Association between vascular access type and depression in hemodialysis patients

IF 1.2 4区医学 Q3 UROLOGY & NEPHROLOGY Hemodialysis International Pub Date : 2023-04-27 DOI:10.1111/hdi.13092

Ahmet Rıfkı Çora, Ersin Çelik

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Abstract

Introduction

Hemodialysis is the most common treatment used for end-stage kidney disease (ESKD) patients and an arteriovenous fistula (AV) fistula is the preferred vascular access. The goal of our study was to investigate potential associations between vascular access type and depression.

Methods

This was a cross-sectional survey of 180 patients receiving maintenance hemodialysis. The Beck Depression Inventory was used to assess degree of depression. Demographic factors, treatment details, and laboratory values were obtained from the hospital medical record.

Findings

Fifty-two percent (n = 93) of the patients were being dialyzed using an AV fistula and 48% (n = 87) via a tunneled cuffed catheter. No significant differences were found between access type use in terms of gender (p = 0.266), presence of diabetes, hypertension, or peripheral artery disease (p = 0.409, p = 0.323, p = 0.317; respectively). The prevalence of Beck Depression Inventory scores greater than 14 (marking presence of depression) was significantly higher in the patients being dialyzed with a tunneled cuffed catheters (61%) compared to patients dialyzed with an AV fistula (36%) (p = 0.001).

Discussion

We found statistically higher depression scores among patients receiving hemodialysis with a tunneled cuffed catheter.

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血液透析患者血管通路类型与抑郁的关系

血液透析是终末期肾病(ESKD)患者最常用的治疗方法，而动静脉瘘(AV)是首选的血管通路。我们研究的目的是调查血管通路类型和抑郁症之间的潜在联系。方法对180例维持性血液透析患者进行横断面调查。采用贝克抑郁量表评估抑郁程度。人口统计学因素、治疗细节和实验室值均来自医院病历。结果:52% (n = 93)的患者通过房室瘘进行透析，48% (n = 87)的患者通过隧道式套管导管进行透析。在性别(p = 0.266)、是否存在糖尿病、高血压或外周动脉疾病(p = 0.409, p = 0.323, p = 0.317;分别)。Beck抑郁量表评分大于14分(表明存在抑郁)的患者中，使用隧道套管导管透析的患者(61%)明显高于使用房室瘘透析的患者(36%)(p = 0.001)。我们发现采用隧道式套管导管进行血液透析的患者抑郁评分在统计学上较高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Hemodialysis International UROLOGY & NEPHROLOGY-

CiteScore

2.50

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Hemodialysis International was originally an annual publication containing the Proceedings of the International Symposium on Hemodialysis held in conjunction with the Annual Dialysis Conference. Since 2003, Hemodialysis International is published quarterly and contains original papers on clinical and experimental topics related to dialysis in addition to the Annual Dialysis Conference supplement. This journal is a must-have for nephrologists, nurses, and technicians worldwide. Quarterly issues of Hemodialysis International are included with your membership to the International Society for Hemodialysis. The journal contains original articles, review articles, and commentary to keep readers completely updated in the field of hemodialysis. Edited by international and multidisciplinary experts, Hemodialysis International disseminates critical information in the field.

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