Vascular access blood flow monitoring reduces access morbidity and costs

Vascular access blood flow monitoring reduces access morbidity and costs.

BACKGROUND Vascular access morbidity results in suboptimal patient outcomes and costs more than $8000 per patient-year at risk, representing approximately 15% of total Medicare expenditures for ESRD patients annually. In recent years, the rate of access thrombosis has improved following the advent of vascular access blood flow monitoring (VABFM) programs to identify and treat stenosis prior to ...

Impact of a quality improvement programme based on vascular access flow monitoring on costs, access occlusion and access failure.

BACKGROUND Vascular access thrombosis is a substantial source of morbidity in chronic haemodialysis patients. Periodical access flow measurements can predict the presence of vascular access stenosis and provide an opportunity for early intervention to prevent subsequent vascular access thrombosis. By this system of quality improvement, vascular access-related costs might be reduced. The aim of ...

Vascular access surveillance: evaluation of combining dynamic venous pressure and vascular access blood flow measurements.

BACKGROUND/AIMS Vascular access thrombosis is one of the most morbid problems encountered by hemodialysis patients. Surveillance protocols utilizing venous pressure (Vp) and vascular access blood flow (VABF) measurements have been employed to preserve vascular access. We undertook a study to evaluate combined dynamic Vp and VABF measurements in the identification of vascular access impairment. ...

Hemodialysis Vascular Access Morbidity 1 Harold

Complications associated with hemodialysis vascular access represent one ofthe most important sources of morbidity among ESRD patients in the United States today. In this study, new data on the magnitude and growth of vascular access-related hospitalization in the United States is presented, demonstrating that the costs of this morbidity will soon exceed $1 billion per yr. This study also revie...

Vascular access: care and monitoring of function.