| Autor: |
McLigeyo SO; Renal Unit, Kenyatta National Hospital, Nairobi., Otieno LS, Kinuthia DM, Ongeri SK, Mwongera FK, Wairagu SG |
| Jazyk: |
angličtina |
| Zdroj: |
Postgraduate medical journal [Postgrad Med J] 1988 Oct; Vol. 64 (756), pp. 783-6. |
| DOI: |
10.1136/pgmj.64.756.783 |
| Abstrakt: |
Since August 1984 patients with end-stage renal disease in Kenya have been started on haemodialysis with a view to renal transplantation. In a two year period (August 1984-August 1986) 77 patients mean age 29.6 years (49 males), have been dialysed. The mean duration on dialysis prior to death or transplantation was 2.9 months (range 1 day to 11 months). Fifty patients (65%) died while on dialysis, including 2 who had had unsuccessful transplantation. Fourteen patients were still on dialysis, 11 had discharged themselves to peripheral hospitals for conservative management, and 2 had had successful renal transplantation. The possible causes of this abysmal experience include admission of critically ill patients, shortage of trained staff, over-dependence on arteriovenous shunts for vascular access, lack of centralization of patient management, recurrent shortage of essential equipment and reagents and a slow pace of transplantation. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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