Risk prediction for the thrombosis of permanent vascular access
https://doi.org/10.37489/2949-1924-0020
Abstract
Aim: to improve surgical treatment results in patients with primary permanent vascular access. Materials and methods: the results of the treatment of 168 patients with native arteriovenous radiocephalic fistula were analyzed. The results of treatment within 1 year were tracked According to the observation results, patients were divided into 2 groups: the 1st group — patients who did not develop thrombosis of an arteriovenous fistula for 1 year of hemodialysis, and the 2nd group — patients who had vascular access due to thrombosis during the first year. Results: the factors with the greatest degree of influence on the risk of thrombosis during time periods up to 6 months and from 6 months to 1 year were identified. However, not all of them by their characteristics, satisfied the conditions for constructing a multidimensional logistic regression and a predictive model based on it. On the basis of the identified factors, prognostic models have been established that assess the risk of thrombosis of permanent vascular access at time intervals of up to 6 months and from 6 months to 1 year. Conclusion: the formation of a predictive model considering a variety of factors can give an answer to the risk of thrombosis formation and determine ways to reduce it.
About the Authors
I. N. Staroverov
State healthcare institution of Yaroslavl region «Regional clinical hospital»; Yaroslavl State Medical University
Russian Federation
Competing Interests:
Russian Federation
Ilia N. Staroverov — MD, D.Sc. (Medicine), head of the vascular surgery department, head of the department of surgery of the institute of postgraduate education
Author ID: 717973
Yaroslavl
Competing Interests:
The authors declare no conflict of interest
N. S. Noshchenko
State healthcare institution of Yaroslavl region «Regional clinical hospital»; Yaroslavl State Medical University
Russian Federation
Competing Interests:
Russian Federation
Nikita S. Noshchenko — MD, PhD, Assistant of the department of surgery of the institute of postgraduate education
Author ID: 1015260
Yaroslavl
Competing Interests:
The authors declare no conflict of interest
L. B. Shubin
Yaroslavl State Medical University
Russian Federation
Competing Interests:
Russian Federation
Leonid B. Shubin — PhD, Associate Professor of the department of pathological anatomy
Author ID: 484053
Yaroslavl
Competing Interests:
The authors declare no conflict of interest
O. M. Lonchakova
State healthcare institution of Yaroslavl region «Regional clinical hospital»; Yaroslavl State Medical University
Russian Federation
Competing Interests:
Russian Federation
Oksana M. Lonchakova — MD, PhD, Associate Professor of the department of surgery of the institute of postgraduate education
Author ID: 915633
Yaroslavl
Competing Interests:
The authors declare no conflict of interest
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Review
For citations:
Staroverov I.N., Noshchenko N.S., Shubin L.B., Lonchakova O.M. Risk prediction for the thrombosis of permanent vascular access. Patient-Oriented Medicine and Pharmacy. 2023;1(3):15-24. (In Russ.) https://doi.org/10.37489/2949-1924-0020
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