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Fatal Dialysis Vascular Access Hemorrhage


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Jose, MD ORCID: 0000-0002-9589-0071, Marshall, MR, Read, G, Lioufas, N, Ling, J, Snelling, P and Polkinghorne, KR 2017 , 'Fatal Dialysis Vascular Access Hemorrhage' , American Journal of Kidney Diseases, vol. 70, no. 4 , pp. 570-575 , doi: 10.1053/j.ajkd.2017.05.014.

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Bleeding from dialysis vascular access (arteriovenous fistulas, arteriovenous grafts, and vascular catheters) is uncommon. Death from these bleeds is rare and likely to be under-reported, with incident rates of fewer than 1 episode for every 1,000 patient-years on dialysis, meaning that dialysis units may experience this catastrophic event only once a decade. There is an opportunity to learn from (and therefore prevent) these bleeding deaths. We reviewed all reported episodes of death due to vascular access bleeding in Australia and New Zealand over a 14-year period together with individual dialysis units' root cause analyses on each event. In this perspective, we provide a clinically useful summary of the evidence and knowledge gained from these rare events. Our conclusion is that death due to dialysis vascular access hemorrhage is an uncommon, catastrophic, but potentially preventable event if the right policies and procedures are put in place.

Item Type: Article
Authors/Creators:Jose, MD and Marshall, MR and Read, G and Lioufas, N and Ling, J and Snelling, P and Polkinghorne, KR
Keywords: dialysis, mortality, fistula, vascular access
Journal or Publication Title: American Journal of Kidney Diseases
Publisher: W B Saunders Co
ISSN: 0272-6386
DOI / ID Number: 10.1053/j.ajkd.2017.05.014
Copyright Information:

Copyright 2017 The Authors. Licensed under Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)

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