Author(s)

Hamadoun Yattara¹, Nouhoum Coulibaly^1*, Abdoul Karim Traoré², Seydou Sy¹, Atabieme Kodio¹, Karamoko Djiguiba³, Mahamadoun Kougoulba¹, Moctar Coulibaly⁴, Sah Dit Baba Coulibaly⁵, Modi Sidibé¹, Abdou Messoum Dolo⁶, Yohana Koné⁶, Moustapha Tangara¹, Alkaya Touré¹, Aboubacar Sididki Fofana⁷, Magara Samaké⁷, Sahare Fongoro⁸

¹Point G University Hospital, Bamako, Mali.
²Regional Hospital of Segou, Segou, Mali.
³Hopital Mère-Enfant le Luxembourg, Bamako, Mali.
⁴Mali Gavardo Hospital, Bamako, Mali.
⁵Infirmary Garnison de Kati, Kati, Mali.
⁶Sikasso Regional Hospital, Sikasso, Mali.
⁷Kayes Regional Hospital, Sikasso, Mali.
⁸Faculty of Medicine and Ondotostomatology of Bamako, Bamako, Mali.

Introduction: Haemodialysis is an exchange of solutes and water between the patient’s blood and a dialysis solution with a composition close to that of normal extracellular fluid, through a semi-permeable membrane. It is used in the treatment of acute or chronic renal failure. The aim was to study the clinical and paraclinical aspects and the outcome of patients starting dialysis treatment for renal failure in an emergency setting. Method: This was a prospective study from 1 January to 31 July 2020, with a sample of 62 patients receiving haemodialysis in an emergency setting in the nephrology department of the Point G University Hospital. Results: The study showed that the sex ratio was 1.38 in favour of men and that the mean age of patients was 36.82 years. The group of patients with a low socio-economic standard of living dominated, accounting for 71% of cases. Hypertension and anaemia were the predominant risk factors in 77.4% and 87.3% respectively. Hyperphosphaemia, hypocalcaemia and secondary hyperparathyroidism accounted for 94.7%, 98.2% and 97.7% respectively. Left ventricular hypertrophy was 29.27% on electrocardiogram and 22% on cardiac ultrasound. Isolated cardiomegaly was found in 30.76% of patients. The main indications for dialysis were uraemic syndrome (69.2%), pericardial friction (27.4), anuria for 48 hours (20.1%), hyperkalaemia (17.7%) and acute lung oedema (16.1%). The mean duration of haemodialysis was less than one month in one out of two cases. There was no significant association between age and time on dialysis (p = 0.178). The death rate was 20.97%. Case fatality was higher in patients whose duration of dialysis was less than one month than in the others (p = 0.0006). Conclusion: CKD is a public health problem in Mali. It affects young people, especially males. Low economic income is an obstacle to the management of this disease.

Haemodialysis, Emergency, CHU Point G

Yattara, H. , Coulibaly, N. , Traoré, A. , Sy, S. , Kodio, A. , Djiguiba, K. , Kougoulba, M. , Coulibaly, M. , Coulibaly, S. , Sidibé, M. , Dolo, A. , Koné, Y. , Tangara, M. , Touré, A. , Fofana, A. , Samaké, M. and Fongoro, S. (2023) Single-Centre Descriptive Epidemiological Study of Emergency Haemodialysis Patients in the Haemodialysis Unit of the CHU Point G (Mali). Open Journal of Nephrology, 13, 246-255. doi: 10.4236/ojneph.2023.133024.