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    Por favor, use este identificador para citar o enlazar este ítem:https://uvadoc.uva.es/handle/10324/50960

    Título
    Course of vascular access and relationship with treatment of anemia
    Autor
    Portolés Pérez, Jose Maria
    López Gómez, Juan Manuel
    Gruss Vergara, Enrique
    Aljama García, Pedro
    Año del Documento
    2007
    Editorial
    American Society of Nephrology
    Descripción
    Producción Científica
    Documento Fuente
    Clinical Journal of the American Society of Nephrology, 2007, vol. 2, n. 6, p.1163-1169
    Abstract
    Background and objectives: Maintenance of the vascular access is a crucial factor in hemodialysis, but large studies of factors that are predictive of thrombosis are lacking. Design, setting, participants, & measurements: This prospective, multicenter study investigated a cohort to describe the management of vascular access and establish the influence of anemia as a risk factor. The cohort included 1710 patients (aged 64.4 yr; 60% men) who were followed every 3 mo at 119 centers during 12 mo. On inclusion, 9.6% had a catheter, 80.3% had a native arteriovenous fistula, and 10.1% had a polytetrafluoroethylene graft. Results: Low baseline hemoglobin increased the risk for vascular access events. The risk was higher with a polytetrafluoroethylene graft and a catheter versus arteriovenous fistula. The multivariate model included type of vascular access, previous cardiovascular events, and noncorrected anemia. The likelihood of remaining free of vascular access events 12 mo later was 0.727 (baseline hemoglobin <10.0 g/dl), 0.801 (10.01 to 11.0 g/dl), 0.814 (11.01 to 12.0 g/dl), and 0.833 (>12.0 g/dl), figures similar to those obtained with hemoglobin from the trimester before the event. The Cox model included type of vascular access. Conclusions: Correcting anemia did not increase the risk for vascular access–related events, and anemia that was resistant to treatment identified a subgroup of patients with higher comorbidity and higher likelihood of a vascular access event.
    Materias (normalizadas)
    Diálisis
    Hemodiálisis
    Anemia
    Cateterismo
    Materias Unesco
    3205.06 Nefrología
    ISSN
    1555-9041
    Revisión por pares
    SI
    DOI
    10.2215/CJN.01320307
    Version del Editor
    https://cjasn.asnjournals.org/content/2/6/1163
    Propietario de los Derechos
    © 2007 American Society of Nephrology
    Idioma
    eng
    URI
    https://uvadoc.uva.es/handle/10324/50960
    Tipo de versión
    info:eu-repo/semantics/publishedVersion
    Derechos
    openAccess
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    • DEP52 - Artículos de revista [181]
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    Attribution-NonCommercial-NoDerivatives 4.0 InternacionalLa licencia del ítem se describe como Attribution-NonCommercial-NoDerivatives 4.0 Internacional

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