Non-Tunneled Hemodialysis Catheters Use in Outpatient Hemodialysis Center in Syria: Problem Extent, Determinants, and Solutions

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Non-Tunneled Hemodialysis Catheters Use in Outpatient Hemodialysis Center in Syria: Problem Extent, Determinants, and Solutions

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Co-author 1

Amad Musa Alaaraj alaraj60@gmail.com Idlib University Hospital Nephrology Idlib Syrian Arab Republic -

Co-author 2

Khaled Haj Nasan hajnaasan83@gmail.com Mohammad Wassim Maaz Hospital, Azaz Syria Nephrology Azaz Syrian Arab Republic -

Co-author 3

Fouad Alali fouad44alali@gmail.com Idlib university hospital Nephrology Idlib Syrian Arab Republic -

Co-author 4

Mohammad Sheikh Yousef drmohamedsheakyousef@gmail.com Idlib university hospital Nephrology Idlib Syrian Arab Republic -

Co-author 5

Saleh Alyousef salehalyousef1995@gmail.com Idlib university hospital Nephrology Idlib Syrian Arab Republic -

Co-author 6

Saleh Kaysi salehkaysi@gmail.com Brugmann University Hospital Nephrology Bruxelles Belgium -

Co-author 7

Mohamed Sekkarie msekkarie@gmail.com Nephrology and Hypertension Associates Nephrology Bluefield United States -

Co-author 8

Muawya Alahmad muawiyah989@gmail.com Idlib university hospital Nephrology Idlib Syrian Arab Republic *

Co-author 9

Co-author 10

Co-author 11

Co-author 12

Co-author 13

Co-author 14

Co-author 15

Introduction

Non-tunneled non-cuffed (NTNC) hemodialysis catheters are used in hospitals due to their relative ease of insertion and removal. They are not suitable for use in the outpatient settings. In this manuscript, we describe the prevalence of NT utilization in the Syrian government facilities by patients’ age and location.

Methods

As a part of a survey aimed at identifying the individual dialysis patients in the 81 government-run dialysis facilities, a question about the type of hemodialysis access was included. Analyzed variables included age, location of the dialysis facility where patients are treated, and type of access.

Results

Out of the 81 facilities surveyed, 65 responded. They reported having 4143 patients. The type of access was identified in 3900 of these patients. Fistula was the vascular access in 2947 patients, while 127 patients had tunneled catheters (TC) and 320 had NT ones, as shown in Figure 1. Accesses per age category and country’s provinces are shown in Tables 1 and 2.

Conclusion

Our data revealed an unacceptably high usage of NT catheters as a permanent vascular access for hemodialysis in essentially all areas of the country. Another study is needed to uncover the reasons behind such prevalence and to explore potential solutions. These data should be helpful to medical teams and policymakers working on improving the quality of dialysis care in the country.

Kewords