Factors affecting the maturation of arterio-venous fistula in patients with end-stage renal disease

Background: About 18%–65% of Arterio-Venous fistula (AVF) made to facilitate haemodialysis in end stage renal disease patient fail to mature. This study was designed to evaluate the impact of clinical parameters and vascular haemodynamics on maturation of AVF on Indian patients. Material and methods: This was a prospective observational study. Eligible patients’ clinical profiles and vascular haemodynamics by Doppler ultrasonography were noted. All patients underwent radio-cephalic AVF on the non-dominant arm under local anaesthesia. Clinical definition was used to assess success rate of AVFs which is defined as successful six settings of satisfactory dialysis. Data were analysed using Stata/12.0 software. Independent t-test, chi-square test, logistic regression analysis and multivariate analysis were used. The p-value of <0.05 was considered significant. Results: A total of 205 patients were enrolled and analysed. Among clinical factors, age, sex, serum creatinine, hypertension had no significant association with failure (p = 0.5, 0.08, 0.76 and 0.74). Patient’s BMI and presence of diabetes had significant impact on outcome ( p < 0.001 and 0.02 respectively). Among vascular haemodynamics, radial vein diameter of >2.5 mm and radial artery flow rate >40 ml/min had no significant association with failure ( p = 0.12 and 0.28). Diameter of radial artery (>2 mm) and intra-operatively immediate thrill were independent predictor of success (p = 0.002 and <0.001). Conclusion: In the present study rate of fistula, maturation was 73.2% without any post-operative radiological intervention. Radial artery diameter >2 mm and presence of immediate thrill post-operatively were significantly associated with successful cannulation.

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EFFECT OF KIDNEY TRANSPLANTATION ON CONTROLLING ARTERY-VENOUS FISTULA SIDE EFFECTS IN END STAGE RENAL DISEASE

Transplantation Journal ◽

10.1097/01.tp.0000330524.46258.f8 ◽

2008 ◽

Vol 86 (Supplement) ◽

pp. 763

Author(s):

S M.M. Ghoreishi ◽

S A. Tabatabaie ◽

T Ghoraishi ◽

A A. Beigi ◽

A Mirmohammadsadeghy ◽

...

Keyword(s):

Kidney Transplantation ◽

Side Effects ◽

Renal Disease ◽

End Stage Renal Disease ◽

Venous Fistula ◽

Stage Renal Disease ◽

End Stage

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Factors Affecting Non-Adherence to Treatment in End Stage Renal Disease (ESRD) Patients Undergoing Hemodialysis in Indonesia

The Open Psychology Journal ◽

10.2174/1874350101912010141 ◽

2019 ◽

Vol 12 (1) ◽

pp. 141-146

Author(s):

Kustimah Kustimah ◽

Ahmad Gimmy Prathama Siswadi ◽

Achmad Djunaidi ◽

Aulia Iskandarsyah

Keyword(s):

Renal Disease ◽

End Stage Renal Disease ◽

Adherence To Treatment ◽

Structured Interviews ◽

Related Factors ◽

Factors Affecting ◽

Treatment Regimens ◽

Stage Renal Disease ◽

End Stage ◽

Esrd Patients

Background: Non-adherence to treatment regimens is a widespread problem of great clinical relevance among hemodialysis patients. However, only few studies have addressed the factors of non-adherence in End Stage Renal Disease (ESRD) patients, and none conducted in the Indonesia. Objective: The present study explores the reasons of non-adherence in end stage renal disease patients undergoing hemodialysis in Indonesia seen from perspectives of patients, caregivers and health professionals. Methods: The study is conducted using qualitative methods and is set in the hemodialysis unit in a private hospital in Bandung. A total of 23 respondents were recruited in this study. All participants were selected through purposive sampling and invited to participate in semi-structured interviews with open-ended questions. The data obtained were written in verbatim and analyzed using thematic analysis. Results: The six main themes related to non-adherence emerged. These themes were categorized into two clusters namely: (1) factors related to patient (patient related factors) (negative perception and treatment belief, denial, lack of awareness and knowledge and negative feelings) and (2) factors related to the treatment (treatment burden and financial problems). Conclusion: The findings showed determinants of non-adherence in ESRD patients from perspective of patients, caregivers and health professional. The finding from this study can be used as a base for designing an intervention, aimed to increase the adherence to treatment in ESRD patients who are undergoing hemodialysis.

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Factors affecting arteriovenous fistula maturation in patients with end stage renal disease

Ain Shams Journal of Surgery ◽

10.21608/asjs.2012.179438 ◽

2012 ◽

Vol 9 (1) ◽

pp. 241-245

Author(s):

Ayman Omar ◽

Nehad Zaid

Keyword(s):

Renal Disease ◽

Arteriovenous Fistula ◽

End Stage Renal Disease ◽

Factors Affecting ◽

Stage Renal Disease ◽

End Stage ◽

Fistula Maturation ◽

Arteriovenous Fistula Maturation

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Factors Affecting the Outcome of Lower Extremity Osteomyelitis Treated With Microvascular Free Flaps: An Analysis of 65 Patients

10.21203/rs.3.rs-666490/v1 ◽

2021 ◽

Author(s):

Duy Quang Thai ◽

Yeon Kyo Jung ◽

Hyung Min Hahn ◽

Il Jae Lee

Keyword(s):

Lower Extremity ◽

Renal Disease ◽

Diabetic Foot ◽

End Stage Renal Disease ◽

Free Flaps ◽

Foot Ulcers ◽

Diabetic Foot Ulcers ◽

Factors Affecting ◽

Stage Renal Disease ◽

End Stage

Abstract Background: Free flaps have been a useful modality in the management of lower extremity osteomyelitis particularly in limb salvage. This study aimed to determine the factors affecting the outcome of free flap reconstruction in the treatment of osteomyelitis.Methods: This retrospective study assessed 65 osteomyelitis patients treated with free flap transfer from 2015 to 2020. The treatment outcomes were evaluated in term of the flap survival rate, recurrence rate of osteomyelitis, and amputation rate. The correlation between outcomes and comorbidities, causes of osteomyelitis, and treatment modalities was analyzed. The following factors were considered: smoking, peripheral artery occlusive disease, renal disease, diabetic foot ulcer, flap types, using antibiotic beads and negative pressure wound therapy. Result: Among the 65 patients, 21 had severe peripheral arterial occlusive disease. Osteomyelitis developed from diabetic foot ulcers in 28 patients. Total flap failure was noted in six patients, and osteomyelitis recurrence was noted in eight patients, for which two patients underwent amputation surgery during the follow-up period. Only end-stage renal disease had a significant correlation with the recurrence rate (odds ratio = 16.5, p = 0.011). There was no significant relationship between outcomes and the other factors. Conclusion: This study showed that free flaps could be safely used for the treatment of osteomyelitis in patients with comorbidities and those who had osteomyelitis developing from diabetic foot ulcers. However, care should be taken in patients diagnosed with end-stage renal disease.

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