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Paediatric access care in Europe: results of the Paediatric Access Care (PAC) project
A Demol1, J Knoll, M Elseviers
1Paediatric Renal Unit, University Hospital of Leuven, Belgium.
Insights
Paediatric access care for haemodialysis (HD) and peritoneal dialysis (PD) patients varied significantly across Europe in 2004. Best practice evidence and recommendations are needed for paediatric renal nurses managing vascular and peritoneal access.
Area of Science:
- Nephrology
- Paediatric Nursing
- Vascular Access
Background:
- The Paediatric Access Care (PAC) project, part two, focused on access care in paediatric haemodialysis (HD) and peritoneal dialysis (PD) patients.
- It examined policies for access creation, maintenance, and the registration of access-related complications in 2004.
Purpose of the Study:
- To investigate paediatric access care practices and complications across European centres.
- To identify variations in care and highlight areas lacking consensus or evidence-based guidelines.
Main Methods:
- Data collection from 39 centres across 13 European countries.
- Inclusion of 379 paediatric patients undergoing HD or PD.
- Registration of access-related complications during the 2004 calendar year.
Main Results:
- Fatal complications leading to access termination occurred in 59 HD patients and 22 PD patients.
- Significant variation in paediatric access care was observed between European centres.
- Lack of consensus and best practice evidence was noted in many areas of paediatric access management.
Conclusions:
- Paediatric access care is inconsistent across Europe, indicating a need for standardized approaches.
- There is a critical need for evidence-based recommendations to guide paediatric renal nurses in managing access care.
- Further research and guideline development are essential to improve outcomes for paediatric patients requiring renal replacement therapy.
Abstract:
Part two of the Paediatric Access Care (PAC) project, a research project of EDTNA/ERCA, investigated PAC in HD and PD patients including the policy for the creation and maintenance of access, and the registration of access related complications that occurred during the registration year of 2004. Data were collected from 39 centres of 13 European countries and included 379 paediatric patients. Fatal complications, resulting in terminating the use of the access, were noted in 59 HD and 22 PD patients. Paediatric access care varied considerably between European centres and in many areas consensus or best practice evidence is still lacking. There is a need for recommendations for the paediatric renal nurse, handling access care in the paediatric renal population.
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