Outcomes of Elderly Patients after Predialysis Vascular Access Creation

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Outcomes of Elderly Patients after Predialysis Vascular Access Creation.

Uniform vascular access guidelines for elderly patients may be inappropriate because of the competing risk of death, high rate of arteriovenous fistula (AVF) maturation failure, and poor vascular access outcomes in this population. However, the outcomes in elderly patients with advanced CKD who receive permanent vascular access before dialysis initiation are unclear. We identified a large natio...

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Predialysis vascular access creation: To whom and when

Aims: The optimal timing of predialysis vascular access surgery remains uncertain. This study goal was to evaluate the influence of kidney function and clinical characteristics at predialysis vascular access surgery on the likelihood of initiating hemodialysis during follow-up. Methods: Our study retrospectively identified all patients undergoing predialysis arteriovenous fistula creation betwe...

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Outcomes of Predialysis Nephrology Care in Elderly Patients Beginning to Undergo Dialysis

BACKGROUND The proportion of elderly patients beginning to undergo dialysis is increasing globally. Whether early referral (ER) of elderly patients is associated with favorable outcomes remains under debate. We investigated the influence of referral timing on the mortality of elderly patients. METHODS We retrospectively assessed mortality in 820 patients aged ≥70 years with end-stage renal di...

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Reduced Cardiovascular Mortality Associated with Early Vascular Access Placement in Elderly Patients with Chronic Kidney Disease.

BACKGROUND Elderly patients with cardiovascular comorbidities are more likely to die before progressing to the need for undergoing hemodialysis; so deferring their predialysis vascular access (VA) surgery has been suggested. However, recent declines in cardiovascular mortality in the US population may have changed this consideration. We assessed whether there has been a parallel decrease in car...

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Comparison of Celox powder and conventional dressing on hemostasis of vascular access site in hemodialysis patients

Background: Common measures to stop bleeding can run the risk of clotting and thrombosis due to prolonged application of pressure. Topical homeostatic agents have an important role in decreasing time to hemostasis and consequently prevention of the complications.   Aim: the aim of this study was to compare Celox powder and conventional bandage on time to hemostasis in the vascular access site i...

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ژورنال

عنوان ژورنال: Journal of the American Society of Nephrology

سال: 2015

ISSN: 1046-6673,1533-3450

DOI: 10.1681/asn.2014090938