Challenges and outcomes of haemodialysis among patients presenting with kidney diseases in Dodoma, Tanzania

Autor: Alfred J. Meremo, David P. Ngilangwa, Masumbuko Y. Mwashambwa, Matobogolo B. Masalu, Janet Kapinga, Rehema Tagalile, Issa Sabi
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: BMC Nephrology, Vol 18, Iss 1, Pp 1-6 (2017)
Druh dokumentu: article
ISSN: 1471-2369
DOI: 10.1186/s12882-017-0634-2
Popis: Abstract Background Kidney Diseases contribute a significant proportion to the global burden of non-communicable diseases. Haemodialysis services as the main modality of renal replacement therapy in most resource limited countries is only available in few cities and at higher costs. The aim of this study was to determine the challenges and outcomes of patients who were on haemodialysis at the University of Dodoma (UDOM) haemodialysis unit in Tanzania. Methods In this retrospective study; we reviewed haemodialysis registers and charts of 116 patients dialyzed from January 2013 to June 2015 at The UDOM haemodialysis unit. Data were descriptively and inferentially analysed using Stata version 11 software. Results Of the 116 patients, 52 (44.9%) were male, and 38(32.8%) were married. Their median age was 45 years. Thirty-two (27.6%) had acute kidney injury, of them 26 (81.3%) patients had recovery of renal function after haemodialysis. Indications for hemodialysis were anuria (18), intoxications (14), electrolyte imbalance (9), uraemia (7) infections (6) and fluid overload (4). Eighty-four (72.4%) patients had End Stage Renal Diseases (ESRD), of which 37 (44.1%) absconded/lost to follow up, 15 (17.9%) died, 22 (26.2%) were referred to Muhimbili National Hospital (MNH), 12 for possible kidney transplant abroad after haemodialysis, and 10 (11.9%) were still attending our unit for haemodialysis. Residing outside Dodoma was predictive for poor outcomes while on haemodialysis (OR 5.2, 95% CI 3.2–8.6, p
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