Abstract: PO1035
Warfarin Increases the Risk of Vascular Calcification in Haemodialysis Patients: A Multicenter Case-Control Study
Session Information
- Hemodialysis and Frequent Dialysis - 1
October 22, 2020 | Location: On-Demand
Abstract Time: 10:00 AM - 12:00 PM
Category: Dialysis
- 701 Dialysis: Hemodialysis and Frequent Dialysis
Authors
- Eren Sadioglu, Rezzan, Ankara Universitesi Tip Fakultesi, Ankara, Ankara, Turkey
- Ustuner, Evren, Ankara Universitesi Tip Fakultesi, Ankara, Ankara, Turkey
- Ergun, Ihsan, Ufuk Universitesi Doktor Ridvan Ege Egitim Arastirma Hastanesi, Ankara, Ankara, Turkey
- Ecder, T., T C Demiroglu Bilim Universitesi, Istanbul, İstanbul, Turkey
- Nergizoglu, Gokhan, Ankara Universitesi Tip Fakultesi, Ankara, Ankara, Turkey
- Keven, Kenan, Ankara Universitesi Tip Fakultesi, Ankara, Ankara, Turkey
Background
Vascular calcifications (VC) are highly prevalent in maintenance haemodialysis patients and it is a recognized risk factor for increased mortality. Previous experimental studies showed the relation between warfarin which has been prescribed frequently in dialysis patients and VC. The aim of this study is to investigate the association between VC and warfarin use in haemodialysis patients.
Methods
This was a cross-sectional, observational, multicenter study. VC were assessed using Adragao (AS; pelvis and hands) and Kauppila (KS; lateral lumbar spine) scores in 76 haemodialysis patients from six centers. There were 32 patients (4.5%) being treated with warfarin for at least 1 year out of a total 711 haemodialysis patients and we included 44 control patients with matching parameters of age, sex and dialysis vintage to the study. Clinical characteristics, concomitant treatments, laboratory results were recorded and possible risk factors related to VC were analyzed.
Results
Of the patients, 47% were females, mean age was 65.8 ± 9 years, 23% were diabetics, their mean dialysis vintage was 68.39 ± 38.5 months and mean Kt/V 1.66 ± 0.27. No significant differences in clinical characteristics and basic laboratory results were found between control and warfarin group. In warfarin group, median Kauppila score was higher than control [11 vs 6.5, (25%-75% percentile, 5 vs 15), P=0.032] and percentages of Kauppila score >6 patients were higher, as well (76,6% vs 50%; P=0.029). Median Adragao score was not significantly different between two groups [7 vs 6, (%25,%75 percentile 6 vs 8), P=0.177]. Logistic regression analysis revealed that warfarin treatment was independently associated with Kauppilla scores of >6 (OR 3.28, 95% CI 1.17-9.22, P=0.024).
Conclusion
The results of this study showed that warfarin is a strong risk factor for vascular calcifications, especially in aorta of haemodialysis patients.