Emergency Hemodialysis at the Sylvanus Olympio University Hospital Center in Lomé  

作　　者：Kodjo Agbeko Djagadou Lihanimpo Djalogue Koffi Klouvi Tsevi Yawovi Mawufemo Mohaman Awalou Djibril Kodjo Agbeko Djagadou;Lihanimpo Djalogue;Koffi Klouvi;Tsevi Yawovi Mawufemo;Mohaman Awalou Djibril(Department of Internal Medicine, Faculty of Health Sciences, University of Lom, Lom, Togo;Department of Internal Medicine, Faculty of Health Sciences, University of Kara, Kara, Togo)

机构地区：[1]Department of Internal Medicine, Faculty of Health Sciences, University of Lom, Lom, Togo [2]Department of Internal Medicine, Faculty of Health Sciences, University of Kara, Kara, Togo

出　　处：《Open Journal of Nephrology》2024年第4期574-592,共19页肾脏病(英文)

摘　　要：In our context in Togo, the diagnosis of renal failure seems late. Patents were most often hemodialyzed in a clinical situation of vital distress due to threatening hyperhydration, hyperkalemia, acidosis, pericarditis or confusion of uremic origin. This is why we initiated this study: to update data on emergency hemodialysis situations. Method: This was a cross-sectional and descriptive study with retrospective collection of data over a period of 24 months from January 1, 2022 to December 31, 2023 in medical intensive care units, multipurpose intensive care units and in the medical emergency unit of the CHU-SO. Results: The frequency of performing emergency hemodialysis is estimated at 55.24%. The most common reasons for admission were repeated nausea and vomiting at 21.55% and asthenia at 19.82% (Figure 2). The main signs observed on admission were dyspnea, edematous-ascitic syndrome in 13.73%, and anuria in 11.76%. Renal failure was chronic in 68.97% of patients and acute in 31.03% of cases. The main indication for emergency hemodialysis was poorly tolerated uremia (48.45%);uremic encephalopathy (15.55%);acute lung edema (APO) in 13.58%;threatening hyperkalemia (13.42%) and anuria of 24 hours or more (9%). Emergency hemodialysis was carried out within the first six hours in 7.75% of patients after its indication. The clinical evolution of patients after emergency hemodialysis was favorable in 69.83% and unfavorable in 30.17%. Conclusion: It would be interesting to conduct a prospective study on the socio-economic factors linked to the performance of hemodialysis in order to improve access to hemodialysis in the various hospital centers in Togo.In our context in Togo, the diagnosis of renal failure seems late. Patents were most often hemodialyzed in a clinical situation of vital distress due to threatening hyperhydration, hyperkalemia, acidosis, pericarditis or confusion of uremic origin. This is why we initiated this study: to update data on emergency hemodialysis situations. Method: This was a cross-sectional and descriptive study with retrospective collection of data over a period of 24 months from January 1, 2022 to December 31, 2023 in medical intensive care units, multipurpose intensive care units and in the medical emergency unit of the CHU-SO. Results: The frequency of performing emergency hemodialysis is estimated at 55.24%. The most common reasons for admission were repeated nausea and vomiting at 21.55% and asthenia at 19.82% (Figure 2). The main signs observed on admission were dyspnea, edematous-ascitic syndrome in 13.73%, and anuria in 11.76%. Renal failure was chronic in 68.97% of patients and acute in 31.03% of cases. The main indication for emergency hemodialysis was poorly tolerated uremia (48.45%);uremic encephalopathy (15.55%);acute lung edema (APO) in 13.58%;threatening hyperkalemia (13.42%) and anuria of 24 hours or more (9%). Emergency hemodialysis was carried out within the first six hours in 7.75% of patients after its indication. The clinical evolution of patients after emergency hemodialysis was favorable in 69.83% and unfavorable in 30.17%. Conclusion: It would be interesting to conduct a prospective study on the socio-economic factors linked to the performance of hemodialysis in order to improve access to hemodialysis in the various hospital centers in Togo.

关 键 词：Emergency Hemodialysis Lomé TOGO 

分 类 号：G63[文化科学—教育学]