Lung Congestion Severity in Kidney Transplant Recipients Is Not Affected by Arteriovenous Fistula Function

Journal of Clinical Medicine

Oktawia Mazanowska¹  Magdalena Krajewska¹  Dorota Kamińska¹  Tomasz Gołębiowski¹  Magdalena Kuriata-Kordek¹  Krzysztof Letachowicz¹  Mirosław Banasik¹  Katarzyna Madziarska¹  Andrzej Tukiendorf²  Anna Królicka³ 

[1]Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, 50-556 Wrocław, Poland

[2]Department of Social Medicine, Wroclaw Medical University, 50-367 Wroclaw, Poland

[3]Faculty of Medicine, Wroclaw Medical University, 50-367 Wrocław, Poland

关键词: vascular access;    arteriovenous fistula;    kidney transplantation;    lung ultrasound;    B-lines;   

DOI  :  10.3390/jcm11030842

来源: DOAJ

【 摘 要 】

Lung ultrasound is a bedside technique for the assessment of pulmonary congestion. The study aims to assess the severity of lung congestion in kidney transplant recipients (KTR) in relation to arteriovenous fistula (AVF) patency. One hundred fifty-seven patients at least 12 months after kidney transplantation were recruited to participate in a cross-sectional study. Apart from routine visits, lung ultrasound at 28 typical points was performed. The patients were assigned to either AVF+ or AVF− groups. The mean number of lung ultrasound B-lines (USBLs) was 5.14 ± 4.96 with no differences between groups: 5.5 ± 5.0 in AVF+ and 4.8 ± 4.9 in AVF−, p = 0.35. The number and proportion of patients with no congestion (0–5 USBLs), mild congestion (6–15 USBLs), and moderate congestion (16–30 USBLs) were as follows: 101 (64.7%), 49 (31.4%), and 6 (3.8%), respectively. In multivariate analysis, only symptoms (OR 5.90; CI 2.43,14.3; p = 0.0001), body mass index (BMI) (OR 1.09; CI 1.03,1.17; p = 0.0046), and serum cholesterol level (OR 0.994; CI 0.998,1.000; p = 0.0452) contributed significantly to the severity of lung congestion. Lung ultrasound is a valuable tool for the evaluation of KTR. Functioning AVF in KTR is not the major factor affecting the severity of pulmonary congestion.

【 授权许可】

Unknown