Multicenter Investigation of the Initial Hemodialysis Vascular Access and Its Related Factors in Hangzhou of China

Objective. To investigate the initial hemodialysis vascular access in Hangzhou and provide evidence for improving the use of autologous arteriovenous fistula by identifying factors associated with the choice of initial vascular access. Methods. We retrospectively studied the initial hemodialysis vas...

Full description

Saved in:
Bibliographic Details
Published in:BioMed research international 2021-02, Vol.2021, p.6628139-6
Main Authors: Ying, Qisu, Mao, Yong, Xie, Xiangcheng, Wu, Ping, Ma, Jilin, Zhou, Wei, Xu, Jinhua, Fei, Xiao, Wang, Ming, Qian, Yingying, Shao, Jiayu, Xia, Xiaofeng, Yang, Xiu
Format: Article
Language:English
Subjects:
Age
Aged
Aged, 80 and over
Arteriovenous Shunt, Surgical
Care and treatment
Catheterization
Catheters
Central Venous Catheters
China - epidemiology
Chronic kidney failure
Clinical medicine
Diabetes
Diabetes mellitus
Diabetic nephropathy
Dialysis
Disease
Education
End-stage renal disease
Epidermal growth factor receptors
Etiology
Female
Fistulae
Glomerulonephritis
Hemodialysis
Hospitals
Humans
Hypertension
Kidney diseases
Kidney Failure, Chronic - epidemiology
Kidney Failure, Chronic - therapy
Literacy
Male
Medical instruments
Methods
Middle Aged
Nephropathy
Patients
Regression analysis
Renal Dialysis
Retrospective Studies
Risk analysis
Risk Factors
Secondary education
Statistics
Variables
Venous access
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objective. To investigate the initial hemodialysis vascular access in Hangzhou and provide evidence for improving the use of autologous arteriovenous fistula by identifying factors associated with the choice of initial vascular access. Methods. We retrospectively studied the initial hemodialysis vascular access of 257 patients in five hemodialysis units in Hangzhou of China during a 21-month period (January 2018 to September 2019). A logistic regression was used to identify the risk factors of failing to use an arteriovenous fistula at the initiation of hemodialysis. Results. (1) 257 participants with mean age 67.65±13.43 years old were reviewed, including 165 males (64.2%) and 92 females (35.8%). The etiologies of end-stage renal disease included diabetic nephropathy (37.35%), chronic glomerulonephritis (31.13%), hypertensive nephropathy (14.01%), and other diseases (17.51%). Only 51 patients (19.84%) received arteriovenous fistula, whereas the remaining 206 patients (80.16%) initiated dialysis with a central venous catheter. (2) Logistic regression analysis revealed that the independent risk factors for central venous catheter at the initial hemodialysis were age >70 years old (OR=4.827, p
ISSN:2314-6133
2314-6141
DOI:10.1155/2021/6628139