Vascular access for hemodialysis at the Guido Valadares National Hospital, Timor Leste

Introduction: Chronic Kidney Disease is a pathology that is gaining a lot of interest in the field of public health. Currently, arteriovenous fistula maintains its validity as the access route of choice for patients who require dialysis treatment. Methods: A descriptive, retrospective, cross-sectional observational study was carried out on 203 patients who were admitted to the Nephrology service of the “Guido Valadares” National Hospital, Timor Leste with the diagnosis of Chronic Kidney Disease, with the objective of characterizing the vascular accesses for hemodialysis. in these patients from January 2019 to October 2022. Results: Vascular access was more frequent in females aged 50 to 54 years old. Hypertensive and diabetic nephropathy were the predominant causes. All patients are not referred to vascular access consultation in a timely manner. Most patients began dialysis treatment with a central venous catheter. Hemorrhage and thrombosis predominated in autologous vascular accesses. Conclusions: Autologous vascular access is ideal in patients who need renal purification treatment to survive