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All Journal Journal of Tropical Life Science : International Journal of Theoretical, Experimental, and Applied Life Sciences Jurnal Kedokteran Brawijaya Indonesian Journal of Urology Research Journal of Life Science Jurnal Farmasi Klinik Indonesia INDONESIAN JOURNAL OF MEDICAL LABORATORY SCIENCE AND TECHNOLOGY Heart Science Journal Journal of Indonesia Vascular Access Deka in Medicine
Atma Gunawan
Laboratorium Ilmu Penyakit Dalam Rumah Sakit Umum Dr. Saiful Anwar Malang
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Public Health Social Sciences

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Risk factors associated with the incidence of Arteriovenous (AV) shunt stenosis in Chronic Kidney Disease (CKD) patients on hemodialysis Gunawan, Atma; Rifai, Achmad; Kurnianingsih, Novi; Haryanto, Ahmad Farid
Journal of Indonesia Vascular Access Vol. 5 No. 2 (2025): Available online : 1 December 2025
Publisher : Indonesian Vascular Access Association (IVAA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jinava.v5i2.84

Abstract

Background: Arteriovenous (AV) shunt stenosis is a significant complication in chronic kidney disease (CKD) patients undergoing hemodialysis with AV shunt access. The risk factors associated with this event are still not fully understood. This study aims to identify factors associated with the incidence of AV shunt stenosis in CKD patients undergoing dialysis. Methods: A cross-sectional study was conducted involving 236 patients undergoing hemodialysis at Dr. Saiful Anwar General Hospital, Malang. Risk factors analyzed included age, gender, diabetes mellitus, hypertension, obesity, and AV shunt location. Results: Bivariate analysis using the Chi-square test showed significant associations between stenosis and age (p=0.020), gender (p=0.001), diabetes mellitus (p=0.001), and hypertension (p=0.031). However, obesity (p=0.608) and AV shunt location (p=0.552) were not significantly associated. Logistic regression analysis indicated that diabetes mellitus increased the risk of AV shunt stenosis by 2.46 times (95% CI: 1.42-4.26), hypertension by 2.05 times (95% CI: 1.06-3.96), and age above 60 years by 1.93 times (95% CI: 1.10-3.37) Conclusion: Diabetes mellitus, hypertension, advanced age, and smoking are key risk factors for AV shunt stenosis in CKD patients undergoing dialysis
Co-Authors ACHMAD RIFAI Anjarwani, Setyasih Cahayani, Putu Ayu Evie Eko, Mudjiwijono Handaru Eldatarina, Helsa Engli, Katherina Etik Sulistyowati Fauzi Ahmad Muda Firmansah, Wahyu Fitriana, Dinar I. Hamam Hadi Hanafi, Hafidz Handono Kalim Hani Susianti Haryanto, Ahmad Farid Haryanto, Dheni Indra Prasetya Kurnianingsih, Novi Kusworini Handono Maharani, Revina Mazen, Mazen Nurudinulloh, Akhmad Isna Rahardja, Ketut Retty Ratnawati Susetyowati Suwito, Heru Tamaulina Br Sembiring Tinny Endang Hernowati Titisari, Nurina Wattimury, Rosmince Widiaputro, Dandi Widito, Sasmojo Wiwi Jaya Yuliana Salman Yunita, Ema P.