Journal Title: زمستان 93
Article title: The Relationship between Risk Factors of Hemodialysis Patients and Arterio Venus Fistula Maturation at Hasheminezhad Hospital

Article PDF File:
Page From: 54 To: 64      
Article abstract:
Introduction & Objective: Chronic Kidney Disease (CKD) is a complicated kidney defect causing permanent failure in renal function in progressive stages. Hemodialysis (HD) is the most accepted treatment to maintain body’s fluid/mineral homeostasis at the terminal stages of the disease. Arterio Venus Fistula (AVF), is the most practical way of providing proper access to the blood circulatory system. However, maturation of the fistula is a challenge for both patient and his surgeon, since there are number of variables interfering with the whole process. Materials & Methods: By using cross-sectional and prospective method, the medical history of 87 patients before and during the AVF creation surgery and risk factors such as history of blood pressure abnormalities, diabetes and congestive heart failure, as well as the successive development of AVF was studied and finally processed, logistic regression. Results: The ‘decision tree’ indicated the significant impact of the systolic blood pressure (SBP) in the delay of the patient’s AVF maturation. The prediction of AVF maturation was made with a 70.59% precision, in regard to their BP condition. Also the risk factors of HD patients - Ischemic Heart Disease (IHD), Diabetes Mellitus (DM) and their Blood pressure - delay Maturation time; IHD and then DM have the greatest negative impacts. Conclusions: This study demonstrated that monitoring of patients SBP is one of the important steps in the management of the cardiovascular variables interfering with the development of the AVF and therefore, produces some delay in the process of the patient’s HD. Also the logistic regression can assist in revealing the hidden relationship between patient’s medical histories with his general condition, and this helps in the prediction of the potential disorders.
Article KeyWords:
Hemodialysis, Blood Pressure, Arterio Venus Fistula
Article Authors:

	دکتر مرتضی خوانین‌زاده	First Author	m-khavanin@tums.ac.ir
	مهندس محمد رضاپور	Other Author
	مهندس الهه خوانین‌زاده	Other Author
	مهندس محمود بالین‌پرست	Other Author
	مهندس حسن رضاپور	Other Author