Document Detail


Vascular access for hemodialysis: creation, functioning, and complications (data of the Hospital of Kaunas University of Medicine).
MedLine Citation:
PMID:  20966632     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: There are no data about arteriovenous fistulas (AVF) formation, survival, and complications rate in patients with end-stage renal failure in Lithuania.
MATERIAL AND METHODS: We analyzed the data of patients (N=272) with end-stage renal failure, dialyzed at the Hospital of Kaunas University of Medicine from January 1, 2000, until March 30, 2010, and identified 368 cases of AVF creation. The patients were divided into two groups: group 1 included the patients with an AVF that functioned for <15 months (n=138) and group 2 included patients with an AVF that functioned for ≥15 months (n=171).
RESULTS AND CONCLUSIONS: Less than half (47%) of the patients started planned hemodialysis and 51% of the patients started hemodialysis urgently. The mean time of AVF functioning was 15.43±8.67 months. Age, gender, the kidney disease, and time of AVF maturation had no influence on AVF functioning time. AVFs of the patients who started planned hemodialysis functioned longer as compared to AVFs of the patients who started hemodialysis urgently (P<0.05). Hospitalization time of the patients who started hemodialysis urgently was longer as compared that of the patients who had a matured AVF (37.63±20.55 days vs. 16.54±9.43 days). The first vascular access had better survival than repeated access. AVF survival in patients with ischemic brain vascular disease was worse than in patients without this comorbidity.
Authors:
Sondra Kybartienė; Inga Skarupskienė; Edita Ziginskienė; Vytautas Kuzminskis
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Medicina (Kaunas, Lithuania)     Volume:  46     ISSN:  1648-9144     ISO Abbreviation:  Medicina (Kaunas)     Publication Date:  2010  
Date Detail:
Created Date:  2010-10-22     Completed Date:  2010-12-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9425208     Medline TA:  Medicina (Kaunas)     Country:  Lithuania    
Other Details:
Languages:  eng     Pagination:  550-5     Citation Subset:  IM    
Affiliation:
Department of Nephrology, Kaunas University of Medicine, Eivenių 2, 50028 Kaunas, Lithuania. sondra.kybartiene@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Factors
Aged
Arteriovenous Shunt, Surgical*
Chronic Disease
Comorbidity
Female
Humans
Kidney Diseases / epidemiology
Lithuania / epidemiology
Male
Middle Aged
Myocardial Ischemia / epidemiology
Peripheral Vascular Diseases / epidemiology
Renal Dialysis*
Renal Insufficiency / epidemiology,  surgery*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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