Tia Weu Melanie*, Wognin Manzan Anastasie, Koffi Christ Ziahy Reine Marie, Kpan Kehi Jonathan, Gonan Yannick, Boda Romuald, Fofana Lancina, Konate Faman and Gnionsahe Apollinaire
Background: Chronic kidney disease is a global public health problem in terms of prevalence, the cost of management and its mortality. Despite the high cost of hemodialysis facilities, many public units are being created to meet the ever-increasing demand of kidney disease patients in Ivory Coast. The aim of our study was to describe the epidemiological profile of patients treated by chronic hemodialysis in a public unit in an Ivorian city.
Methods: It was a retrospective study of record of chronic hemodialysis patients for at least 3 months during the period from November 2014 to December 2020.
Results: The mean age was 41.5 years with a sex ratio of 1.5. The dialysis started as an emergency with 85.9% of patients, on a temporary catheter in 78.4%. The average duration on dialysis was 28.08 months. Mortality rate was 26.67%. Factors associated with death were a nonhigher level of education (0.01), chronic heart failure (0.001), the presence of a temporary catheter (0.05), uncontrolled blood pressure (0.0001), a severe anemia (0.0001), the absence of the use of erythropoietin (0.004), the absence of diuretic (0.02) and a less than one year duration on dialysis (0.00012).
Conclusion: The patients treated in this dialysis unit were young. Mortality was high. We recommend the inclusion of dialysis care for chronic kidney disease patients in the universal healthcare coverage of Ivory Coast.
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