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- Title
Vascular Access Outcome in the Elderly Dialysis Patient in Combination With the Quality of Life.
- Authors
Leur, Kevin de; Öztürk, Çigdem; Zeeland, Michiel L. P. Van; Groot, Hans G. W. de; Heyligers, Jan M. M.; Vriens, Patrick W. H. E.; Ho, Gwan H.; Laan, Lijckle van der
- Abstract
Purpose: We performed a retrospective study on hemodialysis fistulae in patients aged 75 years and older. Methods: Dialysis records of 2 hospitals were searched for patients of 75 years and older who had primary autologous radiocephalic arteriovenous fistulae (RCAVFs) and brachiocephalic arteriovenous fistulae (BCAVFs). Outcome measures were primary, primary-assisted, and secondary patency rates. Also, quality of life (QOL) was measured. Results: A total of 107 fistulae were placed in 90 patients; 65 (61%) RCAVFs and 42 (39%) BCAVFs were created. The primary patency rate (P ¼ .026) and the primary-assisted patency rate (P ¼.016) of BCAVFs were significantly higher than that of RCAVFs. Secondary patency rates at 1 year (P¼.01) and 2 years (P¼.035) were higher inBCAVFs than in RCAVFs. Conclusions: The BCAVFs give significantly higher primary and primary-assisted patency rates and also significantly higher secondary patency rates at 1 and 2 years. Therefore, we suggest the placement of elbow fistulae in the elderly patients. The QOL was surprisingly high in this population despite a high mortality rate.
- Subjects
NETHERLANDS; SURGICAL arteriovenous shunts; VASCULAR resistance; QUALITY of life; QUESTIONNAIRES; SURVIVAL analysis (Biometry); HEMODIALYSIS patients; TREATMENT effectiveness; RETROSPECTIVE studies; DATA analysis software; DESCRIPTIVE statistics; OLD age; PSYCHOLOGY
- Publication
Vascular & Endovascular Surgery, 2013, Vol 47, Issue 6, p444
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/1538574413495464