Risk factors associated with the incidence of Arteriovenous (AV) shunt stenosis in Chronic Kidney Disease (CKD) patients on hemodialysis
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Keywords
AV Shunt Stenosis, Chronic Kidney Disease, hemodialysis, Risk Factors
Abstract
Background: Arteriovenous (AV) shunt stenosis is a significant complication in chronic kidney disease (CKD) patients undergoing hemodialysis with AV shunt access. The risk factors associated with this event are still not fully understood. This study aims to identify factors associated with the incidence of AV shunt stenosis in CKD patients undergoing dialysis.
Methods: A cross-sectional study was conducted involving 236 patients undergoing hemodialysis at Dr. Saiful Anwar General Hospital, Malang. Risk factors analyzed included age, gender, diabetes mellitus, hypertension, obesity, and AV shunt location.
Results: Bivariate analysis using the Chi-square test showed significant associations between stenosis and age (p=0.020), gender (p=0.001), diabetes mellitus (p=0.001), and hypertension (p=0.031). However, obesity (p=0.608) and AV shunt location (p=0.552) were not significantly associated. Logistic regression analysis indicated that diabetes mellitus increased the risk of AV shunt stenosis by 2.46 times (95% CI: 1.42-4.26), hypertension by 2.05 times (95% CI: 1.06-3.96), and age above 60 years by 1.93 times (95% CI: 1.10-3.37)
Conclusion: Diabetes mellitus, hypertension, advanced age, and smoking are key risk factors for AV shunt stenosis in CKD patients undergoing dialysis
References
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Atma Gunawan, Department of Nephrology and Hypertension, Saiful Anwar Hospital, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia
Department of Nephrology and Hypertension, Saiful Anwar Hospital, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia
Achmad Rifai, Department of Nephrology and Hypertension, Saiful Anwar Hospital, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia
Department of Nephrology and Hypertension, Saiful Anwar Hospital, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia
Novi Kurnianingsih, Department of Cardiology and Vascular Medicine, Saiful Anwar Hospital, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia
Department of Cardiology and Vascular Medicine, Saiful Anwar Hospital, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia
Ahmad Farid Haryanto, Resident of Internal Medicine, Saiful Anwar Hospital, Faculty of Medicine, Universitas Brawijaya, Indonesia
Resident of Internal Medicine, Saiful Anwar Hospital, Faculty of Medicine, Universitas Brawijaya, Indonesia