LENUS Collection:

Patients on hemodialysis are better served by a proximal arteriovenous fistula for long-term venous access.

Thu, 01 Nov 2012 00:00:00 GMT

Title: Patients on hemodialysis are better served by a proximal arteriovenous fistula for long-term venous access. Authors: Sultan, Sherif; Hynes, Niamh; Hamada, Nader; Tawfick, Wael Abstract: Patients with end-stage renal disease should have arteriovenous fistula (AVF) formation 3 to 6 months prior to commencing hemodialysis (HD). However, this is not always possible with strained health care resources. We aim to compare autologous proximal AVF (PAVF) with distal AVF (DAVF) in patients already on HD. Primary end point is 4-year functional primary. Secondary end point is freedom from major adverse clinical events (MACEs). From January 2003 to June 2009, out of 495 AVF formations, 179 (36%) patients were already on HD. These patients had 200 AVF formations (49 DAVF vs 151 PAVF) in arms in which no previous fistula had been formed. No synthetic graft was used. Four-year primary functional patency significantly improved with PAVF (68.9% ± SD 8.8%) compared to DAVF (7.3% ± SD 4.9%; P < .0001). Five-year freedom from MACE was 85% with PAVF compared to 40% with DAVF (P < .005). Proximal AVF bestows long-term functional access with fewer complications compared to DAVF for patients already on HD.

Natural history of fetal trisomy 18 after prenatal diagnosis.

Fri, 01 Mar 2013 00:00:00 GMT

Title: Natural history of fetal trisomy 18 after prenatal diagnosis. Authors: Burke, Annette L; Field, Katie; Morrison, John J Abstract: To evaluate the natural fetal and neonatal outcome for pregnancies with an established prenatal diagnosis of fetal trisomy 18, and a parental decision for continuation of the pregnancy.

Risk assessment of patient records in radiotherapy

Thu, 01 Jan 2009 00:00:00 GMT

Title: Risk assessment of patient records in radiotherapy Authors: Chadwick, L; Fallon, E.F.; Kelly, J; van der Putten, W.J. Abstract: The research examined factors influencing the completeness of patient information within the Electronic Patient Record (EPR) and hardcopy patient chart in the radiotherapy department of a large public hospital, which is part of the Irish Health Service Executive (HSE).

Increasing reporting of adverse events to improve the educational value of the morbidity and mortality conference.

Tue, 01 Jan 2013 00:00:00 GMT

Title: Increasing reporting of adverse events to improve the educational value of the morbidity and mortality conference. Authors: McVeigh, Terri P; Waters, Peadar S; Murphy, Ruth; O'Donoghue, Gerrard T; McLaughlin, Ray; Kerin, Michael J Abstract: The aim of this study was to investigate the impact of a validated complication proforma on surgical Morbidity and Mortality (M&M) conference reporting.