Frontiers in medicine · 2026
Mobile health application reduces dialysis catheter service time for patients with newly created arteriovenous fistulas.
СтатьяНазвание и аннотация: Перевод в очереди
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Chen Liuyin, Hu Yuanchuan, Zhang Yu, Liu Fang, Fu Qining, Shen Jun
Аннотация
BACKGROUND AND HYPOTHESIS: This study aimed to explore the effect of a mobile health application in the management of patients with newly created arteriovenous fistulas (AVFs).
METHODS: Hemodialysis patients who started dialysis with a dialysis catheter and received AVF creation at our hospital between August 2023 and April 2024, with follow-up via a mobile health application, were selected as the study group, while patients who received follow-up through traditional phone calls from January 2023 to July 2023 were selected as the control group. A 1:1 propensity score matching (PSM) analysis was conducted. The time from AVF creation to dialysis catheter removal [central venous catheter (CVC) days], the time to first AVF cannulation, and complications within 6 months postoperatively were compared between the two groups.
RESULTS: In the PSM cohort, the CVC days were 61.5 (53.5, 68.8) in the mobile health application group and 93.0 (75.5, 100.0) in the control group (p < 0.05). The time to first cannulation was 57.0 (49.0, 62.8) days in the mobile health application group and 83.0 (69.3, 92.0) days in the control group. There was no significant difference in complications between the two groups within 6 months. These results were independent of patients' age, education level, and dialysis hospital level.
CONCLUSION: Mobile health applications can help reduce the number of CVC days and promote earlier cannulation of newly created AVFs without increasing the risk of complications.
METHODS: Hemodialysis patients who started dialysis with a dialysis catheter and received AVF creation at our hospital between August 2023 and April 2024, with follow-up via a mobile health application, were selected as the study group, while patients who received follow-up through traditional phone calls from January 2023 to July 2023 were selected as the control group. A 1:1 propensity score matching (PSM) analysis was conducted. The time from AVF creation to dialysis catheter removal [central venous catheter (CVC) days], the time to first AVF cannulation, and complications within 6 months postoperatively were compared between the two groups.
RESULTS: In the PSM cohort, the CVC days were 61.5 (53.5, 68.8) in the mobile health application group and 93.0 (75.5, 100.0) in the control group (p < 0.05). The time to first cannulation was 57.0 (49.0, 62.8) days in the mobile health application group and 83.0 (69.3, 92.0) days in the control group. There was no significant difference in complications between the two groups within 6 months. These results were independent of patients' age, education level, and dialysis hospital level.
CONCLUSION: Mobile health applications can help reduce the number of CVC days and promote earlier cannulation of newly created AVFs without increasing the risk of complications.