#6242 CLINICAL CHARACTERISTICS OF HEMODIALYSIS PATIENTS FROM AFRICAN COUNTRIES OF PORTUGUESE OFFICIAL LANGUAGE: A PORTUGUESE COHORT

Abstract Background and Aims Chronic kidney disease (CKD) is a leading cause of morbidity mortality worldwide, with African descendants being at increased risk occurrence progression to end-stage renal (ESRD). However, the burden CKD ESRD in continent still largely conjectural access treatment restricted those countries. Africa contributes <10% total replacement therapy (RRT) patients mainly due high costs associated. The purpose this analysis was describe clinical characteristics outcomes from Countries Portuguese Official Language (ACPOL) who integrated HD program tertiary hospital Portugal. Method Retrospective 126 Portugal, between January 2015 December 2019. Last follow-up ascertained 2021. Results Mean age 49.9 ± 14.1 years, 53.6% were male (n = 71). Hypertension comorbidity 96.0% 121). Twenty-one came Angola (16.7%), 53 Cape Verde (42.1%), 23 Guinea-Bissau (18.3%), 20 Saint Thomas Prince (15.9%), 9 Mozambique (7.1%). Motive for referral Portugal RRT requirement 93.7% cases 118) vascular (VA) dysfunction 6.3% 8); these 8 VA already on hemodialysis before their evacuation they 4), 3), one patient Guinea-Bissau. At arrival, initiated our unit had mean serum creatinine 9.4 4.4 mg/dL, urea 182.5 109.1 Hb 9.6 1.7 g/dL, albumin 3.6 0.6 PTH 491.7 392.6 pg/mL. Patients referred 10.1 1.8 3.7 1.0 918.9 541.6 There no statistically significant differences both groups concerning country origin, although hypoalbuminemia more frequent (50%) (42.9%). All started central venous catheter (CVC). During follow-up, CVC remained 51.6% 65), arteriovenous fistula 42.9% 54), graft 5.6% 7). Nine exhaustion HD. time 70.5 41.3 months, 1.6% transitioned peritoneal dialysis 2) 15.1% submitted transplantation 18). rate during 14.3% Conclusion are few studies about undergoing first study presenting ACPOL. These young patients, almost all hypertension, prevalence anemia, malnutrition, secondary hyperparathyroidism. several presented multiple dysfunction. data reinforce urgent need improvement investment countries’ healthcare, especially what concerns ESRD, as it serious consequences patients’ survival quality life. With cooperation protocol, provides RRT, complications, care, possibility transplantation, ultimately improving chance