Association between post-dialysis hemoglobin level and the survival of vascular access

The Journal of Vascular Access
Hiroki NishiwakiShunichi Fukuhara

Abstract

Although a few dialysis facilities conduct a complete blood cell count for some patients at post-dialysis, including hemoglobin, clinical findings supporting the interpretation of results are scarce. The aim of this study was to investigate the association between post-dialysis hemoglobin level and vascular access failure with clinical data. Study design: Case crossover design. Japanese dialysis facilities, which routinely take post-dialysis blood samples, including complete blood cell counts at least once a month. Hemodialysis patients who experienced vascular access failure in January 2010 until December 2014. Post-dialysis hemoglobin level. Vascular access failure treated with endovascular treatment or operation. Self-matched odds ratios and 95% confidence intervals were estimated by comparing post-dialysis hemoglobin just before events ("case") with levels at 6 and 12 months before events ("control") using conditional logistic regression, and presented with restricted cubic spline. Two hundred and thirty hemodialysis patients with vascular access failure were identified. Mean post-dialysis hemoglobin level before the failure was 11.8 g/dL (standard deviation 1.7). The spline curve showed that higher post-dialysis hemoglobin...Continue Reading

References

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