Peripheral artery disease in peritoneal dialysis and hemodialysis patients: single-center retrospective study in Taiwan
<p>Abstract</p> <p>Background</p> <p>Peripheral artery disease (PAD) is a condition characterized by restricted blood flow to the extremities, and is especially common in the elderly. PAD increases the risk for mortality and morbidity in patients with end-stage renal di...
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| Format: | Article |
| Language: | English |
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BMC
2012-09-01
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| Series: | BMC Nephrology |
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| Online Access: | http://www.biomedcentral.com/1471-2369/13/100 |
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| author | Lee Chun-Chuan Wu Chih-Jen Chou Li-Hua Shen Su-Mei Chiang Sheng-Fang Jen Pi-Chu Yeh Mei-Ching Pan Chi-Feng |
| author_facet | Lee Chun-Chuan Wu Chih-Jen Chou Li-Hua Shen Su-Mei Chiang Sheng-Fang Jen Pi-Chu Yeh Mei-Ching Pan Chi-Feng |
| author_sort | Lee Chun-Chuan |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Peripheral artery disease (PAD) is a condition characterized by restricted blood flow to the extremities, and is especially common in the elderly. PAD increases the risk for mortality and morbidity in patients with end-stage renal disease (ESRD), especially those on hemodialysis (HD).</p> <p>Methods</p> <p>The records of 484 patients with end-stage renal disease who were on HD or peritoneal dialysis (PD) were reviewed. PAD was diagnosed based on the ankle-brachial pressure index (ABI). Demographic and clinical characteristics were analyzed.</p> <p>Results</p> <p>PAD had an overall prevalence of 18.2% and was significantly more common in HD patients (21.8%) than in PD patients (4.8%). Advanced age, diabetes mellitus, smoking, low parathyroid hormone level, elevated serum ferritin, elevated serum glucose, and low serum creatinine levels increased the risk for PAD. PAD was independently associated with advanced age, diabetes mellitus, duration of dialysis, low serum creatinine, and hyperlipidemia. PD patients had a significantly lower prevalence of PAD than HD patients, maybe due to their younger age and lower prevalence of diabetes mellitus in this present study.</p> <p>Conclusions</p> <p>The prevalence of PAD was greater in the HD group than the PD group. Most of the risk factors for PAD were specific to HD, and no analyzed factor was significantly associated with PAD in PD patients.</p> |
| first_indexed | 2024-04-13T10:34:02Z |
| format | Article |
| id | doaj.art-7b58f4b2a2cc47e196431305d5053f88 |
| institution | Directory Open Access Journal |
| issn | 1471-2369 |
| language | English |
| last_indexed | 2024-04-13T10:34:02Z |
| publishDate | 2012-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nephrology |
| spelling | doaj.art-7b58f4b2a2cc47e196431305d5053f882022-12-22T02:50:06ZengBMCBMC Nephrology1471-23692012-09-0113110010.1186/1471-2369-13-100Peripheral artery disease in peritoneal dialysis and hemodialysis patients: single-center retrospective study in TaiwanLee Chun-ChuanWu Chih-JenChou Li-HuaShen Su-MeiChiang Sheng-FangJen Pi-ChuYeh Mei-ChingPan Chi-Feng<p>Abstract</p> <p>Background</p> <p>Peripheral artery disease (PAD) is a condition characterized by restricted blood flow to the extremities, and is especially common in the elderly. PAD increases the risk for mortality and morbidity in patients with end-stage renal disease (ESRD), especially those on hemodialysis (HD).</p> <p>Methods</p> <p>The records of 484 patients with end-stage renal disease who were on HD or peritoneal dialysis (PD) were reviewed. PAD was diagnosed based on the ankle-brachial pressure index (ABI). Demographic and clinical characteristics were analyzed.</p> <p>Results</p> <p>PAD had an overall prevalence of 18.2% and was significantly more common in HD patients (21.8%) than in PD patients (4.8%). Advanced age, diabetes mellitus, smoking, low parathyroid hormone level, elevated serum ferritin, elevated serum glucose, and low serum creatinine levels increased the risk for PAD. PAD was independently associated with advanced age, diabetes mellitus, duration of dialysis, low serum creatinine, and hyperlipidemia. PD patients had a significantly lower prevalence of PAD than HD patients, maybe due to their younger age and lower prevalence of diabetes mellitus in this present study.</p> <p>Conclusions</p> <p>The prevalence of PAD was greater in the HD group than the PD group. Most of the risk factors for PAD were specific to HD, and no analyzed factor was significantly associated with PAD in PD patients.</p>http://www.biomedcentral.com/1471-2369/13/100Ankle-brachial pressure index (ABI)Cardiovascular diseaseEnd-stage renal diseaseHemodialysisPeritoneal dialysisPeripheral artery disease |
| spellingShingle | Lee Chun-Chuan Wu Chih-Jen Chou Li-Hua Shen Su-Mei Chiang Sheng-Fang Jen Pi-Chu Yeh Mei-Ching Pan Chi-Feng Peripheral artery disease in peritoneal dialysis and hemodialysis patients: single-center retrospective study in Taiwan BMC Nephrology Ankle-brachial pressure index (ABI) Cardiovascular disease End-stage renal disease Hemodialysis Peritoneal dialysis Peripheral artery disease |
| title | Peripheral artery disease in peritoneal dialysis and hemodialysis patients: single-center retrospective study in Taiwan |
| title_full | Peripheral artery disease in peritoneal dialysis and hemodialysis patients: single-center retrospective study in Taiwan |
| title_fullStr | Peripheral artery disease in peritoneal dialysis and hemodialysis patients: single-center retrospective study in Taiwan |
| title_full_unstemmed | Peripheral artery disease in peritoneal dialysis and hemodialysis patients: single-center retrospective study in Taiwan |
| title_short | Peripheral artery disease in peritoneal dialysis and hemodialysis patients: single-center retrospective study in Taiwan |
| title_sort | peripheral artery disease in peritoneal dialysis and hemodialysis patients single center retrospective study in taiwan |
| topic | Ankle-brachial pressure index (ABI) Cardiovascular disease End-stage renal disease Hemodialysis Peritoneal dialysis Peripheral artery disease |
| url | http://www.biomedcentral.com/1471-2369/13/100 |
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