VSE knjižnice (vzajemna bibliografsko-kataložna baza podatkov COBIB.SI)
  • Functional status of hemodialysis arteriovenous fistula in kidney transplant recipients as a predictor of allograft function and survival
    Vajdič Trampuž, Barbara ...
    There is no accepted policy for preserving or ligating arteriovenous fistula (AVF) after successful kidney transplantation. The aim of this study was to compare kidney graft function and survival ... between patients with a functional AVF at 1 year after-transplantation with those having a nonfunctional AVF. This historical cohort study included 311 kidney transplant recipients betweenJanuary 2000 and December 2008 with a functional AVF at the time of transplantation. Patients were divided into 2 groups according to functional status of AVF at 1 year after transplantation. Graft function was assessed at 1 year by serum creatinine and estimated glomerular filtration rate (eGFR) using the 4-variable Modification of Diet in Renal Disease formula. Kaplan-Meier and Cox proportional hazards analyses were used to assess the relationship between the functional status of the AVF and graft survival. The 311 recipients had a mean age of 47 +/- 11 years (range, 14 to 70) with 188 (60.5%) males. Patients with functional AVF at 1 year (n = 239) showed higher serum creatinine and lower eGFR values than those with nonfunctional AVF (n = 72): namely 110 +/- 38 mumol/L and 69 +/- 21 mL/min/1.73 m(2) versus 99 +/- 30mumol/L and 74 +/- 19 mL/min/1.73 m(2), respectively (P < .05). Persistence of a functional AVF at 1 year after transplantation was associated with a greater incidence of eGFR <60 mL/min/1.73 m(2) compared with nonfunctional AVF: 36.8% versus 23.6% (odds ratio, 1.885; 95% confidence interval šCIđ, 1.031-3.450; P = .038). The 5-year allograft survival rates were 60% among patients with a functional AVF versus 75% among those with a nonfunctional AVF(P = .045). The adjusted analyses revealed the persistence of a functional AVF to be associated with an increased risk for future allograft loss (hazardratio, 1.336; 95% CI, 1.018-1.755; P = .037). (Abs. trunc. at 2000 ch.)
    Vir: Transplantation Proceedings. - ISSN 0041-1345 (Vol. 42, issue 10, 2010, str. 4006-4009)
    Vrsta gradiva - članek, sestavni del
    Leto - 2010
    Jezik - angleški
    COBISS.SI-ID - 27754713
    DOI

vir: Transplantation Proceedings. - ISSN 0041-1345 (Vol. 42, issue 10, 2010, str. 4006-4009)
loading ...
loading ...
loading ...

Vnos na polico