25% of deaths in HD patients are infection-related. Infection rate increases with temporary catheter use. Nearly 75% of HD patients are hospitalized for
vascular access-related problem within 2 years.1 Vascular access complications account for ~30% of
hospital admissions in chronic HD programs.2 Estimates on the cost of hospitalization for
vascular access problems range from $2 billion3 per
year to $3 billion4, representing 10% to 15% of
Medicare ESRD expenditures. ;
1. Feldman HI, Held PJ, Hutchinson JT, Stoiber E, Hartigan MF, Berlin JE 1993.
Kidney Int 43:1091-1096.
2. Chazan JA, London MR, Pono L 1990. Am J Kid Dis 6:523-525.
3. Feldman HI, Kobrin S, Wasserstein A 1996 J Am Soc Nephrol 7:523-535.
4. Dr. Larry Spergel presentation