Risk factors of autologous arteriovenous fistula nonfunction in long-term hemodialysis patients
Objective To explore the influencing factors for the risk of autologous arteriovenous fistula (AVF) nonfunction in patients on hemodialysis (HD) for >10 years. Methods A total of 50 patients on HD >10 years were assigned into two groups of nonfunction (n=26) and function (n=24) according to th...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | zho |
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Editorial Department of Journal of Clinical Nephrology
2023-11-01
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| Series: | Linchuang shenzangbing zazhi |
| Subjects: | |
| Online Access: | http://www.lcszb.com/cn/article/doi/10.3969/j.issn.1671-2390.2023.11.002 |
| _version_ | 1797299572820672512 |
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| author | Ruo-xi Kong Yi-fei Ge Xue-qiang Xu Jia-hui Yang Hui-juan Mao Chang-ying Xing |
| author_facet | Ruo-xi Kong Yi-fei Ge Xue-qiang Xu Jia-hui Yang Hui-juan Mao Chang-ying Xing |
| author_sort | Ruo-xi Kong |
| collection | DOAJ |
| description | Objective To explore the influencing factors for the risk of autologous arteriovenous fistula (AVF) nonfunction in patients on hemodialysis (HD) for >10 years. Methods A total of 50 patients on HD >10 years were assigned into two groups of nonfunction (n=26) and function (n=24) according to the presence or absence of AVF nonfunction. General profiles and laboratory parameters were compared between two groups for evaluating the effects of various indicators on AVF nonfunction. ResultsInitial cannulation time for AVF was significantly earlier in nonfunction group than that in function group. The levels of cholesterol and retinol-binding protein were significantly higher than those in function group. Inter-group differences also existed in the proportions of different cannulation techniques and blood flow distribution (P<0.05). Multivariate Cox regression analysis indicated that advanced age at an initial hemodialysis, upper arm AVF, area puncture cannulation technique and initial cannulation time were the significant influencing factors for AVF nonfunction. Conclusions Patients with forearm AVF and a longer initial cannulation time are more prone to AVF while advanced age and area puncture cannulation technique may elevate the risks of AVF nonfunction. |
| first_indexed | 2024-03-07T22:51:56Z |
| format | Article |
| id | doaj.art-f4b041d2df774336bcba824bf19f747d |
| institution | Directory Open Access Journal |
| issn | 1671-2390 |
| language | zho |
| last_indexed | 2024-03-07T22:51:56Z |
| publishDate | 2023-11-01 |
| publisher | Editorial Department of Journal of Clinical Nephrology |
| record_format | Article |
| series | Linchuang shenzangbing zazhi |
| spelling | doaj.art-f4b041d2df774336bcba824bf19f747d2024-02-23T09:28:23ZzhoEditorial Department of Journal of Clinical NephrologyLinchuang shenzangbing zazhi1671-23902023-11-01231188989610.3969/j.issn.1671-2390.2023.11.00220230225Risk factors of autologous arteriovenous fistula nonfunction in long-term hemodialysis patientsRuo-xi Kong0Yi-fei Ge1Xue-qiang Xu2Jia-hui Yang3Hui-juan Mao4Chang-ying Xing5Department of Nephrology,First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, ChinaDepartment of Nephrology,First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, ChinaDepartment of Nephrology,First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, ChinaDepartment of Nephrology,First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, ChinaDepartment of Nephrology,First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, ChinaDepartment of Nephrology,First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, ChinaObjective To explore the influencing factors for the risk of autologous arteriovenous fistula (AVF) nonfunction in patients on hemodialysis (HD) for >10 years. Methods A total of 50 patients on HD >10 years were assigned into two groups of nonfunction (n=26) and function (n=24) according to the presence or absence of AVF nonfunction. General profiles and laboratory parameters were compared between two groups for evaluating the effects of various indicators on AVF nonfunction. ResultsInitial cannulation time for AVF was significantly earlier in nonfunction group than that in function group. The levels of cholesterol and retinol-binding protein were significantly higher than those in function group. Inter-group differences also existed in the proportions of different cannulation techniques and blood flow distribution (P<0.05). Multivariate Cox regression analysis indicated that advanced age at an initial hemodialysis, upper arm AVF, area puncture cannulation technique and initial cannulation time were the significant influencing factors for AVF nonfunction. Conclusions Patients with forearm AVF and a longer initial cannulation time are more prone to AVF while advanced age and area puncture cannulation technique may elevate the risks of AVF nonfunction.http://www.lcszb.com/cn/article/doi/10.3969/j.issn.1671-2390.2023.11.002renal dialysisvascular accessarteriovenous fistulanonfunctionrisk factors |
| spellingShingle | Ruo-xi Kong Yi-fei Ge Xue-qiang Xu Jia-hui Yang Hui-juan Mao Chang-ying Xing Risk factors of autologous arteriovenous fistula nonfunction in long-term hemodialysis patients Linchuang shenzangbing zazhi renal dialysis vascular access arteriovenous fistula nonfunction risk factors |
| title | Risk factors of autologous arteriovenous fistula nonfunction in long-term hemodialysis patients |
| title_full | Risk factors of autologous arteriovenous fistula nonfunction in long-term hemodialysis patients |
| title_fullStr | Risk factors of autologous arteriovenous fistula nonfunction in long-term hemodialysis patients |
| title_full_unstemmed | Risk factors of autologous arteriovenous fistula nonfunction in long-term hemodialysis patients |
| title_short | Risk factors of autologous arteriovenous fistula nonfunction in long-term hemodialysis patients |
| title_sort | risk factors of autologous arteriovenous fistula nonfunction in long term hemodialysis patients |
| topic | renal dialysis vascular access arteriovenous fistula nonfunction risk factors |
| url | http://www.lcszb.com/cn/article/doi/10.3969/j.issn.1671-2390.2023.11.002 |
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