Correlation of mortality and location of arteriovenous fistula in hemodialysis patients.

Purpose: Since the type of vascular access is very important and a significant risk factor for mortality in patients on hemodialysis, the aim of our study was to determine the impact of AVF positioning on the mortality of our patients.

Methods: The survey was organized as a prospective, clinical and non-randomized study of 538 surgical interventions on 323 patients, which indicates that a large number of patients had more than one fistula. Among these patients, 120 subjects (81 (67.

Carotid ultrasonographic parameters as markers of atherogenesis and mortality rate in patients on hemodialysis.

Background/aim: Vascular endothelium plays an important role in atherogenesis. The aim of this study was to estimate the correlation of endothelium malfunction and arteriosclerosis in patients on hemodialysis.

Methods: The investigation was designed as a clinical, non-randomized, five-year study in the "Kragujevac" Clinical Center and included 146 patients.

Nutrition parameters as hemodialysis adequacy markers.

Background And Aim: The nutritive status has significant role in improving the quality of life of dialysis' patients. The aim of this study was to find out if there is any correlation of the anthropometric parameters and markers of nutrition with the adequacy of HD.

Methods: The investigation was organized as a clinical, cross sectional study.

Association of metabolic changes with mortality of patients treated by peritoneal dialysis or hemodialysis.

Aim: The aim of this study was to determine the survival of patients treated by peritoneal dialysis (PD) and hemodialysis (HD) and to detect any association with the type of metabolic changes.

Methods: The outcome of clinical treatment of 407 dialysis patients was analyzed over a 4-year period. This included the demographic characteristics, the duration of dialysis, smoking, residual renal function, existence of metabolic syndrome and malnutrition, waist girth, body mass index (BMI), comorbidity, and routine biochemical parameters.

Impact of metabolic syndrome and malnutrition on mortality in chronic hemodialysis patients.

Objective: Metabolic abnormalities contribute to increases in the mortality rate of patients on hemodialysis. Here, we estimate the importance and influence of metabolic syndrome and malnutrition on mortality rate.

Design: This was a follow-up study.

[Results of kidney function measurement and blood pressure in population from endemic region of Vitina].

Introduction: The analysis of frequency of kidney diseases, causes of terminal renal failure in patients subjected to repeated dialysis in major dialysis centers in the region of Kosovo and Metohija as well as mortality rate in these patients showed a stable number of patients with kidney diseases, evidencing that the populations of Vitina and Gnjilane were the most commonly affected These towns are designated as regions with the highest incidence of Balkan endemic nephropathy. The present analysis was aimed at: (1) establishing the incidence rate of hypertension and renal function impairment by using clinical and laboratory analyses in individuals from Vitina and neighboring villages, and (2) investigating the correlation between creatinine clearance, age and arterial blood pressure in the studied group.

Material And Methods: The analysis included 510 individuals (excluding diabetics) over the one-month period during 2004 (201 males with their age ranging from 18 to 90 years).

Parametres of clinical and biohumoral status of pruritus in patients on chronic haemodialysis.

Pruritus is one of the commonest symptoms of dermatologic appearances in uraemic syndrome and it occurs in 90% of patients on dialysis with different etiology and pathophysiology. The aim of the study was to estimate the frequency of uraemic pruritus and the comparison with clinical and biochemical parameters in 124 patients treated by chronic haemodialysis at Department of Haemodialysis, Clinical Centre in Kragujevac. The routine laboratory analyses were carried out in the examined patients and the concentration of parathyroid hormone was determined.

Influence of the level of renal insufficiency on endoscopic changes in the upper gastrointestinal tract.

Aim: Lesions of the gastrointestinal tract are frequent finding in uremic patients but their actual nature is not completely clear. The aim of this study was to detect any correlation between endoscopic lesions of patients with different levels of renal insufficiency.

Methods: This prospective study involved 244 cases, with dyspeptic difficulties including 124 patients in different stages of renal insufficiency, and a control group of 120 patients with normal renal function.

[Frequency and characteristics of metabolic disorders in patients on haemodialysis].

Background/aim: . Metabolic syndrome and malnutrition represent metabolic abnormalities which significantly characterize patients on haemodialysis. The aim of the study was to determine the incidence and find characteristics of metabolic disbalance in patients on haemodialysis.

Central venous catheters in hemodialysis: to accept recommendations or to stick to own experience.

Background/aim: Hemodialysis catheter, as an integral part of hemodialysis, is a catheter placed into the jugular, subclav ian and femoral vein. The most common catheter-related complications are infections and thrombosis. The aim of the study was to analyze the prevalence of complications associated with differently inserted central-vein catheters for hemodialysis.

The influence of atherosclerosis and plasma D-dimer concentration in patients with a functioning arteriovenous fistula for maintenance hemodialysis.

Objective: The aim of this study was to deduce the influence of atherosclerosis and plasma D-dimer concentration on the functioning of arteriovenous fistulae for hemodialysis.

Methods: The study was organized as a prospective and non-randomized investigation in the "Kragujevac" Clinical Center. The 81 examined patients, 49 (60.

[The evaluation of hemodialysis adequacy during the use of different dialysis membranes].

Introduction: Hemodialysis efficacy that significantly influences morbidity and mortality of patients can be evaluated by different widely used indices of adequacy.

Objective: The aim of the study was to evaluate the adequacy of hemodialysis in the group of patients on maintenance hemodialysis and to examine the influence of different dialysis membranes on the indices of adequacy and frequency of symptoms and complications developing during dialysis treatment.

Method: The study involved 14 patients dialyzed in three successive months with three different types of dialyzers: E3 (Hemomed)--cuprophane membrane, 1.

[Impact of arteriosclerosis on the functioning of arteriovenous fistula for hemodialysis].

Background/aim: Numerous clinical studies have shown that the incidence of artheriosclerosis is higher in patients with progressive renal insufficiency. The aim of this study was to examine the incidence of artheriosclerosis in patients on chronic hemodialysis and its influence on survival and functioning of vascular access.

Methods: The study was organized as one-year prospective study.

[Ultrasound diagnostics of atherosclerosis in chronic renal insufficiency].

Introduction: Atherosclerosis is more frequent in patients with chronic renal insufficiency than in general population. The aim of this study was to investigate the frequency of atherosclerosis and risk factors in hemodialysis patients.

Material And Methods: We studied 62 patients (36 male and 26 female; mean age, 56 +/- 13 years).