The Challenge Of Covid19 In The Management Of Vascular Access For Hemodialysis In An Universitary Hospital

Detalhes bibliográficos
Autor(a) principal: Afonso, Beatriz
Data de Publicação: 2023
Outros Autores: Nóbrega, Leandro, Castro-Ferreira, Ricardo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.48729/pjctvs.260
Resumo: Introduction: Chronic kidney disease prevalence has been increasing worldwide, with an increasing need to deliver an effective treatment. During the first months of the coronavirus disease 2019 (COVID-19) pandemic healthcare systems around the world were under stress. Therefore, the aim of this study is to report a single center experience with arteriovenous fistula (AVF) creation while also evaluating the impact of COVID-19. Methods: Procedures for AVF creation in a tertiary hospital between March 2017 and December 2020 were included in this study and their case records were retrospectively analyzed and data retrieved. Results: A total of 582 procedures were performed and a total of 568 accesses were created (506 being made pre-COVID onset and 62 post-COVID onset). The period between the referral to the vascular surgery consultation was significantly longer for the COVID group [18 (23) days vs 28 (44) days; p<0,001] while the period between the consultation to the surgery was significantly shorter [76 (77) days vs 40 (57) days; p<0,001]. This resulted in significantly less time between referral to surgery in the COVID group [103 (77) days vs 88 (55) days; p=0,008]. Conclusion: The ability of hospitals to adapt their resources was paramount to mitigate COVID impact. In the institution where the study took place, the time from referral to consultation was increased significantly during the first months of COVID but the time from consultation to surgery was significantly reduced. Overall, these results show that there was a successful effort to expedite the creation of a vascular access.
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spelling The Challenge Of Covid19 In The Management Of Vascular Access For Hemodialysis In An Universitary HospitalArteriovenous Fistula (AVF)venous access (VA)Covid19maturationcannulationreferencing timeIntroduction: Chronic kidney disease prevalence has been increasing worldwide, with an increasing need to deliver an effective treatment. During the first months of the coronavirus disease 2019 (COVID-19) pandemic healthcare systems around the world were under stress. Therefore, the aim of this study is to report a single center experience with arteriovenous fistula (AVF) creation while also evaluating the impact of COVID-19. Methods: Procedures for AVF creation in a tertiary hospital between March 2017 and December 2020 were included in this study and their case records were retrospectively analyzed and data retrieved. Results: A total of 582 procedures were performed and a total of 568 accesses were created (506 being made pre-COVID onset and 62 post-COVID onset). The period between the referral to the vascular surgery consultation was significantly longer for the COVID group [18 (23) days vs 28 (44) days; p<0,001] while the period between the consultation to the surgery was significantly shorter [76 (77) days vs 40 (57) days; p<0,001]. This resulted in significantly less time between referral to surgery in the COVID group [103 (77) days vs 88 (55) days; p=0,008]. Conclusion: The ability of hospitals to adapt their resources was paramount to mitigate COVID impact. In the institution where the study took place, the time from referral to consultation was increased significantly during the first months of COVID but the time from consultation to surgery was significantly reduced. Overall, these results show that there was a successful effort to expedite the creation of a vascular access.SOCIEDADE PORTUGUESA DE CIRURGIA CARDIO-TORÁCICA E VASCULAR2023-04-04info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.48729/pjctvs.260https://doi.org/10.48729/pjctvs.260Portuguese Journal of Cardiac Thoracic and Vascular Surgery; Vol. 30 No. 1 (2023): Jan - Mar; 37-422184-9927reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://pjctvs.com/index.php/journal/article/view/260https://pjctvs.com/index.php/journal/article/view/260/300Copyright (c) 2023 Portuguese Journal of Cardiac Thoracic and Vascular Surgeryinfo:eu-repo/semantics/openAccessAfonso, BeatrizNóbrega, LeandroCastro-Ferreira, Ricardo2023-04-08T04:40:34Zoai:oai.pjctvs.com:article/260Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:49:00.538577Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv The Challenge Of Covid19 In The Management Of Vascular Access For Hemodialysis In An Universitary Hospital
title The Challenge Of Covid19 In The Management Of Vascular Access For Hemodialysis In An Universitary Hospital
spellingShingle The Challenge Of Covid19 In The Management Of Vascular Access For Hemodialysis In An Universitary Hospital
Afonso, Beatriz
Arteriovenous Fistula (AVF)
venous access (VA)
Covid19
maturation
cannulation
referencing time
title_short The Challenge Of Covid19 In The Management Of Vascular Access For Hemodialysis In An Universitary Hospital
title_full The Challenge Of Covid19 In The Management Of Vascular Access For Hemodialysis In An Universitary Hospital
title_fullStr The Challenge Of Covid19 In The Management Of Vascular Access For Hemodialysis In An Universitary Hospital
title_full_unstemmed The Challenge Of Covid19 In The Management Of Vascular Access For Hemodialysis In An Universitary Hospital
title_sort The Challenge Of Covid19 In The Management Of Vascular Access For Hemodialysis In An Universitary Hospital
author Afonso, Beatriz
author_facet Afonso, Beatriz
Nóbrega, Leandro
Castro-Ferreira, Ricardo
author_role author
author2 Nóbrega, Leandro
Castro-Ferreira, Ricardo
author2_role author
author
dc.contributor.author.fl_str_mv Afonso, Beatriz
Nóbrega, Leandro
Castro-Ferreira, Ricardo
dc.subject.por.fl_str_mv Arteriovenous Fistula (AVF)
venous access (VA)
Covid19
maturation
cannulation
referencing time
topic Arteriovenous Fistula (AVF)
venous access (VA)
Covid19
maturation
cannulation
referencing time
description Introduction: Chronic kidney disease prevalence has been increasing worldwide, with an increasing need to deliver an effective treatment. During the first months of the coronavirus disease 2019 (COVID-19) pandemic healthcare systems around the world were under stress. Therefore, the aim of this study is to report a single center experience with arteriovenous fistula (AVF) creation while also evaluating the impact of COVID-19. Methods: Procedures for AVF creation in a tertiary hospital between March 2017 and December 2020 were included in this study and their case records were retrospectively analyzed and data retrieved. Results: A total of 582 procedures were performed and a total of 568 accesses were created (506 being made pre-COVID onset and 62 post-COVID onset). The period between the referral to the vascular surgery consultation was significantly longer for the COVID group [18 (23) days vs 28 (44) days; p<0,001] while the period between the consultation to the surgery was significantly shorter [76 (77) days vs 40 (57) days; p<0,001]. This resulted in significantly less time between referral to surgery in the COVID group [103 (77) days vs 88 (55) days; p=0,008]. Conclusion: The ability of hospitals to adapt their resources was paramount to mitigate COVID impact. In the institution where the study took place, the time from referral to consultation was increased significantly during the first months of COVID but the time from consultation to surgery was significantly reduced. Overall, these results show that there was a successful effort to expedite the creation of a vascular access.
publishDate 2023
dc.date.none.fl_str_mv 2023-04-04
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.48729/pjctvs.260
https://doi.org/10.48729/pjctvs.260
url https://doi.org/10.48729/pjctvs.260
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://pjctvs.com/index.php/journal/article/view/260
https://pjctvs.com/index.php/journal/article/view/260/300
dc.rights.driver.fl_str_mv Copyright (c) 2023 Portuguese Journal of Cardiac Thoracic and Vascular Surgery
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Portuguese Journal of Cardiac Thoracic and Vascular Surgery
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv SOCIEDADE PORTUGUESA DE CIRURGIA CARDIO-TORÁCICA E VASCULAR
publisher.none.fl_str_mv SOCIEDADE PORTUGUESA DE CIRURGIA CARDIO-TORÁCICA E VASCULAR
dc.source.none.fl_str_mv Portuguese Journal of Cardiac Thoracic and Vascular Surgery; Vol. 30 No. 1 (2023): Jan - Mar; 37-42
2184-9927
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
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