Prediction model for successful radiocephalic arteriovenous fistula creation in patients with diabetic Nephropathy
المؤلفون المشاركون
Kumar, K. S. Sajeev
Thomas, E. T. Arun
Hareesh, K. G.
Jurj, Jakub
Kumar, J. Suresh
المصدر
Saudi Journal of Kidney Diseases and Transplantation
العدد
المجلد 30، العدد 5 (31 أكتوبر/تشرين الأول 2019)، ص ص. 1058-1064، 7ص.
الناشر
تاريخ النشر
2019-10-31
دولة النشر
السعودية
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Arteriovenous fistula (AVF) is the most appropriate vascular access for all chronic kidney disease patients for hemodialysis.
However, patients with diabetic nephropathy are at increased risk for primary failure after AVF creation, mainly due to atherosclerosis and calcification of blood vessels.
We conducted this study to find out the risk factors for primary failure of radiocephalic AVF in end-stage renal disease (ESRD) patients due to diabetic nephropathy and develop a risk predicting model.
This study was conducted at a tertiary care teaching hospital of South India.
Patients with ESRD due to diabetic nephropathy whom underwent left radiocephalic AVF at wrist were enrolled.
Risk factors for primary failure were analyzed by univariate and multivariate logistic regression models.
Sixty-six patients were included in the study.
Thirty-one patients had a primary failure.
Independent risk factors for primary failure were palpable vessel wall of the radial artery (P = 0.003, odds ratio [OR] = 15.317), smaller radial artery diameter (P = 0.001, OR = 16.526), radial artery peak systolic velocity (PSV) <45 cm/s (P = 0.005, OR = 8.494), and linear radial artery calcification (P = 0.006, OR = 7.942).
The risk predicting model obtained by adding the score given for each risk factors (vessel wall not palpable = 0, palpable = 1, no linear calcification in digital X-ray = 0, linear calcification = 1, PSV >45 cm/s = 0, <45 cm/s = 1 and 2.5 - radial artery diameter in mm) had an area under receiver-operating characteristic curve of 0.886.
Cutoff score of 1.5 had sensitivity of 83.9% and specificity of 80.0% for primary failure.
Risk predicting model for primary failure based on condition of the vessel wall on palpation, radial artery diameter, flow velocity, and calcification may be helpful for suitable patient selection.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Kumar, J. Suresh& Kumar, K. S. Sajeev& Thomas, E. T. Arun& Hareesh, K. G.& Jurj, Jakub. 2019. Prediction model for successful radiocephalic arteriovenous fistula creation in patients with diabetic Nephropathy. Saudi Journal of Kidney Diseases and Transplantation،Vol. 30, no. 5, pp.1058-1064.
https://search.emarefa.net/detail/BIM-1256133
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Kumar, J. Suresh…[et al.]. Prediction model for successful radiocephalic arteriovenous fistula creation in patients with diabetic Nephropathy. Saudi Journal of Kidney Diseases and Transplantation Vol. 30, no. 5 (Sep. / Oct. 2019), pp.1058-1064.
https://search.emarefa.net/detail/BIM-1256133
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Kumar, J. Suresh& Kumar, K. S. Sajeev& Thomas, E. T. Arun& Hareesh, K. G.& Jurj, Jakub. Prediction model for successful radiocephalic arteriovenous fistula creation in patients with diabetic Nephropathy. Saudi Journal of Kidney Diseases and Transplantation. 2019. Vol. 30, no. 5, pp.1058-1064.
https://search.emarefa.net/detail/BIM-1256133
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 1063-1064
رقم السجل
BIM-1256133
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر