Abstract
In this study, we aim to investigate the relationship between a comprehensive set of risk factors for renal failure and the function of arteriovenous fistulas (AVFs) in dialysis patients. We will also explore the impact of potential confounders, such as age, sex, and comorbidities, on this relationship. This cross-sectional study was conducted at the dialysis unit of Imam Reza Hospital in Kermanshah, Iran, to examine the relationship between risk factors for renal failure and AVF function in dialysis patients. The study population consisted of patients with end-stage renal disease who required hemodialysis and had undergone AVF surgery. Patients were included if they met the following criteria: being over 18 years old, having undergone AVF surgery at least one year prior, and being willing to participate in the study. Patients with a history of AVF thrombosis, infection, or any other complications requiring surgical intervention during the follow-up period were excluded. A total of 85 patients with kidney failure undergoing hemodialysis were studied. The mean age of these patients was 57.89 ± 15.18 years. Approximately half of the dialysis patients (52.3%) were male. Most of the dialysis patients (95.3%) were in a desirable state. There was no significant relationship between AVF function and gender, indicating that the effectiveness or ineffectiveness of AVF was not related to gender (p=1). There was no significant statistical relationship between patient condition and AVF function (p=0.31). There was no significant statistical relationship between AVF function and diabetes status (p=0.48). There was no significant statistical relationship between AVF function and tobacco use status (p=1). By identifying and addressing factors that contribute to AVF dysfunction, healthcare providers can improve the quality of care for dialysis patients and reduce the need for more invasive procedures, such as central venous catheter placement.