{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:37:51Z","timestamp":1777937871217,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2023,8,7]],"date-time":"2023-08-07T00:00:00Z","timestamp":1691366400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Central Venous Catheter (CVC) is indispensable to unplanned and urgent start haemodialysis in chronic kidney disease (CKD). While cuffed CVC is preferred to non-cuffed CVC for urgent start haemodialysis, patient\u2019s clinical condition might warrant immediate insertion of non-cuffed CVC. In the resource poor setting, non-cuffed CVCs might have to be retained longer than guideline recommended limit of 2\u2009weeks. In this multi-centre retrospective observational study, the real-world survival of non-cuffed CVC was assessed among CKD patients who initiated dialysis urgently.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>CVC survival was assessed by Kaplan-Meier survival estimate. Predictors of premature CVC loss were assessed using multi-level multi-variate Cox frailty model wherein, each centre was provided with a random intercept to account for within-centre correlation of practice patterns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among 433 non-cuffed CVCs, there were 393 removals out of which 80% were elective and 20% were premature. The median CVC survival was 37\u2009days (95% CI: 35\u201341). The rate of premature CVC removal was 4.5\/1000 CVC-days (95% CI: 3.6\u20135.6). Mechanical complications followed by central line associated blood stream infection (CLABSI) were the most common reasons for premature removal. Rate of CLABSI was 1.7\/1000 CVC-days (95% CI: 1.2\u20132.5). Diabetic CKD significantly increased the hazard of premature CVC removal (HR 1.91, 95% CI: 1.01\u20133.63, p\u2009=\u20090.04) while right internal-jugular location decreased the hazard (HR 0.22, 95% CI: 0.13\u20130.38, p\u2009&lt;\u20090.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Prolonged retention of non-cuffed CVC (median 37\u2009days) is common in resource-poor setting. It is worrisome and calls for pre-emptive access creation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298231191369","type":"journal-article","created":{"date-parts":[[2023,8,7]],"date-time":"2023-08-07T05:10:13Z","timestamp":1691385013000},"page":"1868-1876","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Non-cuffed central venous catheter for unplanned and urgent start haemodialysis in chronic kidney disease: A multi-centre experience from India"],"prefix":"10.1177","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3956-165X","authenticated-orcid":false,"given":"Subrahmanian","family":"Sathiavageesan","sequence":"first","affiliation":[{"name":"Department of Nephrology, Sundaram Hospital, Trichy, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Balamurugan","family":"Swaminathan","sequence":"additional","affiliation":[{"name":"Department of Nephrology, KAPV Government Medical College, Trichy, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Murugan","family":"Myvizhiselvi","sequence":"additional","affiliation":[{"name":"Department of Nephrology, KAPV Government Medical College, Trichy, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gopalakrishnan","family":"Ramakrishnan","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Maruthi Hospital, Trichy, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramprasad","family":"Elumalai","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Sri Ramachandra Institute of Higher Education, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,8,7]]},"reference":[{"key":"bibr1-11297298231191369","doi-asserted-by":"publisher","DOI":"10.1016\/j.kint.2019.01.017"},{"key":"bibr2-11297298231191369","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-018-1036-9"},{"key":"bibr3-11297298231191369","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.09180817"},{"key":"bibr4-11297298231191369","doi-asserted-by":"publisher","DOI":"10.1111\/j.1542-4758.2011.00546.x"},{"key":"bibr5-11297298231191369","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000817"},{"key":"bibr6-11297298231191369","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2019.09.003"},{"key":"bibr7-11297298231191369","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2019.12.001"},{"key":"bibr8-11297298231191369","doi-asserted-by":"publisher","DOI":"10.1016\/j.ekir.2017.03.010"},{"key":"bibr9-11297298231191369","doi-asserted-by":"publisher","DOI":"10.4103\/jiaphd.jiaphd_52_21"},{"key":"bibr10-11297298231191369","unstructured":"Haddadin Y, Annamaraju P, Regunath H. Central line associated blood stream infections. Treasure Island, FL: StatPearls Publishing, 2022. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK430891\/ (accessed 29 May 2022)."},{"key":"bibr11-11297298231191369","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2017.12.012"},{"key":"bibr12-11297298231191369","doi-asserted-by":"publisher","DOI":"10.1111\/insr.12214"},{"key":"bibr13-11297298231191369","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfm582"},{"key":"bibr14-11297298231191369","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6601120"},{"key":"bibr15-11297298231191369","doi-asserted-by":"publisher","DOI":"10.2147\/IJNRD.S46643"},{"key":"bibr16-11297298231191369","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-019-0876-8"},{"key":"bibr17-11297298231191369","doi-asserted-by":"publisher","DOI":"10.4103\/1319-2442.164607"},{"key":"bibr18-11297298231191369","doi-asserted-by":"publisher","DOI":"10.1007\/s004670050235"},{"key":"bibr19-11297298231191369","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-139X.2008.00497.x"},{"key":"bibr20-11297298231191369","doi-asserted-by":"publisher","DOI":"10.4065\/81.9.1159"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298231191369","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11297298231191369","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298231191369","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:23:14Z","timestamp":1777692194000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11297298231191369"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,7]]},"references-count":20,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1177\/11297298231191369"],"URL":"https:\/\/doi.org\/10.1177\/11297298231191369","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,7]]}}}