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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

Differences in sociodemographic and clinical characteristics of patients

Variables All patientsSurviveExitusp-value

(N=120)(N=101)(N=19)
Age 66.0 (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
WBC 6.4 (5.4–8.0)6.2 (5.4–7.9)7.2 (5.4–8.5)0.411
HGB 104.0 (96.3–110.8)105.0 (97.5–112.5)97.0 (84.0–104.0)0.008*
PLT 94.5 (154.3–244.0)191.0 (153.0–237.0)225.0 (158.0–280.0)0.146
Urea 19.7 (17.6–22.8)19.6 (17.7–22.8)19.7 (17.5–23.0)0.776
Creatinine 799.5 (683.3–914.0)822.0 (687.5–940.5)704.0 (637.0–811.0)0.042*
Kt/V 1.1 (0.9–1.2)1.1 (1.0–1.2)0.9 (0.7–1.2)0.010*
Albumin 40.0 (38.0–42.0)40.0 (38.0–42.0)39.0 (34.0–42.0)0.366
Prealbumin 0.3 (0.3–0.4)0.3 (0.3–0.4)0.3 (0.3–0.4)0.729
Na 139.0 (137.0–140.3)139.0 (138.5–140.5)137.0 (136.0–141.0)0.404
K 5.3 (4.7–5.7)5.3 (4.8–5.7)4.9 (4.4–5.6)0.142
Ca 2.3 (2.2–2.4)2.3 (2.2–2.4)2.2 (2.1–2.4)0.212
P 1.5 (1.2–1.8)1.5 (1.2–1.8)1.6 (1.2–2.0)0.527
CRP 4.1 (1.9–7.6)4.2 (1.9–7.6)2.9 (2.2–14.1)0.404
β microglobulin 22.9 (19.2–28.3)22.9 (19.4–27.6)23.1 (12.6–33.5)0.746
IL-6 7.7 (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)

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

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
DOI: https://doi.org/10.2478/rjim-2024-0033 | Journal eISSN: 2501-062X | Journal ISSN: 1220-4749
Language: English
Page range: 60 - 69
Published on: Mar 31, 2025
Published by: N.G. Lupu Internal Medicine Foundation
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 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.