Abstract: Objective To retrospectively compare the vascular access between diabetic and non-diabetic maintenance hemodialysis (MHD) patients in a center in Shanghai. Method We compared the type and function of vascular access between diabetic and non- diabetic MHD patients treated in Yangpu Hospital in 2015. The complications relating to blood access were recorded as well. Result We recruited 188 MHD patients including 116 non-diabetic MHD patients and 72 diabetic MHD patients for this investigation. Temporary catheter was used in most diabetic and non-diabetic patients for the first hemodialysis, and fistula was used more in non-diabetic patients than in diabetic patients for the first hemodialysis. The blood flow volume was the same between non-diabetic and diabetic patients. The prevalence of infection, thrombosis and stenosis relating to vascular access was higher in diabetic patients than in non-diabetic patients. Conclusion Most patients used temporary catheters at the beginning of hemodialysis. More diabetic patients used long-term catheters as the permanent vascular access than non-diabetic patients in our center. The prevalence of complications relating to vascular access was higher in diabetic patients than in non-diabetic patients.

Key words: Diabetes, Vascular access, Complication