Year: 2025
Type: article
Study design: Observational Study
Abstract: This study aimed to assess how pre-dialysis nephrological follow-up influences the clinical condition of patients at dialysis initiation.Methodology: Patients undergoing hemodialysis from September to November 2022 at the Donka Public Center were divided into two groups: those with early planned management and those admitted late with emergency dialysis.Cases of acute renal failure were excluded.Results: Of 78 hemodialysis patients, 70 were included.Of these, 13 (18.57%)had early nephrological follow-up, compared with 57 (81.43%) admitted late.Comparing the two groups, the mean ages were 46 and 49 respectively, with sex ratios of 0.6 and 0.7.The main comorbidities were arterial hypertension (17.14% and 67.14%) and diabetes mellitus (2.86% and 14.29%).Among the indications for hemodialysis, acute lung edema was absent in the first group versus 9% in the second, uremic pericarditis zero cases versus 4%, and uremic coma zero cases versus 14%.Recourse to femoral catheterization was 9% in the early-admission dialysis group versus 91% in the late-admission dialysis group (p-value=0.0001).There were no deaths in the early-admission group versus 4% in the late-admission group.Conclusion: Early management of kidney disease and the factors associated with its progression can limit the need for emergency dialysis and improve patient survival.
Source: Acta Scientific Neurology
Language: English
Subfield: Nephrology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4414947375
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