Vascular Access Type and Clinical Outcomes among Elderly Patients on Hemodialysis.

ABSTRACT:

Background and objectives

The optimal type of initial permanent access for hemodialysis among the elderly is controversial. Duration of central venous catheter dependence, patient comorbidities, and life expectancy are important considerations in whether to place an arteriovenous fistula or graft. We used an observational study design to compare clinical outcomes in elderly patients who initiated hemodialysis with a central venous catheter and subsequently had an arteriovenous fistula or graft placed.

Design, setting, participants, & measurements

We identified 9458 United States patients ages ≥67 years old who initiated hemodialysis from July 1, 2010 to June 30, 2011 with a central venous catheter and no secondary vascular access and then received an arteriovenous fistula (<

SUBMITTER: Lee T 

PROVIDER: S-EPMC5672965 | biostudies-literature | 2017 Nov

REPOSITORIES: biostudies-literature