
Renal Dialysis
Chronic Kidney Failure
Dialysis
Hypoalbuminemia
Arteriovenous Fistula
Medicaid
Medicare
Myocardial Ischemia
Obesity
Demography
Morbidity
Mortality

ASJC Scopus subject areas

  • Nephrology

Cite this

Wasse, H., Speckman, R. A., Frankenfield, D. L., Rocco, M. V., & McClellan, W. M. (2008). Predictors of central venous catheter use at the initiation of hyemodialysis. Seminars in Dialysis, 21(4), 346-351. https://doi.org/10.1111/j.1525-139X.2008.00447.x

Predictors of central venous catheter use at the initiation of hyemodialysis. / Wasse, Haimanot; Speckman, Rebecca A.; Frankenfield, Diane L.; Rocco, Michael V.; McClellan, William M.

In: Seminars in Dialysis, Vol. 21, No. 4, 07.2008, p. 346-351.

Research output: Contribution to journalArticle

Wasse, H, Speckman, RA, Frankenfield, DL, Rocco, MV & McClellan, WM 2008, 'Predictors of central venous catheter use at the initiation of hyemodialysis', Seminars in Dialysis, vol. 21, no. 4, pp. 346-351. https://doi.org/10.1111/j.1525-139X.2008.00447.x
Wasse, Haimanot ; Speckman, Rebecca A. ; Frankenfield, Diane L. ; Rocco, Michael V. ; McClellan, William M. / Predictors of central venous catheter use at the initiation of hyemodialysis. In: Seminars in Dialysis. 2008 ; Vol. 21, No. 4. pp. 346-351.
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