University of Tasmania
Browse

Fatal Dialysis Vascular Access Hemorrhage

Download (174.51 kB)
journal contribution
posted on 2023-05-19, 12:38 authored by Matthew JoseMatthew Jose, Marshall, MR, Read, G, Lioufas, N, Ling, J, Snelling, P, Polkinghorne, KR
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.

History

Publication title

American Journal of Kidney Diseases

Volume

70

Issue

4

Pagination

570-575

ISSN

0272-6386

Department/School

Tasmanian School of Medicine

Publisher

W B Saunders Co

Place of publication

United States

Rights statement

Copyright 2017 The Authors. Licensed under Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) https://creativecommons.org/licenses/by-nc-nd/4.0/

Repository Status

  • Open

Socio-economic Objectives

Clinical health not elsewhere classified

Usage metrics

    University Of Tasmania

    Exports

    RefWorks
    BibTeX
    Ref. manager
    Endnote
    DataCite
    NLM
    DC