TY - JOUR
T1 - Factors Affecting the Early Maturation of Arteriovenous Fistulae Created at a Tertiary Centre in Oman
AU - Al Hashmi, Sheikha
AU - Al Hudar, Shouq
AU - Stephen, Edwin
AU - Al Riyami, Dawood
AU - Al Maawali, Hanan
AU - Abdelhady, Ibrahim
AU - Al Wahaibi, Khalifa
AU - Rizvi, Syed
N1 - © Copyright 2024, Sultan Qaboos University Medical Journal, All Rights Reserved.
PY - 2024/2/28
Y1 - 2024/2/28
N2 - Objectives: This study aimed to determine the risk factors associated with the failure of arteriovenous fistulae (AVF) maturation. Methods: This retrospective cohort study was conducted from January 2014 to December 2018 in Sultan Qaboos University Hospital, Muscat, Oman. Patients were followed-up 3 months after surgery, and their electronic medical records were accessed for demographic and clinical data. Univariate analysis was used to determine the risk factors associated with early AVF maturation and multivariant analysis was used to determine the predictive factors for AVF failure. Results: A total of 269 patients were included. Female gender was a significant factor affecting AVF maturity (P = 0.049), while age (P = 0.626), diabetes (P = 0.954), hypertension (P = 0.378), dyslipidaemia (P = 0.907), coronary artery disease (P = 0.576), cerebrovascular accident (P = 0.864), congestive heart failure (P = 0.685), previous central venous catheterisation (P = 0.05), fistula type (P = 0.863) and fistula site (P = 0.861) did not affect AVF maturation. Binary logistic regression showed that all the risk factors were insignificant. Failure of early AVF maturation affected 11.5% in the cohort. Conclusion: This study found that the proportion of early AVF maturation at our hospital is at par with that in the international literature. Failure of AVF maturation was significantly associated with the female gender. These findings can help nephrologists and vascular surgeons prognosticate AVF maturation rates. However, a larger study is needed for definitive conclusions.
AB - Objectives: This study aimed to determine the risk factors associated with the failure of arteriovenous fistulae (AVF) maturation. Methods: This retrospective cohort study was conducted from January 2014 to December 2018 in Sultan Qaboos University Hospital, Muscat, Oman. Patients were followed-up 3 months after surgery, and their electronic medical records were accessed for demographic and clinical data. Univariate analysis was used to determine the risk factors associated with early AVF maturation and multivariant analysis was used to determine the predictive factors for AVF failure. Results: A total of 269 patients were included. Female gender was a significant factor affecting AVF maturity (P = 0.049), while age (P = 0.626), diabetes (P = 0.954), hypertension (P = 0.378), dyslipidaemia (P = 0.907), coronary artery disease (P = 0.576), cerebrovascular accident (P = 0.864), congestive heart failure (P = 0.685), previous central venous catheterisation (P = 0.05), fistula type (P = 0.863) and fistula site (P = 0.861) did not affect AVF maturation. Binary logistic regression showed that all the risk factors were insignificant. Failure of early AVF maturation affected 11.5% in the cohort. Conclusion: This study found that the proportion of early AVF maturation at our hospital is at par with that in the international literature. Failure of AVF maturation was significantly associated with the female gender. These findings can help nephrologists and vascular surgeons prognosticate AVF maturation rates. However, a larger study is needed for definitive conclusions.
KW - Arteriovenous Fistula
KW - Dialysis
KW - End Stage Renal Disease
KW - Outcome
KW - Oman/epidemiology
KW - Humans
KW - Hospitals, University
KW - Female
KW - Catheterization, Central Venous
KW - Retrospective Studies
UR - http://www.scopus.com/inward/record.url?scp=85186957625&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85186957625&partnerID=8YFLogxK
UR - https://www.mendeley.com/catalogue/161656e4-2087-3f0b-ac0f-aadd7861e0a4/
U2 - 10.18295/squmj.9.2023.050
DO - 10.18295/squmj.9.2023.050
M3 - Article
C2 - 38434458
AN - SCOPUS:85186957625
SN - 2075-051X
VL - 24
SP - 37
EP - 43
JO - Sultan Qaboos University Medical Journal
JF - Sultan Qaboos University Medical Journal
IS - 1
ER -