Quality of vascular access used for hemodialysis in Kirkuk hemodialysis unit

Abstract

BACKGROUND: Renal failure is increasing problem world wild and dialysis through vascular access is almost always done for the patients pending renal transplant, but a lot of complications can be caused by different types of the vascular accesses, this study assess the quality of vascular access in the dialysis unit in Kirkuk city. 
OBJECTIVES: This study assesses the quality of different types of vascular accesses done for the renal failure patients, success rate and incidence of complications. 
SUBJECTS AND METHODS: This is a community-based descriptive cross-sectional study done in Kirkuk city from the period of  1st January 2016 to the 31th December 2017 in the dialysis unit of Kirkuk general hospital in Kirkuk city, 154 patients complaining from renal failure are involved in this study, the age ranged from (16 – 72) years old. RUSULTS:  The  study  has  showed  that  infection,  thrombosis  and arterial puncture were statistically significant complication associated with double lumen catheter especially in femoral vein. 
Regarding the failure of AV fistula, there was no significant association between the site of AV fistula & its failure. 
CONCLUSIONS: The study has showed that infection, thrombosis and arterial puncture were statistically significant complication associated with double lumen catheter especially in femoral vein. Diabetes has not been associated with increased risk of infection with double lumen catheter. Regarding the function of AV fistula there was no significant association between its success and the age of the patients also there was no significant association between the site of AV fistula & its failure