Overview of the management of arteriovenous shunts as hemodialysis access for chronic kidney disease patients at Ciputra Citra Raya Hospital (2020–2023)
Main Article Content
Keywords
arteriovenous shunt, chronic kidney disease, hemodialysis
Abstract
Introduction: The AV shunt is considered the gold standard in establishing vascular access in haemodialysis for individuals with chronic renal disease. This approach is meant to increase the efficiency of dialysis while lowering the risks and difficulties associated with alternative vascular access approaches. Moreover, studies that have conducted research on this topic previously are still very limited. This study aims to investigate the management of arteriovenous shunts as vascular access for hemodialysis in patients with CKD at Ciputra Citra Raya Hospital from 2020 to 2023.
Method: The research design used is descriptive-analytical with a cross-sectional design. The researchers collected secondary data from the medical records of patients at Ciputra Citra Raya Hospital from 2020 to 2023 during the period of July-August 2024. The sampling method employed was total sampling. The analysis was conducted univariately using SPSS ver. 25.
Results: It was found that 93 (100%) subjects were in CKD Stage 5, with the majority of subjects aged between 46-55 years old, as many as 37 (39.8%), male as many as 54 (58.1%), and most education, namely high school/high school as many as 46 (49.5%). The most risk factors in the subjects were HT and DM, as many as 34 (36.6%) had undergone hemodialysis for an average time of 179 months, with the shortest duration of hemodialysis being 23 months and the most extended duration of hemodialysis being 593 months, without the discovery of AV Shunt complications in all subjects of 93 (100%).
Conclusion: Patients with CKD Stage 5 with the most risk factors for HT and DM who have undergone hemodialysis either for a short or long time using an AV shunt as their access have no complications.
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