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논문분류	춘계학술대회 초록집
제목	Correlation The Types of Vascular Access with Dialysis Adequacy in Chronic Hemodialysis Patients
저자	Santy Ayu Puspita Perdhana
출판정보	2024; 2024(1):
키워드
초록	Objectives: Dialysis adequacy is an important parameter with regards to morbidity and mortality in chronic hemodialysis patients. Chronic hemodialysis patients requires a reliable vascular access capable of providing rapid extracorporeal blood flow to improve dialysis adequacy. The aim of this study was to investigate whether types of vascular access corelates to adequacy of hemodialysis Methods: This cross-sectional study included 564 patients on hemodialysis center in Surakarta, Indonesia. Data collected from Indonesian Renal Registry (Surakarta Region). Basic data includes age, gender, duration of dialysis, cause of CKD, comorbid diseases. Vascular access is divided into without definitive access (direct puncture between the femoral vein and the median cubital vein), hemodialysis (HD) catheter and Aterio-venous fistula (AVF). Dialysis adequacy was calculated using kt/v formula. Inclusion criteria were age 18 – 60 years, undergo minimal twice weekly hemodialysis, time of dialysis minimal 10 hours per week and >1 year dialysis duration. Exclusion criteria were hemoglobin levels <7 g/dL and refusal to participate. Results: There was a positive correlation between types of vascular access (r=0.203; p< 0.001) with dialysis adequacy (KT/V value). 360 patients used AVF, 125 patients with HDC and 79 without definitive access. The average dialysis adequacy value was 1.45. AVF (mean=1.49) obtained the highest adequacy results compared to dialysis catheter access (mean=1.49), and the lowest adequacy was obtained in patients without vascular access (mean=1.26). AVF and HD catheters had adequacy values that were not significantly different (diff mean= 0.00; p=0.643). The comparison of adequacy values between AVF and without definitive access showed significant difference (diff mean= 0.17; p=<0.001), likewise the comparison of adequacy values between HD catheter and without definitive access also differ significantly (diff mean= 0.18; p= <0.001). Conclusions: There is a positive correlation between types of vascular access and dialysis adequacy in CKD patients undergoing chronic hemodialysis.
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