Impact on autologous vascular access (VA) creation during COVID-19 pandemic at Hospital Kuala Lumpur

Abdul Rahman, Mohd Norhisham Azmi and Mohd Ali, Nurul Nadiah Nazurah and Hussein, Hanif (2021) Impact on autologous vascular access (VA) creation during COVID-19 pandemic at Hospital Kuala Lumpur. Annals of Vascular Diseases, 14 (Supplement Issue). p. 110. ISSN 1881-641X E-ISSN 1881-6428

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Abstract

Introduction: The COVID 19 pandemic send a shock wave worldwide since it surfaced in 2020. This has brought an unprecedented crisis towards Malaysia and worldwide healthcare system resulting in a delay, and in some centres, indefinite postponement in performing elective surgery. Purpose: To examined the impact of COVID 19 pandemic on vascular access creation at Malaysia’s national vascular referral centre. Materials and methods: We performed a retrospective analysis comparing the waiting time, number of vascular access (VA) creation and catheter-related morbidity between pre-pandemic and post-pandemic era. Results: There were 476 autologous VA 6 months prior to COVID 19 pandemic and 199 for same duration during the COVID 19 pandemic. Despite of less VA being created there is a statistically longer waiting time from the time patient was referred to the clinic and a VA being created (median 74 vs 98 days (p < 0.05) with a higher catheter malfunction rate during the COVID 19 pandemic among these patient (25 vs 14 events/1000 catheter-days). Conclusion: There is a significant increase in waiting time for VA creation and haemodialysis catheter malfunction among these patients during the COVID 19 pandemic.

Item Type:	Article (other)
Subjects:	R Medicine > RD Surgery
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Surgery
Depositing User:	Dr M N A Abdul Rahman
Date Deposited:	25 Sep 2023 10:48
Last Modified:	25 Sep 2023 10:48
URI:	http://irep.iium.edu.my/id/eprint/107015

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