Vascular-access interventions are necessary for the continuation of hemodialysis, and they are performed underX-ray guidance. During interventions, patients’ accidental falls from the bed are a serious problem, and specializedfixation systems for hemodialysis patients to prevent their falls from the bed have been lacking. Wedeveloped a new fixation plate made of polypropylene homopolymer and tested its ability to prevent such fallsretrospectively. This plate, which we named the ‘vascular-access intervention assistance plate,’ offers functionalfeatures such as the concurrent fixation of the body and either arm and an arm space with serrations for fixing aforearm strap. We performed computer simulations to examine the strength of the plate, and we evaluated theefficacy of fall prevention by reviewing patients’ medical records. The results demonstrated that the functionaldesign of the plate provides good operability via accurate concurrent fixations of the body and arm. The computersimulation analysis results indicated the plate's sufficient strength. The medical records analysis revealedthree accidental falls before the plate's introduction (401 patients, 1,437 interventions), and none after plateintroduction (683 patients, 1,872 interventions). Accidental falls were significantly prevented by use of theplate (p<0.05). The dementia rate and type of procedure were not significantly different between the patientswho fell and those who did not. This vascular-access intervention assisted plate provides good operability andsafety by preventing accidental falls among hemodialysis patients.
|Number of pages||7|
|Journal||Acta medica Okayama|
|Publication status||Published - 2020|
- fall accident
- vascular access
ASJC Scopus subject areas
- Biochemistry, Genetics and Molecular Biology(all)