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Investigation of vascular access in maintenance hemodialysis patients in Shanxi province / 中华肾脏病杂志
Chinese Journal of Nephrology ; (12): 512-518, 2020.
Article in Chinese | WPRIM | ID: wpr-870985
ABSTRACT

Objective:

To understand the current situation of vascular access selection in maintenance hemodialysis (MHD) patients in Shanxi Province, and analyze the factors affecting vascular access selection and risk factors of death in MHD patients.

Methods:

MHD patients with clear vascular access information in Shanxi Province from January 2014 to December 2018 were enrolled in this study. The clinical data of patients were collected. The vascular access information of the selected candidates was clear. Multivariate logistic regression equation method was used to analyze the influencing factors of vascular access and the risk factors of death in MHD patients.

Results:

Among the 10.236 patients with MHD, 9.130 patients (89.2%) selected autologous arteriovenous fistula (AVF) as vascular access, and 5.138 patients (50.2%) chose tunnel-free and non-polyester sheath central venous catheter (NCC) for the first dialysis. Multivariate logistic regression analysis showed that the primary disease of diabetic nephropathy ( OR=0.517, 95% CI 0.281-0.796, P<0.001) and dialysis age<1 year ( OR=0.483, 95% CI 0.219-0.811, P<0.001) were the influencing factors of patients with MHD who did not to choose AVF. Primary disease of diabetic nephropathy ( OR=2.242, 95% CI 1.816-2.828, P<0.001), and using of central vein catheter ( OR=1.785, 95% CI 1.237-2.579, P<0.001) were independent risk factors of death in MHD patients.

Conclusions:

AVF is the first choice for MHD patients in Shanxi Province. There is higher proportion of the use of NCC as the first dialysis vascular access. Primary disease of diabetic nephropathy and dialysis age<1 year are the influencing factors for MHD patients not to choose AVF. Primary disease of diabetic nephropathy and use of central vein catheter may increase the risk of death in MHD patients.
Full text: Available Index: WPRIM (Western Pacific) Type of study: Risk factors Language: Chinese Journal: Chinese Journal of Nephrology Year: 2020 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Type of study: Risk factors Language: Chinese Journal: Chinese Journal of Nephrology Year: 2020 Type: Article