A meta-analysis of the association between diabetic patients and AVF failure in dialysis

Yan, Yan; Ye, Dan; Liu, Yang; Wen, Yan; Zhan, Dandan; Zhang, Li; Xiao, Jun; Zeng, Yan; Chen, Qinkai

doi:10.1080/0886022x.2018.1456464

Cited by 59 publications

(53 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Sebuah studi meta-analisis mengenai hubungan antara pasien diabetes dengan gagalnya fistula arteriovenosa pada hemodialisis membuktikan hubungan yang secara statistik signifikan dan melaporkan tingginya angka kegagalan fistula arteriovenosa pada pasien diabetes dibandingkan dengan non-diabetes. (Yan Y, et al, 2018). Beberapa penelitian lain menunjukkan perubahan aterosklerotik pada arteri lengan bawah pada pasien diabetes muncul pada 60% pasien hemodialysis (Gołębiowski, et al, 2015).…”

Section: Pendahuluanunclassified

See 1 more Smart Citation

Hubungan Nilai Trombosit dan Hematokrit dengan Kegagalan Arteriovenous Fistula pada Pasien Gagal Ginjal

Satria

Rustam

Rivaldy

2020

View full text Add to dashboard Cite

Hemodialysis is a treatment for kidney failure that uses a machine to send the patient's blood through a filter. Arteriovenous fistulas (AVF) and arteriovenous grafts are vascular access that is designed for long-term use. In the world, the number of patients with end-stage chronic kidney failure (CRF) which requires hemodialysis is increasing. However, almost 50% of arteriovenous fistulas can never be used for hemodialysis, and if they can be used, 25% will experience failure after 2 years. Many factors make the AVF failure, between the injury of the endothelial wall or the hypercoagulation. This study uses a cross-sectional retrospective design. Data is taken from the medical record status of patients with chronic kidney failure in RSUP Dr. M.Djamil Padang from January 2017-December 2019. Data were analyzed by Chi-square and Fisher test. From a sample of 33 people, patients obtained hematocrit values <33%, 33-36%,> 36% failure of AVF as many as 8, 2, and 4 people. While the platelet values <150,000,150,000-400,000 and 400,000 obtained AVF failures were 0.9 and 5 people. There was no relationship of platelet values with AVF failure in hemodialysis patients with p-value=0,323. There was a correlation between hematocrit values and AVF failure in hemodialysis patients with p-value=0,003.

show abstract

Section: Pendahuluanunclassified

“…Sari, dkk (2019), menemukan diabetes sebagai faktor resiko murni mempengaruhi luaran kegagalan AVF, sedangkan hipertensi berdasarkan analisis bivariate memiliki hubungan bermakna dengan kegagalan AVF. Yan Y., et al, (2018), dalam sebuah meta analisisnya didapatkan pasien dengan diabetes berhubungan dengan kegagalan AVF pada hemodialisis.…”

Section: Pembahasanunclassified

Hubungan Nilai Trombosit dan Hematokrit dengan Kegagalan Arteriovenous Fistula pada Pasien Gagal Ginjal

Satria

Rustam

Rivaldy

2020

View full text Add to dashboard Cite

show abstract

“…For decades, arterio-venous fistulas (AVFs) have been deemed the primary and desired dialysis access for hemodialysis [1], with the successful creation and maintenance of AVFs remaining Achilles' heel of hemodialysis. Most dialysis fistulas fail by stenosis and clotting, representing the principal cause of access loss in hemodialyzed patients, more commonly occurring in diabetics [2] or those with higher hemoglobin [3]. Early failure of arteriovenous dialysis access occurs at a rate of about 17.5% [4] to 23% [5] and the overall one-year primary patency rate is about 60%.…”

Section: Introductionmentioning

confidence: 99%

The association of overhydration with megafistulas in hemodialysis patients

et al. 2019

View full text Add to dashboard Cite

Objectives: Diffuse enlargements of arteriovenous dialysis fistulas customarily attributed to either excessive arterial inflow or central outflow stenosis. The relationship between volume status and clinically enlarged (arteriovenous) fistula (CEF) formation in end-stage renal disease (ESRD) patients is not well understood. Methods: We assessed the pre-dialysis bioimpedance spectroscopy-measured percentage of overhydration (OH%) in 13 prevalent dialysis patients with CEF development and negative angiography and compared the results with those of 52 control dialysis patients (CONTR). All patients were prevalent ESRD patients receiving thrice-weekly maintenance hemodiafiltration at an academic outpatient dialysis unit. Results: 10/13 CEF patients had OH% ≥15% as compared to 20/52 control patients (Chi square p : .02). The degree of OH% was 20.2 ± 7.4% among the CEF vs. 14.4 ± 7.1% in the control group (Student’s t -test p : .01), representing 4.2 ± 3.2 vs. 2.8 ± 1.6 L of excess fluid pre-dialysis ( p : .03). Patients with CEF development took an average of 1.7 ± 1.4 vs. 0.8 ± 0.8 ( p : .002) antihypertensive medications compared to the CONTR patients, yet their blood pressure was higher: 156/91 vs. 141/78 mmHg (systolic/diastolic p : .03<.0001). We found no difference in fistula vintage, body mass index, age, diabetes status, or diuretic use. The odds ratio of having a CEF in patients with ≥15% OH status was 5.3 (95% CI: 1.3–21.7; p : .01), the Number Needed to Harm with overhydration was 4. Conclusions: There is an association between bioimpedance spectroscopy-measured overhydrated clinical state and the presence of CEF; either as an increased volume capacitance or as a potential cause.

show abstract

“…The vascular access site has to be monitored on a daily basis by the patient and medical personnel to prevent complications such as infections, stenosis, or thrombosis. (9,10) Complications associated with all types of vascular access have been widely reported in the literature, and can arise at the time of access placement as well as during the maintenance period. (11)(12)(13)(14) While complications associated with vascular access are common among ESRD patients, during and immediately after a disaster they can become exacerbated due to shortages of clean water, electricity, and transportation, as well as limited access to dialysis facilities.…”

mentioning

confidence: 99%

Dialysis Care for U.S. Military Veterans in Puerto Rico during the 2017 Atlantic Hurricane Season, a Retrospective Cohort Study

Lukowsky

Dobalian

Kalantar-Zadeh

et al. 2020

Preprint

View full text Add to dashboard Cite

Continuity of care for End Stage Renal Disease (ESRD) patients is critical as they are at heightened risk for increased morbidity and mortality if their typically 3-times a week hemodialysis treatment is interrupted because of disaster-related disruptions in equipment, electricity, water, communication, or transportation.(1-4) For example, a month after Hurricane Katrina (2005), more than 50% of the dialysis facilities in Louisiana were still closed due to major damage caused by the hurricane.(5) These closures contributed to an increase in renal-related hospitalizations in the hurricane-affected areas.(6),(7) Similarly, during Hurricane Sandy (October 29, 2012), 306 dialysis facilities in New York and New Jersey were closed right after the hurricane struck.(2) Major disruptions in dialysis services caused by Sandy led to missed dialysis care during the first week post-Sandy for both U.S. Department of Veterans Affairs (VA) and non-VA patients. Major disruptions in dialysis services might have contributed to an increase in the 30-day mortality rate of 1.83% in Sandy-affected areas compared to 1.6% for the same month in the preceding year.(5, 8)

show abstract

A meta-analysis of the association between diabetic patients and AVF failure in dialysis

Cited by 59 publications

References 12 publications

Hubungan Nilai Trombosit dan Hematokrit dengan Kegagalan Arteriovenous Fistula pada Pasien Gagal Ginjal

Hubungan Nilai Trombosit dan Hematokrit dengan Kegagalan Arteriovenous Fistula pada Pasien Gagal Ginjal

The association of overhydration with megafistulas in hemodialysis patients

Dialysis Care for U.S. Military Veterans in Puerto Rico during the 2017 Atlantic Hurricane Season, a Retrospective Cohort Study

Contact Info

Product

Resources

About