A Two Year Review of Patients with Chronic Kidney Failure Undergoing Haemodialysis in a New Dialysis Centre in Nigeria: Any New Lesson?

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OE Ayodele
OO Okunlola
PO Akinwusi
AA Akinsola

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Abstract

Chronic kidney failure (CKF) is a devastating medical, social and economic problem for the patients, their families and the country. Reports from Nigeria had shown an increase in hospital prevalence rates of CKF. This study reviewed the first two year data of patients with CKF who were dialyzed in a new dialysis centre in Southwest Nigeria to determine whether any progress has been made in terms of referral pattern, pre-dialysis management and to determine if there is any change in the prevalent causes of CKF compared to earlier reports from the same region. This retrospective study evaluated patients with CKF dialyzed between December 2004 and December 2006. Seventy-one patients (52 males, 19 females) with CKF were dialyzed during the study period. The mean age of the study population was 43.3 ± 18.9 years. The prevalent causes of CKF were hypertension and chronic glomerulonephritis. Three-quarters of the patients were transfused and 68 patients (96 %) commenced dialysis within one week of referral to a nephrologist and had no pre-dialysis care. Three patients had arteriovenous fistula before the commencement of dialysis. Five patients had dialysis for more than 8 weeks and none of the patients was able to sustain dialysis for a year or had kidney transplantation. This report showed that CKF still affects our patients in their productive years with late referral to a nephrologist. Our patients had little or no pre-dialysis care and were not able to sustain dialysis therapy for an appreciable time in view of cost with attendant high mortality.

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