The Effect of Ferritin on Arteriovenous Fistula Survival in Hemodialysis Patients: Analyzing Using Data Mining Technique.

Background: End stage renal disease (ESRD) need either kidney transplant or dialysis in order to stay alive. Hemodialysis (HD) requires vascular access (VA) for access to the bloodstream. Arteriovenous fistula (AVF) is the top choice amongst vascular access procedures based on reduced morbidity and mortality. Follow up of AVF is vital for detecting factors which contribute to failure or survival of Fistula. Methods: This study is aimed to investigate follow up of 113 HD patients who underwent AVF surgery from 2015 to 2018 at Hasheminejad kidney center of Tehran. Using a predictive approach the investigation was conducted to determine the relationship between biomarkers such as serum ferritin, SI / TIBC ratio, hemoglobin (HB) and fistula function. The decision tree method was used based on CHAID algorithm, which is one of the data mining approaches for data classification. Results: The decision tree for the measures taken indicated the ferritin and SI/TIBC class in which the fistula had a better survival rate. Prediction accuracy rate was within a range of 62.50%-66.07%. Conclusions: AVF survival rate in ESRD patients who had SI/TIBC<30% or a serum ferritin level of lower or equal to 200 ng/ml, specifically when their HB was greater than 8, were better.