Vascular access and quality of life in dialysis patients

• Type: Chapter or Part of a Book
• Date: 2017

Authors

Tavares, R (Author) Other; Célia Sales (Author) FPCEUP; Paula Mena Matos (Author) FPCEUP; Alice Santos Silva (Author) FFUP; Costa, E (Author) FFUP

Book

Title: Innovations in dialysis vascular access surgery

Pages: 423-437

ISBN: 9781536121827

Electronic ISBN: 9781536121582

Publisher: Nova Science Publishers

Indexing

Scopus - 0 Citations

Other information

Authenticus ID: P-00N-9DP

Abstract (EN): Vascular access-related problems are responsible for 50% of the hospitalizations of dialysis patients, and can contribute at least in part, for the high morbidity and mortality rates found in these patients. Health-Related Quality of Life (HRQoL) is a multidimensional concept that includes patient¿s perspective on physical, mental, and social domains, and has been used toassess well-beingin dialysis patients. Well-being is the ultimate outcome of end-stage renal disease (ESRD) patients. ESRD patients under dialysis showed lower HRQoL scores when compared with general population, and also with other chronic diseases patients. Arteriovenous fistula use as vascular access is associated with higher HRQoL scores in several domains when compared with those using central venous catheter, particularly those using arteriovenous fistula in left forearm. These results show that the best choice for vascular access in dialysis patients was arteriovenous fistula in the left forearm (dominat arm), if not contraindicated. In this book chapter a revision of the impact of the type of vascular access, and location of the arteriovenous fistula on patient¿s perception of HRQoL has be performed.

Language: English

Type (Professor's evaluation): Scientific