Arteriovenous fistula as the vascular access contributes to better survival of hemodialysis patients with COVID-19 infection.
J Vasc Access
; 24(1): 22-26, 2023 Jan.
Article
em En
| MEDLINE
| ID: mdl-34082588
ABSTRACT
BACKGROUND:
While COVID-19 in chronic hemodialysis patients has high mortality and the pandemic will not end in the near future, effective follow up strategies should be implemented for these patients. Surgeries have been triaged according to their level of urgencies and arteriovenous fistula (AVF) operations were among elective surgeries. This study aimed to analyze the effect of vascular access on the outcomes of hemodialysis patients who had COVID-19.METHODS:
One hundred four hemodialysis patients who had COVID-19 were retrospectively analyzed. Seventy-two of them had AVF as the vascular access while 32 of them had tunneled catheters. Inflammatory markers and outcomes of patients with AVFs and catheters were compared. A logistic regression analysis was performed in order to define factors that contribute to better outcomes in hemodialysis patients.RESULTS:
COVID-19 had high mortality rate in hemodialysis patients (36.5%). Patients with catheters have higher peak ferritin levels (p = 0.02) and longer hospital stay (p = 0.00). Having AVF as the vascular access (OR = 3.36; 95% CI 1.05-10.72; p = 0.041) and using medium cut-off dialyzers (OR = 7.99; 95% CI 1.53-41.65; p = 0.014) were related to higher survival of the patients. COVID severity was inversely proportional to the survival (p = 0.000).CONCLUSIONS:
AVFs contribute to higher survival of hemodialysis patients with COVID-19. Even in the pandemic era, end stage renal disease patients should be given the opportunity to have their vascular access properly created.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Derivação Arteriovenosa Cirúrgica
/
Fístula Arteriovenosa
/
Cateteres Venosos Centrais
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COVID-19
/
Falência Renal Crônica
Limite:
Humans
Idioma:
En
Revista:
J Vasc Access
Assunto da revista:
ANGIOLOGIA
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Turquia