Circulation journal : official journal of the Japanese Circulation Society · 2025
Dialysis Modality and Risk of Infective Endocarditis in Patients With End-Stage Renal Disease.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Chen Chun-Yu, Chang Feng-Cheng, Lin Chia-Pin, Hsieh Ming-Jer, Chang Chih-Hsiang, Cheng Yu-Ting, Chan Yi-Hsin, Wu Victor Chien-Chia, Chou An-Hsun, Chen Shao-Wei
Аннотация
BACKGROUND: Although hemodialysis (HD) is a significant risk factor for infective endocarditis (IE), risks associated with peritoneal dialysis (PD) and specific types of HD access remain underexplored.
METHODS AND RESULTS: This retrospective study analyzed 215,965 patients with end-stage renal disease (ESRD) and 1,076,532 age- and sex-matched individuals without ESRD from the general population (control group). ESRD patients were grouped into those undergoing HD or PD, with the HD group further subdivided by access type: arteriovenous fistula (AVF), catheter, or graft. The incidence of IE was lower in the PD than HD group; among patients on HD, the incidence of IE was lowest for those with access via an AVF.
CONCLUSIONS: PD and AVF access lower the risk of IE among patients with ESRD. Thus, the clinical use of both should be prioritized.
METHODS AND RESULTS: This retrospective study analyzed 215,965 patients with end-stage renal disease (ESRD) and 1,076,532 age- and sex-matched individuals without ESRD from the general population (control group). ESRD patients were grouped into those undergoing HD or PD, with the HD group further subdivided by access type: arteriovenous fistula (AVF), catheter, or graft. The incidence of IE was lower in the PD than HD group; among patients on HD, the incidence of IE was lowest for those with access via an AVF.
CONCLUSIONS: PD and AVF access lower the risk of IE among patients with ESRD. Thus, the clinical use of both should be prioritized.