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Risk Factors for Early Failure of Arteriovenous Vascular Access Among Patients With Type 2 Diabetes Mellitus
Author(s) -
Yap YitSheung,
Chuang HungYi,
Wu ChienHung,
Chi WenChe,
Lin ChengHao,
Liu YiChun
Publication year - 2016
Publication title -
therapeutic apheresis and dialysis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.415
H-Index - 53
eISSN - 1744-9987
pISSN - 1744-9979
DOI - 10.1111/1744-9987.12383
Subject(s) - medicine , arteriovenous fistula , odds ratio , peritoneal dialysis , hemodialysis , diabetes mellitus , confidence interval , population , dialysis , end stage renal disease , type 2 diabetes , surgery , cardiology , endocrinology , environmental health
The aim of the study was to identify the potential risk factors for early arteriovenous access failure in a diabetic population. The data of 223 end‐stage renal disease (ESRD) patients with type 2 diabetes who had an arteriovenous fistula (AVF) or arteriovenous graft (AVG) placed as their initial vascular accesses were retrospectively reviewed. The association between clinical factors and risk for early failure was then analyzed. In multivariate analysis, the predictors associated with early failure were female gender (odds ratio (95% confidence interval): 2.52 (1.32–4.81); P = 0.005), AVF with prior peritoneal dialysis (3.26 (1.05‐10.11); P = 0.039), and lower hemoglobin level ( P = 0.015). The results of significant predictors in the AVF group remained similar to the entire study population. In conclusion, there was an association of female gender, AVF with prior peritoneal dialysis and lower hemoglobin level with early arteriovenous access failure in a diabetic ESRD population.