title: Red blood cell distribution width is associated with early failure of arteriovenous fistula for haemodialysis access.
abstract: This study aimed to investigate the predictive value of red blood cell distribution width (RDW) for early failure of arteriovenous fistula (AVF) for haemodialysis access. The hospital records of those patients who underwent primary AVF creation procedures for haemodialysis between December 2010 and September 2013 were included for retrospective analysis. Of 313 patients, 195 (62%) were male and 118 (38%) were female. Mean age was 60 (range 17-90) years. Of the 313 AVF procedures performed, 229 (73%) were created at forearm (radial artery-cephalic vein), and 84 (27%) were created upperarm (antecubital, brachiocephalic, or brachiobasilic procedures). Early AVF failure was found in 61 (19%) patients. According to chi-square test, the incidence of early AVF failure was higher in patients with heart failure and peripheral artery disease (P < 0.001). According to Mann-Whitney U test, the RDW (P = 0.001) and C-reactive protein (P = 0.024) values were higher in patients with early AVF. Our data showed that preoperative RDW is a reliable parameter that can be useful in predicting the early failure of AVF.
authors.affiliation: Department of Cardiovascular Surgery, Dr Siyami Ersek Cardiovascular and Thoracic Surgery Hospital, İstanbul, Turkey.
authors.forename: Mehmet E
authors.initials: ME
authors.lastname: Memetoğlu
authors.forename: Tamer
authors.initials: T
authors.lastname: Kehlіbar
authors.forename: Mehmet
authors.initials: M
authors.lastname: Yilmaz
authors.forename: Cemal
authors.initials: C
authors.lastname: Kocaaslan
authors.forename: Rafet
authors.initials: R
authors.lastname: Günay
authors.forename: İsmail Yücesin
authors.initials: İY
authors.lastname: Arslan
authors.forename: Bülend
authors.initials: B
authors.lastname: Ketencі
authors.forename: Mahmut M
authors.initials: MM
authors.lastname: Demіrtas
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001166:Arteriovenous Shunt, Surgical / Q000379:methods*; D018450:Disease Progression; D004909:Erythrocyte Indices; D004912:Erythrocytes / Q000473:pathology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis / Q000379:methods*; D012189:Retrospective Studies; D012307:Risk Factors; D013927:Thrombosis / Q000097:blood*; D055815:Young Adult