终末期肾病患者的透析方式和感染性心内膜炎的风险

IF 3.7 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Circulation Journal Pub Date : 2025-09-25 Epub Date: 2025-07-12 DOI:10.1253/circj.CJ-25-0382

Chun-Yu Chen, Feng-Cheng Chang, Chia-Pin Lin, Ming-Jer Hsieh, Chih-Hsiang Chang, Yu-Ting Cheng, Yi-Hsin Chan, Victor Chien-Chia Wu, An-Hsun Chou, Shao-Wei Chen

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引用次数: 0

摘要

背景：尽管血液透析（HD）是感染性心内膜炎（IE）的重要危险因素，但与腹膜透析（PD）和特定类型的HD通路相关的风险仍未得到充分探讨。方法和结果：本回顾性研究分析了215,965例终末期肾病（ESRD）患者和1,076,532例年龄和性别匹配的非ESRD患者（对照组）。ESRD患者分为HD组和PD组，HD组进一步细分为通道类型：动静脉瘘（AVF）、导管或移植物。PD组IE发生率低于HD组；在HD患者中，通过AVF进入的患者IE发生率最低。结论：PD和AVF可降低ESRD患者发生IE的风险。因此，应优先考虑两者的临床应用。

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Dialysis Modality and Risk of Infective Endocarditis in Patients With End-Stage Renal Disease.

Background: Although hemodialysis (HD) is a significant risk factor for infective endocarditis (IE), risks associated with peritoneal dialysis (PD) and specific types of HD access remain underexplored.

Methods and results: This retrospective study analyzed 215,965 patients with end-stage renal disease (ESRD) and 1,076,532 age- and sex-matched individuals without ESRD from the general population (control group). ESRD patients were grouped into those undergoing HD or PD, with the HD group further subdivided by access type: arteriovenous fistula (AVF), catheter, or graft. The incidence of IE was lower in the PD than HD group; among patients on HD, the incidence of IE was lowest for those with access via an AVF.

Conclusions: PD and AVF access lower the risk of IE among patients with ESRD. Thus, the clinical use of both should be prioritized.

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来源期刊

Circulation Journal 医学-心血管系统

CiteScore

5.80

自引率

12.10%

发文量

471

审稿时长

1.6 months

期刊介绍： Circulation publishes original research manuscripts, review articles, and other content related to cardiovascular health and disease, including observational studies, clinical trials, epidemiology, health services and outcomes studies, and advances in basic and translational research.