%0 Journal Article
%T Comparaci¨®n de dos m¨¦todos de seguimiento de las f¨ªstulas arteriovenosas prot¨¦sicas incidentes en un ¨¢rea de salud
%A Andr¨¦s V¨¢zquez
%A Mar¨ªa del Mar
%A Gruss Vergara
%A Enrique
%A Mart¨ªnez G¨®mez
%A Susana
%A Pi£¿a Sim¨®n
%A Dolores
%A G¨¢lvez Serrano
%A Ma del Carmen
%A Gago G¨®mez
%A Ma del Carmen
%A Mar¨ªn Mar¨ªn
%A Jorge
%A Marco Garc¨ªa
%A Bel¨¦n
%J Revista de la Sociedad Espa£¿ola de Enfermer¨ªa Nefrol¨®gica
%D 2011
%I Scientific Electronic Library Online
%R 10.4321/S1139-13752011000300003
%X vascular access (va) is an important challenge, on which the patient's quality of life depends. object: to find out whether a computerize va monitoring programme reduces the rate of thrombosis of incident prosthetic avf (ip-avf). material and methods: observational prospective study of ip-avf monitoring, between 2007 and 2009, in area 8 of the cam. nursing recorded on an access database: dynamic venous pressure, negative arterial pressure and pump flow in the first hour of dialysis. we compared the results with a historical control group (hcg) of ip-avf from 2004-2006, when data were only recorded on the nursing chart. ip-avf thrombosis after 2006 was not valued. results: diabetes, sex and age were not related to thrombosis in any group. ip-avfs at risk in 2007-2009 were: 49 v. 45 of the hcg. we compared the results for the period 2007-2009 compared to the hcg: annual thrombosis rate: 0.37(18/49) v. 0.67(30/45), (p<0.003). median first episode of thrombosis 217 v.167 days. annual rate of fistulographies due to dysfunction 0.98(48/49) v. 0.51(23/45), (p<0.000). positive predictive value: 94% v. 87%. sensitivity: 82% v. 44%. diagnosed stenoses 45 v. 20. annual repair rate for dysfunction: 0.80(39/49) v. 0.31(14/45), (p<0.000). annual repair rate before first thrombosis: 0.41(7/17) v. 0.19(4/21), (p<0.001). annual repair rate for thrombosis: 0.43(21/49) v. 0.69(31/45), (0.01). through the computerized recording of va parameters, nurses contribute to diagnosing pre-thrombosis events in ip-avfs, increasing the number of preventive repairs for dysfunction and reducing the rate of thrombosis.
%K vascular access
%K haemodialysis
%K prostheses incident
%K computerized record.
%U http://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S1139-13752011000300003&lng=en&nrm=iso&tlng=en