<abstract xmlns="http://www.w3.org/1999/xhtml">Elderly patients with end stage kidney disease represent a challenge for surgeons to create a vascular access.Determine predictive parameters functionality of the arteriovenous fistulas for hemodialysis in the elderly.The study was organized as a retrospective study at the Center for Dialysis, Clinic for Urology and Nephrology, Clinical Center Kragujevac. The study included patients older than 65 years with arteriovenous fistula thrombosis, in the period of four years, in which there is information on the length of the functioning fistula. The study included 48 patients, mean age 71.3±5.2 years, 29 (60%) men and 19 (40%) women. The data were analyzed according to gender and demographic structure, type of anastomosis, positioning, length of functioning fistulas, and the lumen diameter of the arteries and veins that are used to create a fistula.The median length of functioning arteriovenous fistula, based on Kaplan-Meier model, is 16 months (95% CI 6.9-25.1). Median functioning for proximaly located fistulas was 24 months (range, 1-259), while median functioning in patient with distally located fistulas was 8 months (range, 1-96). The difference in relation to the positioning of the fistula was statistically significant (p=0.006). In univariate Cox regression model, a statistically significant predictor of the functioning of arteriovenous fistulae is fistula positioning (B=0.700; p=0.022).The predictive parameter of survival of arteriovenous fistulas in elderly is proximally located fistula.</abstract>

Elderly patients with end stage kidney disease represent a challenge for surgeons to create a vascular access.Determine predictive parameters functionality of the arteriovenous fistulas for hemodialysis in the elderly.The study was organized as a retrospective study at the Center for Dialysis, Clinic for Urology and Nephrology, Clinical Center Kragujevac. The study included patients older than 65 years with arteriovenous fistula thrombosis, in the period of four years, in which there is information on the length of the functioning fistula. The study included 48 patients, mean age 71.3±5.2 years, 29 (60%) men and 19 (40%) women. The data were analyzed according to gender and demographic structure, type of anastomosis, positioning, length of functioning fistulas, and the lumen diameter of the arteries and veins that are used to create a fistula.The median length of functioning arteriovenous fistula, based on Kaplan-Meier model, is 16 months (95% CI 6.9-25.1). Median functioning for proximaly located fistulas was 24 months (range, 1-259), while median functioning in patient with distally located fistulas was 8 months (range, 1-96). The difference in relation to the positioning of the fistula was statistically significant (p=0.006). In univariate Cox regression model, a statistically significant predictor of the functioning of arteriovenous fistulae is fistula positioning (B=0.700; p=0.022).The predictive parameter of survival of arteriovenous fistulas in elderly is proximally located fistula.

Predictive Parameters Functioning Arteriovenous Fistula for Hemodialysis in the Elderly

Department of Internal medicine, Faculty of Medical Sciences

Institute for Medical Statistics and Informatics, Faculty of Medicine

Clinic of Urology and Nephrology, Clinical Center Kragujevac

Experimental and Applied Biomedical Research (EABR)

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Elderly patients with end stage kidney disease represent a challenge for surgeons to create a vascular access.Determine predictive parameters functionality of...

Predictive Parameters Functioning Arteriovenous Fistula for Hemodialysis in the Elderly

Publicado en línea: 16 may 2019

Páginas: 47 - 51

Recibido: 02 mar 2017

Aceptado: 12 may 2017

DOI: https://doi.org/10.1515/sjecr-2017-0021

Palabras clave
old patients, hemodialysis, arteriovenous fistula, duration, functioning

© 2019 Radojica V. Stolic et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Predictive Parameters Functioning Arteriovenous Fistula for Hemodialysis in the Elderly

Publicado en línea: 16 may 2019

Páginas: 47 - 51

Recibido: 02 mar 2017

Aceptado: 12 may 2017

DOI: https://doi.org/10.1515/sjecr-2017-0021

Palabras claveold patients, hemodialysis, arteriovenous fistula, duration, functioning

© 2019 Radojica V. Stolic et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Palabras clave
old patients, hemodialysis, arteriovenous fistula, duration, functioning