Integrated management to reduce fistula‐related long‐term complications and improve the quality of life after arteriovenous fistula surgery: A retrospective cohort study
Abstract Aim Proper arteriovenous fistula (AVF) management is crucial to avoid AVF complications and prolong its useful life for maintenance haemodialysis (MHD). Design Retrospective cohort study. Methods Patients on MHD who underwent AVF surgery at the Wuhan Third Hospital between January 2018 and...
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doaj-9d6b3967f4dd40c0bec248c73a0ec84a2021-07-05T12:55:34ZengWileyNursing Open2054-10582021-07-01841856186210.1002/nop2.839Integrated management to reduce fistula‐related long‐term complications and improve the quality of life after arteriovenous fistula surgery: A retrospective cohort studyMin Ning0Dan Luo1Gang Ye2Ting Zhang3Li Liu4Fumei Peng5Department of Nephrology Wuhan Third Hospital Tongren Hospital of Wuhan University Wuhan ChinaDepartment of Nephrology Wuhan Third Hospital Tongren Hospital of Wuhan University Wuhan ChinaDepartment of Nephrology Wuhan Third Hospital Tongren Hospital of Wuhan University Wuhan ChinaDepartment of Nephrology Wuhan Third Hospital Tongren Hospital of Wuhan University Wuhan ChinaDepartment of Nephrology Wuhan Third Hospital Tongren Hospital of Wuhan University Wuhan ChinaDepartment of Nephrology Wuhan Third Hospital Tongren Hospital of Wuhan University Wuhan ChinaAbstract Aim Proper arteriovenous fistula (AVF) management is crucial to avoid AVF complications and prolong its useful life for maintenance haemodialysis (MHD). Design Retrospective cohort study. Methods Patients on MHD who underwent AVF surgery at the Wuhan Third Hospital between January 2018 and July 2018. Results A total of 144 patients were included, with 56 in the integrated group and 88 in the routine group. There were no differences between the two groups in terms of sex (p = .61), age (p = .62) and type of primary kidney disease (p > .99). At 1 year, the integrated group had significantly fewer fistula‐related complications than the routine group (3.6% versus. 23.9%, p < .001). AVF functional scores were lower in the integrated group compared with the routine group (0.1 ± 0.5 versus. 0.8 ± 0.8, p < .001). The pain scores were lower in the integrated group than in the routine group (1.2 ± 0.4 versus. 1.8 ± 0.9, p < .001).https://doi.org/10.1002/nop2.839arteriovenous fistulacase managementcomplicationsdisease managementrenal dialysis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Min Ning Dan Luo Gang Ye Ting Zhang Li Liu Fumei Peng |
spellingShingle |
Min Ning Dan Luo Gang Ye Ting Zhang Li Liu Fumei Peng Integrated management to reduce fistula‐related long‐term complications and improve the quality of life after arteriovenous fistula surgery: A retrospective cohort study Nursing Open arteriovenous fistula case management complications disease management renal dialysis |
author_facet |
Min Ning Dan Luo Gang Ye Ting Zhang Li Liu Fumei Peng |
author_sort |
Min Ning |
title |
Integrated management to reduce fistula‐related long‐term complications and improve the quality of life after arteriovenous fistula surgery: A retrospective cohort study |
title_short |
Integrated management to reduce fistula‐related long‐term complications and improve the quality of life after arteriovenous fistula surgery: A retrospective cohort study |
title_full |
Integrated management to reduce fistula‐related long‐term complications and improve the quality of life after arteriovenous fistula surgery: A retrospective cohort study |
title_fullStr |
Integrated management to reduce fistula‐related long‐term complications and improve the quality of life after arteriovenous fistula surgery: A retrospective cohort study |
title_full_unstemmed |
Integrated management to reduce fistula‐related long‐term complications and improve the quality of life after arteriovenous fistula surgery: A retrospective cohort study |
title_sort |
integrated management to reduce fistula‐related long‐term complications and improve the quality of life after arteriovenous fistula surgery: a retrospective cohort study |
publisher |
Wiley |
series |
Nursing Open |
issn |
2054-1058 |
publishDate |
2021-07-01 |
description |
Abstract Aim Proper arteriovenous fistula (AVF) management is crucial to avoid AVF complications and prolong its useful life for maintenance haemodialysis (MHD). Design Retrospective cohort study. Methods Patients on MHD who underwent AVF surgery at the Wuhan Third Hospital between January 2018 and July 2018. Results A total of 144 patients were included, with 56 in the integrated group and 88 in the routine group. There were no differences between the two groups in terms of sex (p = .61), age (p = .62) and type of primary kidney disease (p > .99). At 1 year, the integrated group had significantly fewer fistula‐related complications than the routine group (3.6% versus. 23.9%, p < .001). AVF functional scores were lower in the integrated group compared with the routine group (0.1 ± 0.5 versus. 0.8 ± 0.8, p < .001). The pain scores were lower in the integrated group than in the routine group (1.2 ± 0.4 versus. 1.8 ± 0.9, p < .001). |
topic |
arteriovenous fistula case management complications disease management renal dialysis |
url |
https://doi.org/10.1002/nop2.839 |
work_keys_str_mv |
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