Aljuaid Majed Mansour, Alzahrani Nawaf Najim, Alshehri Abdulrahman Abdulaziz, Alkhaldi Lama Humaied, Alosaimi Faisal Sultan, Aljuaid Nawwaf Waiel, Asiri Omar Ahmed, Atalla Ayman Ahmad
College of Medicine, Taif University, Saudi Arabia.
Department of Family Medicine, College of Medicine, Taif University, Saudi Arabia.
J Family Med Prim Care. 2020 Jan 28;9(1):407-411. doi: 10.4103/jfmpc.jfmpc_848_19. eCollection 2020 Jan.
The aim of this study was to measure the prevalence of arteriovenous fistula (AVF) and its complications in patients undergoing hemodialysis (HD) in Taif Region, Saudi Arabia.
This was a prospective hospital-based study conducted on 196 patients aged above 18 years who were undergoing dialysis in two hospital Taif City. Data collected and documented using a pretested questionnaire, which included sociodemographic details and also information about fistula-related complications. Hospital records were also reviewed to match the complication and related risk factors. Appropriate statistical tests were used and analyzed with SPSS software ver. 23.
Majority of the study patients were in the age group of 41-60 years and the prevalence in male and female were 49.5% and 50.5%, respectively. The most prevalent chronic illness in the patients was hypertension (41.7%) and more than 30.6% had multiple chronic illness. The most common type of AVF was radiocephalic fistula (RCF). The most common complication associated with the patients with AVF was ischemic neuropathy (29.6%). Smokers had significant history of myocardial infarction than non smokers.
Early and timely detection of complications in AVF is essential for proper management. Health professional should have thorough knowledge regarding the complications related to AVF. Early diagnosis and appropriate treatment are essential to improve the quality of life in patients on HD.
本研究旨在测定沙特阿拉伯塔伊夫地区接受血液透析（HD）患者动静脉内瘘（AVF）的患病率及其并发症。
这是一项基于医院的前瞻性研究，对塔伊夫市两家医院中196名年龄在18岁以上接受透析的患者进行。使用预先测试的问卷收集并记录数据，问卷包括社会人口统计学细节以及与内瘘相关并发症的信息。还查阅医院记录以匹配并发症及相关风险因素。使用适当的统计检验，并通过SPSS 23版软件进行分析。
研究患者的年龄大多在41 - 60岁组，男性患病率为49.5%，女性为50.5%。患者中最常见的慢性病是高血压（41.7%），超过30.6%的患者患有多种慢性病。最常见的AVF类型是桡动脉头静脉内瘘（RCF）。与AVF患者相关的最常见并发症是缺血性神经病变（29.6%）。吸烟者心肌梗死病史比不吸烟者显著。
早期及时发现AVF并发症对于正确管理至关重要。卫生专业人员应全面了解与AVF相关的并发症。早期诊断和适当治疗对于提高HD患者的生活质量至关重要。
