{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T09:11:20Z","timestamp":1780391480604,"version":"3.54.1"},"reference-count":31,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,3,29]],"date-time":"2026-03-29T00:00:00Z","timestamp":1774742400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,29]],"date-time":"2026-03-29T00:00:00Z","timestamp":1774742400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2026,7]]},"abstract":"ABSTRACT<\/jats:title>\n \n Aims<\/jats:title>\n To evaluate the impact of a 5\u2010min delay in needle removal after haemodialysis on complications and patient satisfaction in newly created arteriovenous fistulas.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Retrospective cohort study.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n This study analysed 109 patients with new arteriovenous fistulas undergoing initial cannulation 8\u201312\u2009weeks post\u2010surgery. Participants were divided into two cohorts: a conventional group (\n n<\/jats:italic>\n \u2009=\u200942) receiving immediate needle removal after pump cessation, and a delayed group (\n n<\/jats:italic>\n \u2009=\u200967) retaining needles for 5\u2009min post\u2010pump cessation before removal. Outcomes included haemostasis time, hematoma incidence, 3\u2010month reintervention rates, and patient satisfaction measured by a 5\u2010point scale.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Delaying needle removal by 5\u2009min reduced mean haemostasis time by 32% compared to immediate removal (16.4\u2009min vs. 24.1\u2009min). Hematoma incidence decreased substantially by 76% in the delayed group (3.3% vs. 13.1%). At 3\u2010month follow\u2010up, reintervention rates were 66% lower with delayed removal (9.0% vs. 26.2%). Patients also reported 50% less procedure\u2010related pain and significantly higher satisfaction scores (median 4.5 vs. 2).<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n A brief 5\u2010min delay in needle removal significantly reduces complications and enhances patient\u2010centered outcomes during early arteriovenous fistula use.<\/jats:p>\n <\/jats:sec>\n \n Implications for the Profession and\/or Patient Care<\/jats:title>\n This protocol establishes an evidence\u2010based standard for post\u2010dialysis needle management, directly reducing compression\u2010induced pain and reintervention needs while requiring no additional nursing resources. Implementation can immediately improve vascular access safety in haemodialysis units.<\/jats:p>\n <\/jats:sec>\n \n Impact<\/jats:title>\n The study addresses high complication rates (26.2%) from immediate needle removal in immature fistulas. Key findings demonstrate 76% fewer hematomas and 66% lower reinterventions with 5\u2010min delayed removal. This evidence may transform global haemodialysis nursing protocols, benefiting a substantial population of patients receiving new fistulas annually.<\/jats:p>\n <\/jats:sec>\n \n Reporting Method<\/jats:title>\n This study follows the STROBE checklist.<\/jats:p>\n <\/jats:sec>\n \n Patient or Public Contribution<\/jats:title>\n Patients and the public were not involved in the design, conduct, or reporting of this retrospective medical record analysis.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jocn.70303","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T04:35:54Z","timestamp":1774845354000},"page":"3146-3155","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A 5\u2010Minute Delay in Needle Removal After Haemodialysis Reduces Complications in Newly Created Arteriovenous Fistulas: A Retrospective Cohort Study"],"prefix":"10.1111","volume":"35","author":[{"given":"Shan","family":"Wu","sequence":"first","affiliation":[{"name":"Blood Purification Center Affiliated Suzhou Municipal Hospital of Anhui Medical University Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Song","family":"Su","sequence":"additional","affiliation":[{"name":"Blood Purification Center Affiliated Suzhou Municipal Hospital of Anhui Medical University Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yihan","family":"Jiang","sequence":"additional","affiliation":[{"name":"Blood Purification Center Affiliated Suzhou Municipal Hospital of Anhui Medical University Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huishang","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Nephrology The First People's Hospital of Yongkang, Affiliated to Hangzhou Medical College Yongkang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linlin","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Nephrology The First People's Hospital of Yongkang, Affiliated to Hangzhou Medical College Yongkang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tianxi","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Nephrology The First People's Hospital of Yongkang, Affiliated to Hangzhou Medical College Yongkang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Blood Purification Center, The Fifth Medical Center of PLA General Hospital, Poisoning Treatment Center of PLA Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8557-8025","authenticated-orcid":false,"given":"Xishan","family":"Xiong","sequence":"additional","affiliation":[{"name":"Department of Nephrology The First People's Hospital of Yongkang, Affiliated to Hangzhou Medical College Yongkang China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,29]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2016040412"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2017.10.027"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1152\/ajpheart.00054.2024"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/11297298231170407"},{"key":"e_1_2_14_6_1","first-page":"M270","article-title":"Determinants of Measured Dialysis Venous Pressure and Its Relationship to True Intra\u2010Access Venous Pressure","volume":"37","author":"Besarab A.","year":"1991","journal-title":"ASAIO Transactions"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/11.7.1299"},{"key":"e_1_2_14_8_1","first-page":"1022","article-title":"Reliability of Pain Scales in the Assessment of Literate and Illiterate Patients With Rheumatoid Arthritis","volume":"17","author":"Ferraz M. 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