TABLE II -.
Effects of different statins on primary failure of arteriovenous fistulas adjusting for clinical covariatesa
| All statinsb | Atorvastatin | Rosuvastatin | Simvastatin | |
|---|---|---|---|---|
| All fistulas | ||||
| No. on statins/no statins | 238/297 | 39/297 | 126/297 | 58/297 |
| Median statin dose (mg; IQR) | NA | 20 (20–40) | 10 (10–15) | 20 (20–40) |
| Odds ratio | 0.63 | 0.18 | 0.61 | 1.29 |
| 95% confidence interval | 0.40–0.99 | 0.06–0.60 | 0.34–1.08 | 0.66–2.52 |
| p value | 0.046 | 0.005 | 0.087 | 0.45 |
| One-stage fistulas | ||||
| No. on statins/no statins | 98/132 | 17/132 | 54/132 | 19/132 |
| Median statin dose (mg; IQR) | NA | 40 (20–40)c | 10 (10–20) | 20 (10–40) |
| Odds ratio | 0.45 | 0.03 | 0.43 | 0.94 |
| 95% confidence interval | 0.21–0.94 | 0.002–0.35 | 0.17–1.12 | 0.27–3.36 |
| p value | 0.034 | 0.005 | 0.085 | 0.93 |
| Two-stage fistulas | ||||
| No. on statins/no statins | 140/165 | 22/165 | 72/165 | 39/165 |
| Median statin dose (mg; IQR) | NA | 20 (10–20)c | 10 (5–10) | 20 (20–40) |
| Odds ratio | 0.79 | 0.43 | 0.79 | 1.59 |
| 95% confidence interval | 0.44–1.43 | 0.10–1.81 | 0.37–1.68 | 0.70–3.61 |
| p value | 0.44 | 0.25 | 0.55 | 0.27 |
IQR = interquartile range.
Patients in the indicated treatment groups were compared to those on no statins using multivariate logistic regressions adjusted for age, sex, ethnicity, coronary artery disease, congestive heart failure, diabetes, antiplatelet agents, angiotensin converting enzyme inhibitor/angiotensin II receptor blocker, prior catheter use, and history of previous AVF.
The All Statins group includes patients on atorvastatin, rosuvastatin, simvastatin, lovastatin, and pravastatin (see Supplementary Tab. S1, available online as Supplementary material at www.vascular-access.info).
The difference in the atorvastatin daily dose between one-stage and two-stage patients is not statistically significant (Mann-Whitney U-test; p = 0.088).