Predictive Parameters Functioning Arteriovenous Fistula for Hemodialysis in the Elderly
| Autor: | Milena Jovanović, Radojica V. Stolic, Zoran Bukumiric, Ivana R. Matijašević, Maša D. Jakšić, Teodora G. Kostić |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Nephrology
medicine.medical_specialty Fistula medicine.medical_treatment health care facilities manpower and services 030232 urology & nephrology Arteriovenous fistula 030204 cardiovascular system & hematology Anastomosis old patients functioning 03 medical and health sciences 0302 clinical medicine Internal medicine Medicine arteriovenous fistula Dialysis hemodialysis business.industry Proportional hazards model urogenital system duration Retrospective cohort study General Medicine social sciences medicine.disease humanities 3. Good health Surgery surgical procedures operative Hemodialysis business |
| Zdroj: | Serbian Journal of Experimental and Clinical Research, Vol 20, Iss 1, Pp 47-51 (2019) Serbian Journal of Experimental and Clinical Research (2019) 20(1):47-51 |
| ISSN: | 1820-8665 |
| Popis: | Elderly patients with end stage kidney disease represent a challenge for surgeons to create a vascular access. Determine predictive parameters functionality of the arteriovenous fistulas for hemodialysis in the elderly. The study was organized as a retrospective study at the Center for Dialysis, Clinic for Urology and Nephrology, Clinical Center Kragujevac. The study included patients older than 65 years with arteriovenous fistula thrombosis, in the period of four years, in which there is information on the length of the functioning fistula. The study included 48 patients, mean age 71.3±5.2 years, 29 (60%) men and 19 (40%) women. The data were analyzed according to gender and demographic structure, type of anastomosis, positioning, length of functioning fistulas, and the lumen diameter of the arteries and veins that are used to create a fistula. The median length of functioning arteriovenous fistula, based on Kaplan-Meier model, is 16 months (95% CI 6.9-25.1). Median functioning for proximaly located fistulas was 24 months (range, 1-259), while median functioning in patient with distally located fistulas was 8 months (range, 1-96). The difference in relation to the positioning of the fistula was statistically significant (p=0.006). In univariate Cox regression model, a statistically significant predictor of the functioning of arteriovenous fistulae is fistula positioning (B=0.700; p=0.022). The predictive parameter of survival of arteriovenous fistulas in elderly is proximally located fistula. |
| Databáze: | OpenAIRE |
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