Abstract:
BACKGROUND/AIMS:Optimization of vascular access use in the 'fistula first' era requires comprehension of its clinical behavior. Little is known about mature arteriovenous fistula (AVF) performance and the role of fistula location. Widely used access flow (Qa) was used to analyze complication risks and functionality after first hemodialysis use. METHODS:178 Mature AVFs were analyzed. Complication was defined as permanent failure or >or=1 intervention. Factors associated with complications and mean Qa were determined using Cox proportional-hazards and linear regression models. RESULTS:Baseline Qa was significantly lower in complicated versus uncomplicated forearm and upper arm AVFs. In complicated forearm AVFs, preoperative arterial diameter was smaller while the risk of complications was graded per 100 ml/min baseline Qa increase. Diabetics had an increased risk of upper arm AVF complications. In uncomplicated forearm AVFs, diabetes was related to lower mean Qa, and BMI to higher Qa. CONCLUSIONS:In mature AVFs, baseline Qa depends on fistula location and is related to the risk of complications in a graded manner.
journal_name
Blood Purifjournal_title
Blood purificationauthors
Huijbregts HJ,Bots ML,Wittens CH,Schrama YC,Blankestijn PJdoi
10.1159/000197561subject
Has Abstractpub_date
2009-01-01 00:00:00pages
212-9issue
2eissn
0253-5068issn
1421-9735pii
000197561journal_volume
27pub_type
杂志文章,多中心研究abstract::While acute kidney injury (AKI) has been poorly defined historically, a decade of effort has culminated in a standardized, consensus definition. In parallel, electronic health records (EHRs) have been adopted with greater regularity, clinical informatics approaches have been refined, and the field of EHR-enabled care ...
journal_title:Blood purification
pub_type: 杂志文章,评审
doi:10.1159/000458751
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journal_title:Blood purification
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doi:10.1159/000167011
更新日期:2009-01-01 00:00:00
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journal_title:Blood purification
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doi:10.1159/000357641
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journal_title:Blood purification
pub_type: 杂志文章
doi:10.1159/000470827
更新日期:2017-01-01 00:00:00
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journal_title:Blood purification
pub_type: 杂志文章,多中心研究
doi:10.1159/000069156
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pub_type: 杂志文章
doi:10.1159/000046996
更新日期:2002-01-01 00:00:00
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journal_title:Blood purification
pub_type: 杂志文章
doi:10.1159/000109235
更新日期:2007-01-01 00:00:00
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journal_title:Blood purification
pub_type: 杂志文章
doi:10.1159/000493178
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journal_title:Blood purification
pub_type: 杂志文章,评审
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journal_title:Blood purification
pub_type: 杂志文章
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journal_title:Blood purification
pub_type: 杂志文章
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pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 杂志文章,评审
doi:10.1159/000170072
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journal_title:Blood purification
pub_type: 杂志文章
doi:10.1159/000170286
更新日期:1996-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2012-01-01 00:00:00
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pub_type: 评论,杂志文章
doi:10.1159/000441581
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journal_title:Blood purification
pub_type: 杂志文章
doi:10.1159/000337101
更新日期:2012-01-01 00:00:00
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doi:10.1159/000360267
更新日期:2014-01-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
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pub_type: 杂志文章,评审
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pub_type: 杂志文章,随机对照试验
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更新日期:2016-01-01 00:00:00
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journal_title:Blood purification
pub_type: 杂志文章,评审
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pub_type: 杂志文章
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更新日期:2013-01-01 00:00:00
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pub_type: 杂志文章,meta分析,评审
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更新日期:2019-01-01 00:00:00
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pub_type: 杂志文章,多中心研究
doi:10.1159/000319002
更新日期:2010-01-01 00:00:00
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journal_title:Blood purification
pub_type: 杂志文章
doi:10.1159/000014336
更新日期:1998-01-01 00:00:00
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journal_title:Blood purification
pub_type: 杂志文章
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更新日期:2015-01-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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