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Chronic venous access in the elderly.

R W Holt

    Journal of the National Medical Association
    |June 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Chronic venous catheters are common in cancer care. For elderly patients, careful selection and catheter care ensure safe and reliable outpatient management, even with earlier hospital discharges.

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    Area of Science:

    • Oncology
    • Geriatric Medicine
    • Vascular Access

    Background:

    • Chronic venous catheters are integral to modern cancer treatment.
    • Hospital reimbursement models (Diagnosis Related Grouping) may lead to earlier patient discharge.
    • This necessitates increased reliance on outpatient care, particularly for elderly patients.

    Purpose of the Study:

    • To evaluate the safety and reliability of chronic venous catheter insertion in elderly patients.
    • To address concerns regarding catheter maintenance in the outpatient setting for this demographic.

    Main Methods:

    • Review of patient selection criteria for chronic venous catheter insertion in the elderly.
    • Emphasis on protocols for outpatient catheter care and maintenance.
    • Assessment of complication rates and patient outcomes.

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    Main Results:

    • Chronic venous catheter insertion in carefully selected elderly patients is safe.
    • Reliable outcomes are achievable with appropriate emphasis on catheter care.
    • No significant increase in complications was observed with proper management.

    Conclusions:

    • Chronic venous catheters can be safely and reliably managed in elderly outpatients.
    • Careful patient selection and diligent catheter care are crucial for successful outcomes.
    • This approach supports intensive outpatient management for cancer patients.