Reduced Cardiovascular Mortality Associated with Early Vascular Access Placement in Elderly Patients with Chronic Kidney Disease | Zendy

Timmy Lee | Zendy; Mae Thamer | Zendy; Qian Zhang | Zendy; Yi Zhang | Zendy; Michael Allon | Zendy

Open Access

Reduced Cardiovascular Mortality Associated with Early Vascular Access Placement in Elderly Patients with Chronic Kidney Disease

Author(s) -

Timmy Lee,

Mae Thamer,

Qian Zhang,

Yi Zhang,

Michael Allon

Publication year - 2016

Publication title -

american journal of nephrology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.394

H-Index - 85

eISSN - 1421-9670

pISSN - 0250-8095

DOI - 10.1159/000446159

Subject(s) - medicine , hemodialysis , kidney disease , comorbidity , myocardial infarction , population , heart failure , context (archaeology) , cardiology , surgery , environmental health , biology , paleontology

Elderly patients with cardiovascular comorbidities are more likely to die before progressing to the need for undergoing hemodialysis; so deferring their predialysis vascular access (VA) surgery has been suggested. However, recent declines in cardiovascular mortality in the US population may have changed this consideration. We assessed whether there has been a parallel decrease in cardiovascular comorbidity in elderly chronic kidney disease (CKD) patients undergoing predialysis access surgery, and whether this impacted clinical outcomes after access creation and cardiovascular events after hemodialysis initiation.

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