{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T22:52:09Z","timestamp":1788389529896,"version":"build-2803163510"},"reference-count":24,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T00:00:00Z","timestamp":1751414400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Medical Components, Inc."}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Non-tunneled short-term hemodialysis (STHD) catheters are essential for managing acute kidney injury (AKI) and other conditions requiring temporary vascular access. Despite their widespread use, these catheters carry inherent risks, including infection and mechanical complications. This study evaluates the impact of catheter design features, such as lumen number, material, and configuration, on infection-related events in STHD catheters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective analysis was conducted using de-identified medical records from the Truveta database, comprising 3546 catheter insertions from 3240 unique patients between 2011 and 2023. Logistic regression models were employed to assess the relationship between catheter characteristics (e.g. lumen number, material) and infection-related events within 14\u2009days of placement. Descriptive statistics and trending data from 2018 to 2022 were also analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings:<\/jats:title>\n                    <jats:p>\n                      Triple-lumen catheters were significantly associated with an increased risk of infection-related events compared to dual-lumen catheters (aOR: 1.54, 95% CI: 1.12\u20132.14,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.01). Female patients had a lower risk of infection (aOR: 0.61, 95% CI: 0.46\u20130.81,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.01), while Black patients had a higher risk (aOR: 1.43, 95% CI: 1.00\u20132.03,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.04). However, trending data revealed that while the use of triple-lumen catheters increased from 29% in 2018 to 68% in 2022, infection rates for these catheters decreased from 18% to 7% during the same period.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Triple-lumen catheters were associated with a higher risk of infection, but their increasing use over time coincided with a decline in infection rates. Further research is needed to confirm these findings and explore the mechanisms underlying demographic and design-related infection risks.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11297298251352470","type":"journal-article","created":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T02:02:20Z","timestamp":1751508140000},"page":"585-593","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Design features, associated risks, and usage trends of non-tunneled hemodialysis catheters: A retrospective evaluation of dual and triple lumen devices"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-4655-6707","authenticated-orcid":false,"given":"George","family":"Miller","sequence":"first","affiliation":[{"name":"Clinical Affairs, Medical Components, Inc., Harleysville, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabella","family":"Zabaleta","sequence":"additional","affiliation":[{"name":"Clinical Affairs, Medical Components, Inc., Harleysville, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kingsley","family":"Ogujiofor","sequence":"additional","affiliation":[{"name":"Clinical Affairs, Medical Components, Inc., Harleysville, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9350-081X","authenticated-orcid":false,"given":"Rukhaiya","family":"Fatima","sequence":"additional","affiliation":[{"name":"Clinical Affairs, Medical Components, Inc., Harleysville, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Albrecht","sequence":"additional","affiliation":[{"name":"Clinical Affairs, Medical Components, Inc., Harleysville, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-0327-781X","authenticated-orcid":false,"given":"Madalyn","family":"Warden","sequence":"additional","affiliation":[{"name":"Clinical Affairs, Medical Components, Inc., Harleysville, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,7,2]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2019.12.001"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-015-3934-7"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra011883"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.26458"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-1742346"},{"key":"e_1_3_2_7_2","unstructured":"DePratter K. Silicone\u2019s history\u2014and future\u2014in medical manufacturing https:\/\/www.medicaldesignbriefs.com\/component\/content\/article\/22575-silicone-s-history-and-future-in-medical-manufacturing (2015). (accessed 12 February 2025)."},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/9780470750186.ch4"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1533\/9781908818188.115"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00178832"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000330"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0253818"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmbbm.2016.08.002"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.2309\/JAVA-D-24-00003"},{"key":"e_1_3_2_15_2","unstructured":"Yuo TH Oliver MJ. Central venous catheters for acute and chronic hemodialysis access and their management - UpToDate https:\/\/www.uptodate.com\/contents\/central-venous-catheters-for-acute-and-chronic-hemodialysis-access-and-their-management (2025). (accessed 12 February 2025)."},{"key":"e_1_3_2_16_2","unstructured":"Chopra V. Central venous access: device and site selection in adults - UpToDate https:\/\/www.uptodate.com\/contents\/central-venous-access-device-and-site-selection-in-adults (2025). (accessed 12 February 2025)."},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/1129729818805954"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.3389\/fneph.2022.917265"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-6386(03)00657-7"},{"key":"e_1_3_2_20_2","article-title":"Risk factors of catheter-associated bloodstream infection: systematic review and meta-analysis","volume":"18","author":"Lafuente CE","year":"2023","unstructured":"Lafuente CE, Terradas RR, Civit CA, et al. Risk factors of catheter-associated bloodstream infection: systematic review and meta-analysis. 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