Evaluation of Rate and Time to Arteriovenous Fistula Maturation in Hemodialysis Patients

Syed Zia Ul Haq; Musa Bin Bashir; Mirwais Khan; Maivand Khan; Abdullah

doi:doi:10.11648/j.ajns.20211005.12

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Evaluation of Rate and Time to Arteriovenous Fistula Maturation in Hemodialysis Patients

Syed Zia Ul Haq, Musa Bin Bashir, Mirwais Khan, Maivand Khan, Abdullah

Published in American Journal of Nursing Science (Volume 10, Issue 5)

Received: 29 August 2021 Accepted: 11 September 2021 Published: 27 September 2021

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Abstract

The acceptance rate of hemodialysis (HD) in end stage renal disease (ESRD) patients has been increasing globally. Pakistan is a CKD high burden country with the increasing acceptance rate of HD. Unfortunately, there is dearth of published information regarding the rate, time to and factors associated with AVF maturation. The current retrospective cohort study was conducted with the aim to evaluate the rate, time to and factors associated with delayed AVF maturation. This study was conducted at the HD unit of Baluchistan Institute of Nephrology-Urology Quetta, Pakistan. The record of 120 HD patients who underwent native arteriovenous fistula (AVF) creation was reviewed focusing on the associated factors and arteriovenous fistula maturity. A standardized data collection form was used to abstract patients’ socio-demographic and clinical data. Delayed AVF maturation was defined as AVF which got mature after six weeks of its creation. Statistical Package for Social Sciences (SPSS version 20) was used for data analysis. Categorical data was presented at frequencies and percentages whereas, continuous data was presented as mean ± standard deviations. Chi-square and Fisher exact tests wherever applicable were conducted to find association between patients’ socio-demographic and clinical characteristics and delayed AVF maturation. A p-value <0.05 was considered statistically significant. Mean age and body mass index of the study participants were respectively 43.20 ±15.184 years and 20.14 ± 4.37 kg/m². Majority of them were males (53.3%), belonged the age group 31-45 years (42.5%), rural residents (62.5%) and non-smokers (65.8%). A total of 93.3% patients were suffering from hypertension and 6.7% suffered from diabetes mellitus. Majority of the study participants had no family history of CKD (81.7%) and baseline visit of dialysis they had CKD duration of 2-5 years (47.5%). The mean time to AVF maturation in the current cohort was 41.9 ± 8.5 days. A total of 91.7% patients achieved the early maturation of AVF. No factor had statistical significant association with delayed AVF maturation. The rate of AVF maturation in the current cohort is comparatively high than reported in the published literature. Being a single centre study with retrospective design its results cannot be generalized. In the current study, 91.5% of the patients achieved early maturation of AVF. The rate of early maturation in the current cohort was comparatively higher than that reported in the previously published literature. In this retrospective study, we didn’t find out any factor which had significant association with time to AVF maturation.

Published in	American Journal of Nursing Science (Volume 10, Issue 5)
DOI	10.11648/j.ajns.20211005.12
Page(s)	222-226
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Hemodialysis, Fistula, Maturation, Pakistan

References

[1]	Eckardt, K.-U., et al., Definition and classification of CKD: the debate should be about patient prognosis—a position statement from KDOQI and KDIGO. American journal of kidney diseases, 2009. 53 (6): p. 915-920.
[2]	Fleming, G. M., Renal replacement therapy review: past, present and future. Organogenesis, 2011. 7 (1): p. 2-12.
[3]	Pannu, N., et al., Renal replacement therapy in patients with acute renal failure: a systematic review. JaMa, 2008. 299 (7): p. 793-805.
[4]	Jorge, A., et al., Kidney Transplantation and Cardiovascular Events Among Patients with End‐Stage Renal Disease due to Lupus Nephritis: A Nationwide Cohort Study. Arthritis Care & Research, 2021.
[5]	Knoll, G. A., Kidney transplantation in the older adult. American Journal of Kidney Diseases, 2013. 61 (5): p. 790-797.
[6]	Téblick, A., et al. “Does Perioperative Patient Perfusion Obviate the Need for Kidney Machine Perfusion?” A Retrospective Analysis of Patients Receiving a Kidney From “Donation After Circulatory Death” Donors. in Transplantation Proceedings. 2020. Elsevier.
[7]	Piccoli, G. B., et al., What we do and do not know about women and kidney diseases; questions unanswered and answers unquestioned: reflection on World Kidney Day and International Woman’s Day. Physiology international, 2018. 105 (1): p. 1-18.
[8]	Thijssen, S., F. Kappel, and P. Kotanko, Absolute blood volume in hemodialysis patients: why is it relevant, and how to measure it. Blood purification, 2013. 35 (1-3): p. 63-71.
[9]	PARAB, S. R., HAEMODIALYSIS. 2019.
[10]	Rind, H. U. and M. Khan, Etiology and Outcomes of Acute Kidney Injury in Patients Admitted to a Single Tertiary Care Hospital: Balochistan Institute of Nephrology-Urology Quetta. Pakistan Journal of Kidney Diseases, 2020. 4 (4).
[11]	Siddiqui, M. A., et al., Predictive parameters of arteriovenous fistula maturation in patients with end-stage renal disease. Kidney research and clinical practice, 2018. 37 (3): p. 277.
[12]	Huey Tean, K., Factors associated with delayed arteriovenous fistula maturation in chronic kidney disease patients. 2015, Pusat Pengajian Sains Perubatan, Universiti Sains Malaysia.
[13]	Rajput, R., et al., Prevalence, Risk Factors and Management of Anaemia In Non-Dialysis Chronic Kidney Disease Patients: Findings from A Single Centre Study in Pakistan.
[14]	Bashar, K., et al., Arteriovenous fistula in dialysis patients: factors implicated in early and late AVF maturation failure. The Surgeon, 2016. 14 (5): p. 294-300.
[15]	Siddiqui, M. A., S. Ashraff, and T. Carline, Maturation of arteriovenous fistula: analysis of key factors. Kidney research and clinical practice, 2017. 36 (4): p. 318.
[16]	Nguyen, M. C. and K. Heindl-Rusai, Evaluation of HLA typing data and transplant outcome in pediatric renal transplantation.
[17]	Lok, C. E., et al., Risk equation determining unsuccessful cannulation events and failure to maturation in arteriovenous fistulas (REDUCE FTM I). Journal of the American Society of Nephrology, 2006. 17 (11): p. 3204-3212.

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Syed Zia Ul Haq, Musa Bin Bashir, Mirwais Khan, Maivand Khan, Abdullah. (2021). Evaluation of Rate and Time to Arteriovenous Fistula Maturation in Hemodialysis Patients. American Journal of Nursing Science, 10(5), 222-226. https://doi.org/10.11648/j.ajns.20211005.12

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ACS Style

Syed Zia Ul Haq; Musa Bin Bashir; Mirwais Khan; Maivand Khan; Abdullah. Evaluation of Rate and Time to Arteriovenous Fistula Maturation in Hemodialysis Patients. Am. J. Nurs. Sci. 2021, 10(5), 222-226. doi: 10.11648/j.ajns.20211005.12

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AMA Style

Syed Zia Ul Haq, Musa Bin Bashir, Mirwais Khan, Maivand Khan, Abdullah. Evaluation of Rate and Time to Arteriovenous Fistula Maturation in Hemodialysis Patients. Am J Nurs Sci. 2021;10(5):222-226. doi: 10.11648/j.ajns.20211005.12

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@article{10.11648/j.ajns.20211005.12,
  author = {Syed Zia Ul Haq and Musa Bin Bashir and Mirwais Khan and Maivand Khan and Abdullah},
  title = {Evaluation of Rate and Time to Arteriovenous Fistula Maturation in Hemodialysis Patients},
  journal = {American Journal of Nursing Science},
  volume = {10},
  number = {5},
  pages = {222-226},
  doi = {10.11648/j.ajns.20211005.12},
  url = {https://doi.org/10.11648/j.ajns.20211005.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20211005.12},
  abstract = {The acceptance rate of hemodialysis (HD) in end stage renal disease (ESRD) patients has been increasing globally. Pakistan is a CKD high burden country with the increasing acceptance rate of HD. Unfortunately, there is dearth of published information regarding the rate, time to and factors associated with AVF maturation. The current retrospective cohort study was conducted with the aim to evaluate the rate, time to and factors associated with delayed AVF maturation. This study was conducted at the HD unit of Baluchistan Institute of Nephrology-Urology Quetta, Pakistan. The record of 120 HD patients who underwent native arteriovenous fistula (AVF) creation was reviewed focusing on the associated factors and arteriovenous fistula maturity. A standardized data collection form was used to abstract patients’ socio-demographic and clinical data. Delayed AVF maturation was defined as AVF which got mature after six weeks of its creation. Statistical Package for Social Sciences (SPSS version 20) was used for data analysis. Categorical data was presented at frequencies and percentages whereas, continuous data was presented as mean ± standard deviations. Chi-square and Fisher exact tests wherever applicable were conducted to find association between patients’ socio-demographic and clinical characteristics and delayed AVF maturation. A p-value 2. Majority of them were males (53.3%), belonged the age group 31-45 years (42.5%), rural residents (62.5%) and non-smokers (65.8%). A total of 93.3% patients were suffering from hypertension and 6.7% suffered from diabetes mellitus. Majority of the study participants had no family history of CKD (81.7%) and baseline visit of dialysis they had CKD duration of 2-5 years (47.5%). The mean time to AVF maturation in the current cohort was 41.9 ± 8.5 days. A total of 91.7% patients achieved the early maturation of AVF. No factor had statistical significant association with delayed AVF maturation. The rate of AVF maturation in the current cohort is comparatively high than reported in the published literature. Being a single centre study with retrospective design its results cannot be generalized. In the current study, 91.5% of the patients achieved early maturation of AVF. The rate of early maturation in the current cohort was comparatively higher than that reported in the previously published literature. In this retrospective study, we didn’t find out any factor which had significant association with time to AVF maturation.},
 year = {2021}
}

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TY - JOUR
T1 - Evaluation of Rate and Time to Arteriovenous Fistula Maturation in Hemodialysis Patients
AU - Syed Zia Ul Haq
AU - Musa Bin Bashir
AU - Mirwais Khan
AU - Maivand Khan
AU - Abdullah
Y1 - 2021/09/27
PY - 2021
N1 - https://doi.org/10.11648/j.ajns.20211005.12
DO - 10.11648/j.ajns.20211005.12
T2 - American Journal of Nursing Science
JF - American Journal of Nursing Science
JO - American Journal of Nursing Science
SP - 222
EP - 226
PB - Science Publishing Group
SN - 2328-5753
UR - https://doi.org/10.11648/j.ajns.20211005.12
AB - The acceptance rate of hemodialysis (HD) in end stage renal disease (ESRD) patients has been increasing globally. Pakistan is a CKD high burden country with the increasing acceptance rate of HD. Unfortunately, there is dearth of published information regarding the rate, time to and factors associated with AVF maturation. The current retrospective cohort study was conducted with the aim to evaluate the rate, time to and factors associated with delayed AVF maturation. This study was conducted at the HD unit of Baluchistan Institute of Nephrology-Urology Quetta, Pakistan. The record of 120 HD patients who underwent native arteriovenous fistula (AVF) creation was reviewed focusing on the associated factors and arteriovenous fistula maturity. A standardized data collection form was used to abstract patients’ socio-demographic and clinical data. Delayed AVF maturation was defined as AVF which got mature after six weeks of its creation. Statistical Package for Social Sciences (SPSS version 20) was used for data analysis. Categorical data was presented at frequencies and percentages whereas, continuous data was presented as mean ± standard deviations. Chi-square and Fisher exact tests wherever applicable were conducted to find association between patients’ socio-demographic and clinical characteristics and delayed AVF maturation. A p-value 2. Majority of them were males (53.3%), belonged the age group 31-45 years (42.5%), rural residents (62.5%) and non-smokers (65.8%). A total of 93.3% patients were suffering from hypertension and 6.7% suffered from diabetes mellitus. Majority of the study participants had no family history of CKD (81.7%) and baseline visit of dialysis they had CKD duration of 2-5 years (47.5%). The mean time to AVF maturation in the current cohort was 41.9 ± 8.5 days. A total of 91.7% patients achieved the early maturation of AVF. No factor had statistical significant association with delayed AVF maturation. The rate of AVF maturation in the current cohort is comparatively high than reported in the published literature. Being a single centre study with retrospective design its results cannot be generalized. In the current study, 91.5% of the patients achieved early maturation of AVF. The rate of early maturation in the current cohort was comparatively higher than that reported in the previously published literature. In this retrospective study, we didn’t find out any factor which had significant association with time to AVF maturation.
VL - 10
IS - 5
ER -

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Author Information

Syed Zia Ul Haq

Faculty of Pharmacy and Health Sciences, University of Balochistan, Quetta, Pakistan
Musa Bin Bashir

Xi’an Jiaotong School of Medicine Xi'an University, Xi'an, China
Mirwais Khan

Balochistan Institute of Nephrology and Urology Quetta, Quetta, Pakistan
Maivand Khan

Faculty of Pharmacy and Health Sciences, University of Balochistan, Quetta, Pakistan
Abdullah

Faculty of Pharmacy and Health Sciences, University of Balochistan, Quetta, Pakistan

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APA Style

Syed Zia Ul Haq, Musa Bin Bashir, Mirwais Khan, Maivand Khan, Abdullah. (2021). Evaluation of Rate and Time to Arteriovenous Fistula Maturation in Hemodialysis Patients. American Journal of Nursing Science, 10(5), 222-226. https://doi.org/10.11648/j.ajns.20211005.12

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ACS Style

Syed Zia Ul Haq; Musa Bin Bashir; Mirwais Khan; Maivand Khan; Abdullah. Evaluation of Rate and Time to Arteriovenous Fistula Maturation in Hemodialysis Patients. Am. J. Nurs. Sci. 2021, 10(5), 222-226. doi: 10.11648/j.ajns.20211005.12

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AMA Style

Syed Zia Ul Haq, Musa Bin Bashir, Mirwais Khan, Maivand Khan, Abdullah. Evaluation of Rate and Time to Arteriovenous Fistula Maturation in Hemodialysis Patients. Am J Nurs Sci. 2021;10(5):222-226. doi: 10.11648/j.ajns.20211005.12

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@article{10.11648/j.ajns.20211005.12,
  author = {Syed Zia Ul Haq and Musa Bin Bashir and Mirwais Khan and Maivand Khan and Abdullah},
  title = {Evaluation of Rate and Time to Arteriovenous Fistula Maturation in Hemodialysis Patients},
  journal = {American Journal of Nursing Science},
  volume = {10},
  number = {5},
  pages = {222-226},
  doi = {10.11648/j.ajns.20211005.12},
  url = {https://doi.org/10.11648/j.ajns.20211005.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20211005.12},
  abstract = {The acceptance rate of hemodialysis (HD) in end stage renal disease (ESRD) patients has been increasing globally. Pakistan is a CKD high burden country with the increasing acceptance rate of HD. Unfortunately, there is dearth of published information regarding the rate, time to and factors associated with AVF maturation. The current retrospective cohort study was conducted with the aim to evaluate the rate, time to and factors associated with delayed AVF maturation. This study was conducted at the HD unit of Baluchistan Institute of Nephrology-Urology Quetta, Pakistan. The record of 120 HD patients who underwent native arteriovenous fistula (AVF) creation was reviewed focusing on the associated factors and arteriovenous fistula maturity. A standardized data collection form was used to abstract patients’ socio-demographic and clinical data. Delayed AVF maturation was defined as AVF which got mature after six weeks of its creation. Statistical Package for Social Sciences (SPSS version 20) was used for data analysis. Categorical data was presented at frequencies and percentages whereas, continuous data was presented as mean ± standard deviations. Chi-square and Fisher exact tests wherever applicable were conducted to find association between patients’ socio-demographic and clinical characteristics and delayed AVF maturation. A p-value 2. Majority of them were males (53.3%), belonged the age group 31-45 years (42.5%), rural residents (62.5%) and non-smokers (65.8%). A total of 93.3% patients were suffering from hypertension and 6.7% suffered from diabetes mellitus. Majority of the study participants had no family history of CKD (81.7%) and baseline visit of dialysis they had CKD duration of 2-5 years (47.5%). The mean time to AVF maturation in the current cohort was 41.9 ± 8.5 days. A total of 91.7% patients achieved the early maturation of AVF. No factor had statistical significant association with delayed AVF maturation. The rate of AVF maturation in the current cohort is comparatively high than reported in the published literature. Being a single centre study with retrospective design its results cannot be generalized. In the current study, 91.5% of the patients achieved early maturation of AVF. The rate of early maturation in the current cohort was comparatively higher than that reported in the previously published literature. In this retrospective study, we didn’t find out any factor which had significant association with time to AVF maturation.},
 year = {2021}
}

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