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Predictors of survival and functioning of arteriovenous fistula in patients on hemodialysis during a one-year follow-up Cover

Predictors of survival and functioning of arteriovenous fistula in patients on hemodialysis during a one-year follow-up

Open Access
|Mar 2025

Figures & Tables

Table 1

Differences in sociodemographic and clinical characteristics of patients

VariablesAll patientsSurviveExitusp-value
(N=120)(N=101)(N=19)
Age66.0 (59.0–71.8)66.0 (59.0–71.0)68.0 (51.0–70.0)0.863
Gender N (%)male70(58)57 (56.4)13 (68.4)0.448
female50(42)44 (43.6)6 (31.6)
AVF positioning N (%)distal46(38)43 (42.6)3 (15.8)0.038*
proximal74(62)58 (57.4)16 (84.2)
AVF97(81)89 (88.2)8 (42.1)
Type of VA N (%)AVG1(1)1 (0.9)0 (0)0.001*
Hickman catheter22(18)11 (10.9)11 (57.9)
Length of HD (months)51.0 (29.0–82.8)56.0 (32.5–85.0)14.0 (6.0–43.0)0.001*
Type HD N (%)bicarbonate101(84)85 (84.2)16 (84.2)1.000
hemodiafiltration19(16)16 (15.8)3 (15.8)
SBP (mmHg)30.0 (120.0–140.0)130.0 (120.0–140.0)120.0 (120.0–140.0)0.701
DBP (mmHg)80.0 (70.0–80.0)80.0 (70.0–80.0)80.00 (70.0–80.0)0.409
BMI (kg/m2)24.8 (22.0–27.5)24.3 (21.9–27.5)25.3 (23.5–27.4)0.361
WBC6.4 (5.4–8.0)6.2 (5.4–7.9)7.2 (5.4–8.5)0.411
HGB104.0 (96.3–110.8)105.0 (97.5–112.5)97.0 (84.0–104.0)0.008*
PLT94.5 (154.3–244.0)191.0 (153.0–237.0)225.0 (158.0–280.0)0.146
Urea19.7 (17.6–22.8)19.6 (17.7–22.8)19.7 (17.5–23.0)0.776
Creatinine799.5 (683.3–914.0)822.0 (687.5–940.5)704.0 (637.0–811.0)0.042*
Kt/V1.1 (0.9–1.2)1.1 (1.0–1.2)0.9 (0.7–1.2)0.010*
Albumin40.0 (38.0–42.0)40.0 (38.0–42.0)39.0 (34.0–42.0)0.366
Prealbumin0.3 (0.3–0.4)0.3 (0.3–0.4)0.3 (0.3–0.4)0.729
Na139.0 (137.0–140.3)139.0 (138.5–140.5)137.0 (136.0–141.0)0.404
K5.3 (4.7–5.7)5.3 (4.8–5.7)4.9 (4.4–5.6)0.142
Ca2.3 (2.2–2.4)2.3 (2.2–2.4)2.2 (2.1–2.4)0.212
P1.5 (1.2–1.8)1.5 (1.2–1.8)1.6 (1.2–2.0)0.527
CRP4.1 (1.9–7.6)4.2 (1.9–7.6)2.9 (2.2–14.1)0.404
β microglobulin22.9 (19.2–28.3)22.9 (19.4–27.6)23.1 (12.6–33.5)0.746
IL-67.7 (4.6–18.3)7.3 (4.6–17.1)13.7 (6.9–33.7)0.163
Who created AVFnephrologist29(24)25 (24.8)4 (21.1)1.000
vascular surgeon91(76)76 (75.2)15 (78.9)

SBP-Systolic blood pressure; DBP-Diastolic blood pressure; BMI-body mass index; VA-Vascular access; AVF-arteriovenous fistula; AVG-arteriovenous graft; WBC-White Blood Cell Count; HGB-Hemoglobin; PLT-Platelet Coun; K-Potassium; Na-Sodium; Ca-Calcium; PO4-Phosphate; CRP-C reactive protein; IL-6-interleukin; Kt/V-HD adequacy index; HD-hemodialysis; CVC-central venous catheter;

* statistically significant value

Table 2

Results of univariable and multivariable regression of predictors of survival

VariablesBExp(B)95% C.I.for EXP(B)p-valueBExp(B)95% C.I.for EXP(B)p-value
LowerUpperLowerUpper
Age0.0091.0090.9631.0570.712
Gender0.5141.6730.5894.7520.334
AVF positioning1.3753.9541.08314.4310.037*−0.2830.7540.1334.2690.749
Type of VA1.2023.3271.9115.7910.001*0.5111.6670.7763.5780.190
Length of HD (months)−0.0410.9600.9360.9840.001*−0.0350.9660.9360.9960.028*
Type HD−0.0040.9960.2603.8190.995
SBP (mmHg)−0.0050.9950.9661.0250.744
DBP (mmHg)−0.0200.9800.9181.0470.552
BMI (kg/m2)0.0481.0500.9401.1710.389
WBC0.0731.0760.8901.3010.450
HGB−0.0500.9510.9130.9910.016*−0.0260.9750.9121.0950.312
PLT0.0041.0060.9991.0130.115
Urea−0.0270.9730.8631.0980.661
Creatinine−0.0030.9970.9941.0000.030*−1.3420.2610.9271.0240.540
Kt/V−2.2090.1100.0120.9970.050*−0.9500,3870.0354.2780.438
Albumin−0.0780.9250.8031.0660.280
Prealbumin−1.8020.1650.001478.2840.658
Na−0.2100.8110.5171.2710.360
K−0.7020.4950.2031.2070.122
Ca−1.4970.2240.0077.0180.394
P0.2001.2210.3394.3920.760
CRP0.0161.0160.9931.0390.169
β microglobulin−0.0040.9960.9701.0230.777
IL-6−0.0010.9990.9941.0050.790
Who created AVF0.2101.2340.3754.0630.730
Did you start HD with CVC−0.3600.6970.2541.9170.484

VA-Vascular access; SBP-Systolic blood pressure; DBP-Dyastolic blood pressure; BMI-body mass index; AVF-arteriovenous fistula; AVG-arteriovenous graft; WBC-White Blood Cell Count; HGB-Hemoglobin; PLT-Platelet Coun; K-Potassium; Na-Sodium; Ca-Calcium; PO4-Phosphate; CRP-C reactive protein; IL-6-interleukin; Kt/V-HD adequacy index; HD-hemodialysis; CVC-central venous catheter;

* statistically significant value

Table 3

Results of univariable and multivariable regression of predictors of length of functional vascular access in hemodialysis patients who survived during one-year follow-up

VariablesUnivariable analysisMultivariable analysis
B (95% C.I. for B)p-valueB (95% C.I. for B)p-value
Age0.07 (−0.90;1.04)0.888
Gender−1.76 (−22.23;18.71)0.865
AVF positioning−11.95 (−32.35;8.43)0.247
Type of vascular access−13.27 (−29.24;2.68)0.102
Length of HD (months)−0.58 (0.47;0.69)0.001*−0.29 (0.14;0.44)0.001*
Type HD23.94 (−3.458;51.33)0.086
SBP (mmHg)−0.34 (−0.95;0.27)0.269
DBP mmHg)−1.48 (−2.80;–0.13)0.032*0.30 (−1.08;1.68)0.662
BMI (kg/m2)−1.34 (−3.66;0.98)0.254
WBC−4.96 (−8.77;–1.15)0.011*−0.62 (−4.19;2.94)0.727
HGB1.06 (0.23;1.90)0.013*−0.17 (−0.93;0.59)0.654
PLT−0.22 (−0.37;–0.07)0.005*−0.09 (−0.23;0.05)0.197
Urea−1.30 (−3.25;0.64)0.186
Creatinine0.02 (−0.03;0.07)0.357
Kt/V20.92 (−23.70;65.54)0.355
Albumin−1.45 (−4.53;1.63)0.352
Prealbumin−51.93 (−180.21;76.34)0.421
Na−3.31 (−14.95;8.34)0.554
K−2.99 (−17.10;11.12)0.674
Ca40.87 (−18.27;100.02)0.172
P0.16 (−22.94;22.98)0.999
CRP−0.31 (−0.90;0.29)0.304
β microglobulin0.10 (−0.19;0.39)0.505
IL-60.02 (−0,04; 0.08)0.514
Who created AVF−26.24 (−49.03;–3.45)0.024*−23.16 (−42.72; −3.60)0.021*
Did you start HD with CVK25.42 (5.85;44.98)0.011*7.72 (−9.97;25.72)0.381

VA-Vascular access; SBP-Systolic blood pressure; DBP-Dyastolic blood pressure; BMI-body mass index; AVF-arteriovenous fistula; AVG-arteriovenous graft; WBC-White Blood Cell Count; HGB-Hemoglobin; PLT-Platelet Coun; K-Potassium; Na-Sodium; Ca-Calcium; PO4-Phosphate; CRP-C reactive protein; IL-6-interleukin; Kt/V-HD adequacy index; HD-hemodialysis; CVC-central venous catheter;

* statistically significant value

DOI: https://doi.org/10.2478/rjim-2024-0033 | Journal eISSN: 2501-062X (formerly 1220-4749) | Journal ISSN: 1220-4749
Language: English, Romanian
Page range: 60 - 69
Published on: Mar 31, 2025
Published by: N.G. Lupu Internal Medicine Foundation
In partnership with: Paradigm Publishing Services

© 2025 Radojica V. Stolic, Marija Milic, Vekoslav Mitrovic, Milica Mirovic, Tatjana Pesic, Kristina Z. Dugalic, Jelena Zivic, Andriana Karanovic, Maja V. Sipic, Kristina Bulatovic, Suzana Milutinovic, published by N.G. Lupu Internal Medicine Foundation
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.