Research Article

Challenges of haemodialysis: A single centre experience in South West Nigeria

Samuel Ayokunle Dada*, Adebukola Bidemi Ajite, Funmilayo Abimbola Ibitoba, Awolowo Anthony Thomas, Oluwamayowa Esther Dada and Olabisi Olamide Deji-Dada

Published: 28 March, 2019 | Volume 3 - Issue 1 | Pages: 055-060

Background: Haemodialysis is the commonest method of Renal Replacement Therapy in Nigeria. Despite an advancement in the technicality and better understanding of haemodialysis, a number of complications are known to be associated with this procedure..

Objective: We aimed to highlight our experiences and share some of the uncommon complications encountered during haemodialysis and present the outcome of our patients.

Subjects and methods: A retrospective review of 101 patients during the last two years was done. Data extracted include: sociodemographic characteristic, aetiology of kidney disease, type of vascular access, intradialytic complication and outcome of treatment.

Results: The total number of dialysis session during the period was 823. Males constituted a higher proportion (64.4%) and were found to be older than female patients 49.8 vs 42.8 years (P=0.001).

Majority (89.1%) had chronic kidney disease while chronic glomerulonephritis was the main cause of CKD as seen in about 45% of the patient.

Due to the cost implication, only 2(1.98%) were able to undergo 3 sessions of dialysis per week for up to 1 month.

Vascular access was femoral (66.3%), internal jugular vein (25.7%), while only 2% used Artero-venous-fistula and one patient had femoral vessel pseudoaneurysm from frequent cannulation.

The commonest complication was hypotension which was present in 15.8%. Twenty-eight deaths were recorded, 44(43%) were either lost to follow up or absconded while 5% were transplanted at a referral centre.

Conclusion: Challenges of renal replacement therapy is overwhelming in our country due to poor human and financial resources. Early diagnosis and adequate government support are advocated.

Read Full Article HTML DOI: 10.29328/journal.jcn.1001026 Cite this Article Read Full Article PDF


Renal replacement therapy; Vascular access; End stage renal disease; Nigeria


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