Abstract: PUB098
Chronic Hemodialysis Program in a Tertiary Care Centre in Niger Republic: Descriptive Study of Patient Characteristics and Outcomes
Session Information
Category: Dialysis
- 801 Dialysis: Hemodialysis and Frequent Dialysis
Author
- Moussa Diongole, Hassane, Universite Andre Salifou, Zinder, Zinder Region, Niger
Group or Team Name
- Laboratoire de Recherche Clinique et Système de Santé (LaReCSS).
Background
Hemodialysis (HD) is a costly procedure affecting the sustainability of the program in several low resource settings. We investigated the characteristics and outcomes of patients on chronic hemodialysis at Zinder National Hospital, Niger Republic.
Methods
Across-sectional study, conducted over a three-year period (2018-2022) using secondary point of care data collating information on demographics, clinical information (including vascular access), geography (rural vs urban) and outcomes (survival on dialysis, dialysis withdrawal).
Results
A total of 121 patients were included. The mean age was 47.84 years, with a male predominance of 74% (N=89). 62% (N=75) and 28.9% (N=46) of patients lived in the rural areas and reported farming as the main occupation respectively. Over 62% (N=80) (66,12%) of patients were of low socioeconomic status and 52% (N=63) live from the dialysis centre. Non-compliance with hygiene and dietary measures and consumption of traditional medications were common in 82.0% ( N =99) and 46.28% (N=56) of cases respectively. About 47.9% (N=58) were hypertensives. Central venous catheter was the vascular access for hemodialysis in 75.2% (N=91) of patients. Non-compliance (defined as…) with hemodialysis was predominant in 76% (N=92) of cases. Within X months of starting HD, over 57.8% (N=70) of patients have died. The proportion of patients surviving on HD at at X months was only 6.61% (N=8). [AB25] [D26] The proportion of dropout (withdrawal from dialysis) and loss to follow-up were 19.8% (N=24) and 15.7% (N=19), respectively.
Conclusion
Patients on chronic HD in Niger Republic were younger compared to the global average, and were often of rural origin and low socio-economic status. Only a very proportion of patients survived or remained on HD X-months following initiation. Relevant policies and funding are desperately needed to substain HD programs in low resource settings as in Niger Republic.
Funding
- Government Support – Non-U.S.