Evolution of Vascular Access Use among Incident Patients during the First Year on Hemodialysis: A National Cohort Study.

ABSTRACT:

Background

Although the arteriovenous fistula (AVF) confers superior benefits over central venous catheters (CVCs), utilization rates remain low among prevalent patients on hemodialysis (HD). The goal of this study was to determine the evolution of vascular access type in the first year of dialysis and identify factors associated with conversion from CVC to a functioning AVF.

Methods

We studiedadult patients (n=610) who began HD between the January 1, 2015 and December 31, 2016 and were treated for at least 90 days, using data from the National Kidney Disease Clinical Patient Management System in the Irish health system. Prevalence of vascular access type was determined at days 90 and 360 after dialysis initiation and at 30-day intervals. Multivariable logistic regres

SUBMITTER: Hussein WF 

PROVIDER: S-EPMC8791378 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature