Is central venous catheter in haemodialysis still the main factor of mortality after hospitalization

Functioning vascular access is essential for performing haemodialysis. The morbidity and mortality of patients in the haemodialysis program may be associated with the type of vascular access utilized at the beginning and during the follow-up of renal replacement therapy (1–3). The types of vascular access include Autologous Arterial Venous Fistula (AVF), Central Venous Catheter (CVC), Tunnelled CVC (T-CVC), Non-tunnelled CVC (NT-CVC), and Arteriovenous Graft (AVG). While haemodialysis may present complications during the sessions, the complications associated with vascular access occur in 16–25% (4–6). Some reports suggest that CVC is associated with a higher mortality risk than AVF. It is worth Page 3/10 mentioning that the survival of patients with stage 5 CKD has improved considerably over the years (7–9). The aim of the study is to determine the factors associated with the mortality and hospitalization in HD patients at the XXX Hospital in Santo Domingo, Dominican Republic.