WU Yaoyao,JIN Lingwei,YE Bairu, et al. Effect of integrated vascular pathway team management on intravenous fistula of artificial vascular transplantation[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2021, 51(1): 66-69.
Abstract：Objective: To explore the effect of integrated management of vascular access team on artificial arteriovenous graft. Methods: From January 2017 to December 2018, 106 eligible hemodialysis patients who underwent continuous successful AVG were admitted to the Second Affiliated Hospital of Wenzhou Medical University. The participants were randomly divided into the control group and the study group by using a random number table. The control group was given routine vascular access management, and the study group was included in the management of the vascular access team. The participants were followed up prospectively to observe the fistula maturity rate and the primary patency rate. Kaplan-Meier method was used to estimate the AVG patency rate, and Log-Rank tests were used to compare survival curves. Results: The primary maturation rates of AVG were 77.8% (42/54) and 92.3% (48/52) in the control group and in the study group, respectively. There was a significant difference between the two groups (χ2=4.364, P=0.037). The one-year cumulative primary patency rates were 52.7% and 63.9% in the control group and in the study group, respectively. There was a significant differences in primary patency survival curves between the two groups (χ2=4.071, P=0.044). Conclusion: Establishing a vascular access team can improve the maturation rate and the patency rate of AVG.
