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Determinants of patency of arteriovenous fistula in hemodialysis patients
- Source :
- Saudi Journal of Kidney Diseases and Transplantation, Vol 29, Iss 3, Pp 615-622 (2018)
- Publication Year :
- 2018
-
Abstract
- The arteriovenous fistula (AVF) is the vascular access of the first choice for hemodialysis (HD). Studies on patency of AVF and its affecting factors reveal a high risk for access failure. The aim of this study was to assess the primary and secondary AVF patency and their determinant factors. It was a retrospective, descriptive study conducted in the HD facility of the Nephrology Department in Rabta University Hospital. We included AVF created before December 2009 in end-stage renal disease (ESRD) patients. The end of the follow-up was fixed in December 2013. We included 126 AVFs created in 111 patients; 22.5% were aged >65 years, 39.6% were diabetic, 68.5% were hypertensive, and 26.1% had peripheral vascular disease. The primary patency rates were 78% at one year and 42% at five years. The secondary patency rates were 80% at one year and 69% at five years. Multivariate analysis revealed that the factors affecting the primary patency of AVF were: the use of jugular catheter for longer than three months (odds ratio (OR):1.91, P = 0.044) and a C-reactive protein >5 mg/L (OR: 1.7, P = 0.049). Aging (>65 years) (OR: 2.46, P = 0.042), referral time to a nephrologist
- Subjects :
- Nephrology
Adult
Male
medicine.medical_specialty
Referral
medicine.medical_treatment
030232 urology & nephrology
lcsh:Medicine
Arteriovenous fistula
Blood Pressure
030204 cardiovascular system & hematology
03 medical and health sciences
Young Adult
0302 clinical medicine
Arteriovenous Shunt, Surgical
Renal Dialysis
Internal medicine
medicine
Humans
cardiovascular diseases
Young adult
Vascular Patency
Aged
Retrospective Studies
Aged, 80 and over
Vascular disease
business.industry
lcsh:R
Retrospective cohort study
General Medicine
Odds ratio
Middle Aged
medicine.disease
Surgery
Kidney Failure, Chronic
Female
Hemodialysis
business
Subjects
Details
- ISSN :
- 13192442
- Volume :
- 29
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia
- Accession number :
- edsair.doi.dedup.....5171247393ca48678acf6dce52cea2cf