What question did this study set out to answer?

To evaluate the impact of different vascular access types, including arteriovenous shunts and central venous catheters, on all-cause mortality among patients undergoing hemodialysis.

July 24, 2019Scientific ReportsOpen Access

The Impact of Vascular Access Types on Hemodialysis Patient Long-term Survival

View Full Paper

Ask AI

Bookmark

Authors

LYLi-Mei YehChang Gung University SCSherry Yueh‐Hsia ChiuChang Gung University of Science and Technology PLPing‐Chin LaiChina Medical University

Discussion

Member takes

Implication

Cohort study reveals higher all-cause mortality with central venous catheters in hemodialysis patients, highlighting the survival advantage of early arteriovenous shunts.

Key Points

To evaluate the impact of different vascular access types, including arteriovenous shunts and central venous catheters, on all-cause mortality among patients undergoing hemodialysis.
Analyzed 738 end-stage renal disease patients aged over 40 receiving regular hemodialysis between January 2001 and December 2010 at a single center in northern Taiwan, with a mean follow-up of 4.5 years.
Categorized vascular access into three groups: arteriovenous fistula or graft (AVF/AVG), AVF/AVG combined with central venous catheter, and catheter only across dialysis initiation and follow-up phases.
Linked hospital electronic health records with the Nationwide Mortality Registry Database to determine causes and dates of death using multivariable risk adjustment.
Initiating hemodialysis with a central venous catheter was associated with increased all-cause mortality compared with AVF/AVG access (adjusted HR 1.55, 95% CI: 1.09, 2.21).
During the follow-up period, mortality risk remained significantly higher for catheter-only users (adjusted HR 3.23, 95% CI: 1.85, 5.64) and AVF/AVG plus catheter users (adjusted HR 1.45, 95% CI: 1.11, 1.91) relative to AVF/AVG users.

Cite This Study

Yeh et al. (2019) studied this question.

synapsesocial.com/papers/6a85ba956f8d490ba41e7ae4 https://doi.org/10.1038/s41598-019-47065-z

View Full Paper

Ask AI

Bookmark

Implication

Cohort study reveals higher all-cause mortality with central venous catheters in hemodialysis patients, highlighting the survival advantage of early arteriovenous shunts.

The Impact of Vascular Access Types on Hemodialysis Patient Long-term Survival

Discussion

Member takes

Implication

Key Points

Cite This Study

The Impact of Vascular Access Types on Hemodialysis Patient Long-term Survival

Discussion

Member takes

Implication

Key Points

Cite This Study

Also Consider

Also Consider