THE IMPACT OF VASCULAR ACCESS TYPES ON THE SURVIVAL AND QUALITY OF LIFE IN THE INCIDENT HEMODIALYSIS PATIENTS OF NEPHROLOGY DIVISION KHYBER TEACHING HOSPITAL PESHAWAR
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Keywords
Vascular access, incident hemodialysis, survival rates, quality of life, arteriovenous fistula, tunnelled central venous catheter, non-tunnelled central venous catheter, nephrology, Khyber Teaching Hospital, prospective cohort study
Abstract
The study investigates the influence of different vascular access types on the survival and quality of life in incident hemodialysis individuals within the Nephrology division of Khyber Teaching Hospital, Peshawar, spanning from January 2022 to June 2023. Vascular access plays very vital part in efficacy of hemodialysis, and understanding its impact is imperative for optimizing patient results.
Aim: The primary goal of our current research is to evaluate the impact of various vascular access types on the survival rates and quality of life among incident hemodialysis patients. By examining arteriovenous fistulas,arteriovenous grafts, tunnelled central venous catheters and non-tunnelled central venous catheters, study aims to identify the most beneficial vascular access option for improved patient outcomes.
Methods: The research adopts a prospective cohort study design, involving incident hemodialysis patients enrolled in the Nephrology division of Khyber Teaching Hospital between January 2022 and June 2023. Patients will be categorized based on the type of vascular access utilized. Data on survival rates, complications, and quality of life measures will be collected through regular follow-ups, medical records, and standardized quality of life assessments. Statistical analyses, including survival curves and multivariate regression models, will be employed to discern the impact of vascular access on patient outcomes.
Results: Preliminary results reveal notable variations in survival rates and quality of life amongst occurrence hemodialysis patients based on type of vascular access utilized. Arteriovenous fistulas demonstrate a trend towards better outcomes compared to arteriovenous grafts and central venous catheters. Further statistical analyses will provide a comprehensive understanding of the significance of these findings.
Conclusion: The current research's findings are expected to contribute valuable perceptions into influence of vascular access types on the survival and quality of life in incident hemodialysis patients. This knowledge can inform clinical decision-making, guide healthcare practitioners in selecting optimal vascular access options, and ultimately enhance the overall care and outcomes of hemodialysis patients within Nephrology division of Khyber Teaching Hospital.
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