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Autologous arteriovenous fistula is associated with superior outcomes in elderly hemodialysis patients

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dc.contributor.authorBae, Eunjin-
dc.contributor.authorLee, Hajeong-
dc.contributor.authorKim, Dong Ki-
dc.contributor.authorOh, Kook-Hwan-
dc.contributor.authorKim, Yon Su-
dc.contributor.authorAhn, Curie-
dc.contributor.authorHan, Jin Suk-
dc.contributor.authorMin, Sang-Il-
dc.contributor.authorMin, Seung-Kee-
dc.contributor.authorKim, Hyo-Cheol-
dc.contributor.authorJoo, Kwon Wook-
dc.date.accessioned2019-03-07T05:38:03Z-
dc.date.available2019-03-07T14:38:50Z-
dc.date.issued2018-11-06-
dc.identifier.citationBMC Nephrology, 19(1):306ko_KR
dc.identifier.issn1471-2369-
dc.identifier.urihttps://hdl.handle.net/10371/146884-
dc.description.abstractBackground
The number of elderly patients with end-stage renal disease is increasing rapidly. The higher prevalence of comorbidities and shorter life expectancy in these patients make it difficult to decide on the type of vascular access (VA). We explored the optimal choice for VA in elderly hemodialysis patients.

Methods
We included elderly patients (> 65years) visiting our VA clinic and divided them into three groups as follows: radiocephalic arteriovenous fistula (AVF), brachiocephalic AVF, and prosthetic arteriovenous graft (AVG). The primary outcomes were VA abandonment and all-cause mortality. The secondary outcome was maturation failure (MF).

Results
Of 529 patients, 61.2% were men. The mean age was 73.6 ± 6.0years. The VA types were as follows: 49.9% radiocephalic AVF, 31.8% brachiocephalic AVF, and 18.3% AVG. Patients with an AVG tended to be older, female, and have a lower body mass index. More than half of patients (n = 302, 57.1%) started dialysis with central catheters, but the proportion of predialysis central catheter placement was not different among the VA types. Radiocephalic AVF was significantly superior to AVG in terms of VA abandonment (P = 0.005) and all-cause mortality (P < 0.001) in spite of a higher probability of MF. Brachiocephalic AVF was associated with a shorter time to the first needling and fewer interventions before maturation than radiocephalic AVF.

Conclusions
Autologous AVF was suggested as the preferred VA choice in terms of long-term outcomes in elderly patients.
ko_KR
dc.description.sponsorshipNo funding exits regarding this manuscript.ko_KR
dc.language.isoenko_KR
dc.publisherBioMed Centralko_KR
dc.subjectElderlyko_KR
dc.subjectHemodialysisko_KR
dc.subjectVascular access typeko_KR
dc.subjectVascular access abandonmentko_KR
dc.subjectAll-cause mortalityko_KR
dc.titleAutologous arteriovenous fistula is associated with superior outcomes in elderly hemodialysis patientsko_KR
dc.typeArticleko_KR
dc.contributor.AlternativeAuthor배은진-
dc.contributor.AlternativeAuthor이하정-
dc.contributor.AlternativeAuthor김동기-
dc.contributor.AlternativeAuthor오국환-
dc.contributor.AlternativeAuthor김연수-
dc.contributor.AlternativeAuthor안규리-
dc.contributor.AlternativeAuthor한진석-
dc.contributor.AlternativeAuthor민상일-
dc.contributor.AlternativeAuthor민승기-
dc.contributor.AlternativeAuthor김효철-
dc.contributor.AlternativeAuthor주권욱-
dc.identifier.doi10.1186/s12882-018-1109-9-
dc.language.rfc3066en-
dc.rights.holderThe Author(s).-
dc.date.updated2018-11-11T06:32:03Z-
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