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During the congress, E-Posters will be accessible to all participants on the congress website 24/7, as well as in the E-poster stations in the congress center.
Preparing your E-Poster
Please review the E-Poster format requirements carefully when preparing your E-Poster. Should your E-Poster not meet the mentioned requirements, it may not be displayed as described above.
E-Poster Submission Deadline
Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.
Please follow the instructions below to input your abstract title.
Abstract titles should be brief and reflect the content of the abstract.
Chronic kidney disease (CKD) is a growing public health challenge in Bangladesh, particularly in Sylhet, where access to specialized nephrology care is limited. End-stage renal disease (ESRD) patients commonly require maintenance hemodialysis, which depends on reliable vascular access. Arteriovenous fistulas (AVFs) are preferred for their durability and lower complication rates, yet temporary vascular access, such as central venous catheters, is often used initially in resource-limited settings. This study aims to evaluate the patterns and transitions of vascular access among ESRD patients on maintenance hemodialysis in Sylhet.
A descriptive cross-sectional study was conducted on 200 patients with end-stage renal disease receiving maintenance hemodialysis across dialysis centers in Sylhet. Participants were selected using convenience sampling. Data were collected through patient interviews and medical record reviews, focusing on demographics, comorbid conditions, and details of vascular access at initiation and during ongoing treatment. Statistical analysis was performed using descriptive statistics to assess frequencies, proportions, and mean values relevant to vascular access patterns.
A total of 200 patients were analyzed, with a mean age of 44.98 ± 14.52 years. All participants were diagnosed with ESRD. Hypertension was the most common comorbidity, affecting 90% (n=180) of patients, followed by diabetes mellitus in 34% (n=68), and ischemic heart disease in 26%(n=52). At the initiation of hemodialysis, 94% (n=188) of patients began treatment using temporary vascular access, while only 6% (n=12) had an arteriovenous fistula (AVF) in place. Over the course of treatment, 35% of patients eventually transitioned to AVFs, indicating some progress in permanent access placement. However, 24.5% continued to rely on temporary vascular access throughout their treatment. The mean duration of temporary access before switching to an AVF was 9.53 ± 5.20 weeks.
This study highlights a heavy reliance on temporary vascular access at hemodialysis initiation among CKD patients in Sylhet, with limited early AVF use. Although some transitioned to AVFs, one-fourth remained on temporary access, increasing complication risks. Early nephrology referral, patient education, and improved AVF surgical services are crucial to enhancing dialysis care quality in the region.
