دورية أكاديمية
أعرض في EDS

Relationship between carotid-femoral pulse wave velocity and prognosis in maintenance hemodialysis patients.

التفاصيل البيبلوغرافية
العنوان: Relationship between carotid-femoral pulse wave velocity and prognosis in maintenance hemodialysis patients.
المؤلفون: Zhu Y; Department of Nephrology, The First People's Hospital of Huzhou, Huzhou, Zhejiang Province, China., Li J; Tongxiang Chinese Medicine Hospital, Tongxiang, Zhejiang Province, China., Ding M; Department of Nephrology, The First People's Hospital of Huzhou, Huzhou, Zhejiang Province, China., Qiu F; Department of Nephrology, The First People's Hospital of Huzhou, Huzhou, Zhejiang Province, China., Zhao Q; Department of Nephrology, The First People's Hospital of Huzhou, Huzhou, Zhejiang Province, China., Lu H; Department of Nephrology, The First People's Hospital of Huzhou, Huzhou, Zhejiang Province, China., Ren L; Department of Nephrology, The First People's Hospital of Huzhou, Huzhou, Zhejiang Province, China., Shi Z; Department of Nephrology, The First People's Hospital of Huzhou, Huzhou, Zhejiang Province, China.
المصدر: Medicine [Medicine (Baltimore)] 2024 Aug 09; Vol. 103 (32), pp. e39099.
نوع المنشور: Journal Article; Observational Study
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 2985248R Publication Model: Print Cited Medium: Internet ISSN: 1536-5964 (Electronic) Linking ISSN: 00257974 NLM ISO Abbreviation: Medicine (Baltimore) Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Hagerstown, Md : Lippincott Williams & Wilkins
مواضيع طبية MeSH: Renal Dialysis* , Carotid-Femoral Pulse Wave Velocity*, Humans ; Female ; Male ; Middle Aged ; Prognosis ; Aged ; Kaplan-Meier Estimate ; Kidney Failure, Chronic/therapy ; Kidney Failure, Chronic/physiopathology ; Kidney Failure, Chronic/mortality ; Risk Factors ; Pulse Wave Analysis ; Adult
مستخلص: Carotid-femoral pulse wave velocity (Cf-PWV) can well predict the prognosis of the general population. However, whether Cf-PWV can be used as a prognostic indicator in maintenance hemodialysis (MHD) patients remains mysterious. The present study endeavored to explore the prognostic value of Cf-PWV among the MHD population. Patients who received MHD and underwent Cf-PWV examination at the hemodialysis center of Zhejiang Provincial People's Hospital between March 1, 2017 and October 15, 2019 were enrolled. Relevant clinical data were collected from these patients, who were subsequently followed up for a minimum of 1 year. During the follow-up period, the occurrence of all-cause death was recorded as a prognostic indicator. Based on the predetermined inclusion and exclusion criteria 178 patients were included in the final analysis. These patients were categorized into 2 groups based on Cf-PWV values: group 1 (Cf-PWV < 13.8 m/s), and group 2 (Cf-PWV ≥ 13.8 m/s). Thirty-four patients succumbed to their conditions within a median follow-up period of 23.3 months. Kaplan-Meier survival analysis revealed that the median survival time of group 2 was significantly shorter than group 1 (log-rank test, χ2 = 12.413, P < .001). After adjusting for various factors, including age, cardiovascular disease, peripheral arterial diastolic pressure, central arterial diastolic pressure, albumin, blood urea nitrogen, serum creatinine, left ventricular ejection fraction, 25 hydroxyvitamin D3, C-reactive protein and serum phosphorus, it was found that Cf-PWV ≥ 13.8m/s was an independent risk factor for all-cause mortality in MHD patients (relative risk = 3.04, 95% confidence interval [CI] = 1.22-7.57; P = .017). A high level of Cf-PWV (≥13.8 m/s) is an independent risk factor for all-cause death in MHD patients.
Competing Interests: The authors have no conflicts of interest to disclose.
(Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.)
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تواريخ الأحداث: Date Created: 20240809 Date Completed: 20240809 Latest Revision: 20240811
رمز التحديث: 20240812
مُعرف محوري في PubMed: PMC11315517
DOI: 10.1097/MD.0000000000039099
PMID: 39121296
قاعدة البيانات: MEDLINE
الوصف
تدمد:1536-5964
DOI:10.1097/MD.0000000000039099