老年血液透析患者的衰弱与动静脉内瘘通畅情况：一项回顾性队列研究。
Frailty and arteriovenous fistula patency in elderly hemodialysis patients: a retrospective cohort study.
作者信息
Mendonça Polyana Bezerra, Bezerra Rodrigo, Teles Flávio, Silva Emmanuelle Tenório Albuquerque Godoi Berenguer de Barros E, Holanda Alexandre Cavalcanti de, Aguiar Filipe Carrilho de, Brienze Carolina Sabadoto, Feitosa Audes Diógenes Magalhães, Nadruz Wilson, Lins Esdras Marques
机构信息
Universidade Federal de Pernambuco, Recife, PE, Brazil.
Universidade Federal de Alagoas, Maceió, AL, Brazil.
出版信息
Rev Esc Enferm USP. 2025 Sep 1;59:e20250121. doi: 10.1590/1980-220X-REEUSP-2025-0121en. eCollection 2025.
OBJECTIVE
To evaluate the correlation between frailty and AVF patency type in elderly patients in HD.
METHODS
This retrospective cohort study evaluated 89 patients from April 2019 to June 2022. The following data were analyzed: 1) Patient characteristics according to the Clinical Frailty Scale (CFS), 2) Charlson score, 3) AVF site (radiocephalic, brachiocephalic, basilic), 4) Patency type (primary and assisted), 5) Mortality. This study was approved by the Ethics Committee of the Oswaldo Cruz University Hospital - University of Pernambuco, under registration no. 4.487.269.
RESULTS
Among the 89 patients (age = 70 ± 8, 64% female, 36% frail), 42 (47%) had assisted AVF patency, with 26 (62%) being frail. A positive correlation was found between assisted patency and frailty (p = 0.043). During follow-up (548 to 938 days), 33 (37.1%) patients died, with frail patients showing a higher prevalence of CKD and a higher frequency of assisted patency.
CONCLUSION
Assisted AVF patency was the most common type among frail elderly patients on hemodialysis. Frailty assessment may be integrated into the clinical evaluation protocol conducted by nurses at HD centers.
目的
评估老年血液透析患者的衰弱与自体动静脉内瘘（AVF）通畅类型之间的相关性。
方法
这项回顾性队列研究评估了2019年4月至2022年6月期间的89例患者。分析了以下数据：1）根据临床衰弱量表（CFS）得出的患者特征，2）查尔森评分，3）AVF部位（桡动脉-头静脉、肱动脉-头静脉、贵要静脉），4）通畅类型（原发性和辅助性），5）死亡率。本研究经伯南布哥大学奥斯瓦尔多·克鲁兹大学医院伦理委员会批准，注册号为4.487.269。
结果
在这89例患者中（年龄=70±8岁，64%为女性，36%衰弱），42例（47%）的AVF为辅助性通畅，其中26例（62%）衰弱。辅助性通畅与衰弱之间存在正相关（p=0.043）。在随访期间（548至938天），33例（37.1%）患者死亡，衰弱患者的慢性肾脏病患病率更高，辅助性通畅的频率也更高。
结论
辅助性AVF通畅是衰弱老年血液透析患者中最常见的类型。衰弱评估可纳入血液透析中心护士进行的临床评估方案。
Zotero 插件