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Risk factors for thrombosis in dialysis patients: A comprehensive systematic review and meta-analysis.
Shiri, Parisa; Rezaeian, Shabab; Abdi, Alireza; Jalilian, Milad; Khatony, Alireza.
Afiliación
  • Shiri P; Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.
  • Rezaeian S; Social Development and Health Promotion Research Centre, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
  • Abdi A; Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.
  • Jalilian M; Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.
  • Khatony A; Social Development and Health Promotion Research Centre, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran; Infectious Diseases Research Centre, Kermanshah University of Medical Sciences, Kermanshah, Iran. Electronic address: Akhatony@gmail.com.
J Vasc Nurs ; 42(3): 165-176, 2024 Sep.
Article en En | MEDLINE | ID: mdl-39244328
ABSTRACT

AIM:

To identify the factors associated with thrombosis in dialysis patients.

BACKGROUND:

Thrombosis is a leading cause of vascular access failure in dialysis patients. Numerous risk factors contribute to thrombosis in this population.

METHODS:

A systematic search was conducted across international databases using standardized keywords. The quality of the selected studies was assessed using the STROBE and CONSORT checklists. The findings were summarized in a Garrard table. Meta-analysis was performed using CMA software. The study adhered to the guidelines outlined in the PRISMA statement.

RESULTS:

A total of 180 articles were reviewed. The odds ratio for thrombosis in patients with arteriovenous grafts compared to arteriovenous fistulas was 10.93 (95 % CI 9.35-12.78), demonstrating statistical significance (P = 0.001). Similarly, hemodialysis patients had an odds ratio of thrombosis 3.60 times higher than non-hemodialysis patients (95 % CI 3.54-4.19), with statistical significance (P = 0.001). Patients undergoing single-stage basilic vein transposition had a 1.89 times higher risk of thrombosis compared to those undergoing two-stage transposition (95 % CI 1.04-3.46), also demonstrating statistical significance (P = 0.038).

CONCLUSIONS:

Thrombosis in patients with end-stage renal disease undergoing dialysis was significantly associated with various factors, including graft access, single-stage basilic vein transposition, and hemodialysis. Additional contributing factors to thrombosis included diabetes, elevated homocysteine levels, female gender, age over 50, access location, and low access blood flow velocity. The analysis revealed a higher incidence of thrombosis in end-stage renal disease patients undergoing hemodialysis compared to those not undergoing dialysis, as well as in patients with arteriovenous grafts compared to those with arteriovenous fistulas. These findings underscore the importance of recognizing and managing these risk factors to prevent thrombotic events and enhance patient care within the dialysis setting.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trombosis / Diálisis Renal Límite: Humans Idioma: En Revista: J Vasc Nurs Asunto de la revista: ANGIOLOGIA / ENFERMAGEM Año: 2024 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Trombosis / Diálisis Renal Límite: Humans Idioma: En Revista: J Vasc Nurs Asunto de la revista: ANGIOLOGIA / ENFERMAGEM Año: 2024 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Estados Unidos