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老年血液透析患者的血管接入类型和预后:一种倾向性比分匹配研究

Ru-Xin Liu¹, Shuai Lin¹, Li Liu¹

¹Department of Nephrology, Zhongshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Traditional Chinese Medicine, Zhongshan, China.

|August 9, 2024

概括

对于老年血液透析患者来说,动脉静脉 (AVF) 与道式袖口导管 (TCC) 相比,较低的心血管和脑血管重大不良事件 (MACCE),住院和感染风险. 所有原因的死亡率在AVF和TCC组之间没有显著差异.

科学领域:

腎臟病學 (nephrology) 是一種醫學.
血管接入血管接入
老年医学老年医学

背景情况:

老年血液透析 (HD) 患者通常具有独特的血管接入需求.
道式袖口导管 (TCC) 和动脉静脉管 (AVF) 是常见的血管接入方法.
在老年HD患者中比较TCC和AVF之间的结果对于优化护理至关重要.

研究的目的:

为了比较TCC与AVF对老年HD患者关键临床结果的影响.
为了评估死亡率,MACCE,住院和感染率的差异.
为了确定这一群体中死亡率的风险因素.

主要方法:

使用倾向性得分匹配 (PSM) 的回顾性匹配队列研究.
所有原因死亡率,MACCE,住院和感染率的比较.
在70岁以上的患者中,用于识别风险因素的Cox生存分析.

主要成果:

在TCC和AVF组之间的全因死亡率没有显著差异 (30.1/100与33.3/100患者年).
与TCC组相比,AVF组的MACCE,住院和感染率明显较低.
查尔森并发症指数 (CCI) 的高得分被确定为死亡的危险因素.

结论:

与TCC相比,AVF与老年HD患者中MACCE,住院和感染的风险降低有关.
在AVF和TCC之间没有观察到所有原因死亡率的显著差异.
血管接入选择对老年HD患者的发病率有影响,但对整体死亡率没有影响.

关键词:

血液透析是血液透析的方法之一.动脉静脉状囊动脉静脉状囊死亡率死亡率倾向性得分匹配的比分匹配穿过道的袖口导管.

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