Use of Aspirin Associates with Longer Primary Patency of Hemodialysis Grafts

作者：Dixon Bradley S^*; Beck Gerald J; Dember Laura M; Vazquez Miguel A; Greenberg Arthur; Delmez James A; Allon Michael; Himmelfarb Jonathan; Hu Bo; Greene Tom; Radeva Milena K; Davidson Ingemar J; Ikizler T Alp; Braden Gregory L; Lawson Jeffrey H; Cotton James R Jr; Kusek John W; Feldman Harold I

来源：Journal of the American Society of Nephrology, 2011, 22(4): 773-781.

DOI：10.1681/ASN.2010060582

Extended-release dipyridamole plus low-dose aspirin (ERDP/ASA) prolongs primary unassisted graft patency of newly created hemodialysis arteriovenous grafts, but the individual contributions of each component are unknown. Here, we analyzed whether use of aspirin at baseline associated with primary unassisted graft patency among participants in a randomized trial that compared ERDP/ASA and placebo in newly created grafts. We used Cox proportional hazards regression, adjusting for prespecified baseline comorbidities and covariates. Of all participants, 43% reported use of aspirin at baseline; of these, 82% remained on nonstudy aspirin (i.e., excluding ERDP/ASA) at 1 year. After 1 year of follow-up, the incidence of primary unassisted patency among participants using aspirin at baseline was 30% (95% CI: 24 to 35%) and among those not using aspirin was 23% (95% CI: 18 to 27%). Use of aspirin at baseline associated with a dose-dependent prolongation of primary unassisted graft patency that approached statistical significance (adjusted HR, 0.83; 95% CI: 0.68 to 1.01; P = 0.06). Use of aspirin at baseline did not associate with prolongation of cumulative graft patency or participant survival. In conclusion, use of aspirin associates with a trend toward longer primary unassisted patency of newly placed hemodialysis grafts similar to that observed for ERDP/ASA.

• 出版日期2011-4
• 单位NIH