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" Evaluation of diagnostic values of physical assessment in determining the maturation of arteriovenous fistulas for suitable hemodialysis "
/حمید طالب زاده
; Fereshteh Salimi
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Isfahan University of Medical Sciences
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| Document Type
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Latin Dissertation
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| Language of Document
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English
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| Record Number
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103489
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| Doc. No
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T15096
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| Call number
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WJ,378,T143e,2014
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| Main Entry
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Talebzadeh, Hamid
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| Title & Author
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Evaluation of diagnostic values of physical assessment in determining the maturation of arteriovenous fistulas for suitable hemodialysis/حمید طالب زاده
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| College
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Schools, Medical
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| Date
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, 2014
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| Degree
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General Surgery, Specialty
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| Page No
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19 p.: tab.
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| Note
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This thesis is a research project with project ID: 392048
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| Abstract
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this study aimed to (1) identify postoperative clinical charcteristics that are predictgive of fistula FTM and (2) use these predictrive factors to develop and validate a scoring system to stratify the patient`s for FTM. this descriptive cross-sectional study was performed on 80 ESRD patient who referred to Alzahra hospital, Isfahan, for brachiocephalic fistula creation. after 4 weeks the clinical criteria (trill, firmness, vein length and venous engorgement) examined and the fistulas situation divided to favorable or unfavorable by each criteria and the results comprised with dialysis possibility. data were analyzed with PASW v.20 the distribution of nominal variables was compared using the Chi-square test. diagnostic index for clinical examination were calculated. amongst the 80 cases, 25 (31.2 percent) female and 55 (68.8 percent) male were studied with the mean age of 51.9 (SD=17) year ranged between 18-86 years old. sixty two (77.5 percent) cases had successful hemodialysis. all four clinical assessment was significantly more suitble in patients with successful dialysis. according to the results of our study, accuracy of all physical assessment was above 70 percent and exept vein length other criteria had sensitivity and NPV of 100 percent in this sutdy firmness of vein has highest specificity and positive predictive value. results of our study showed that high sensitivity and relatively low specificity of clinical criteria mean that unfavorable results of each clinical criterion predict unfavorable dialysis. clinical evaluation of newly created fistula 4-6 weeks after surgery should be considered mandatory.
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| Descriptor
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1. Renal Dialysis.- Descriptors: Renal Dialysis
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Arteriovenous Fistula
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Kidney Failure, Chronic
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| Added Entry
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Salimi, Fereshteh, Supervisor
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