Vascular access in emergency hemodialysis patients in remote areas

Abstract

The goal of this study was to identify vascular access in patients undergoing emergency hemodialysis in outlying areas at RSU NTB. This study, which was conducted concurrently from secondary data of patients with chronic kidney disease (CKD) who needed emergency hemodialysis through a temporary non-tunnel double-lumen vascular catheter access at the West Nusa Tenggara Regional General Hospital from May 2019 to May 2022, is a quantitative descriptive study using a cross-sectional approach. by including 331 research participants, the majority of them were between the ages of 46 and 55 (n=31.4%), with a male to female ratio of 54.4% to 45.6%. According to this study, hypertension, which affected 158 individuals (n=47.7%) of the research subjects, was the most prevalent ailment. As many as 122 patients (n=36.9%) with chronic kidney disease (CKD) who have hemodialysis grounds report shortness of breath as their primary complaint. Emergency hemodialysis, which involved 295 patients (n=89.1%) of patients with chronic kidney disease, was the most common reason for hemodialysis, followed by chronic or regular hemodialysis, which involved 30 patients (n=9.1%). In conclusion, comorbidities and clinical symptoms were taken into account when deciding the type of hemodialysis that will be administered.