Hemodialysis in the Treatment of Acute Renal Failure in Tropical Africa: A 20- Year Review at the Korle Bu Teaching Hospital, Accra
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Date
2015
Journal Title
Journal ISSN
Volume Title
Publisher
Taylor & Francis
Abstract
From 1972 to 1992,170 patients with acute renal failure (87 M, 83 F; mean
age 32.51 k SE 0.945) underwent hemodialysis at the renal unit of the Korle Bu
Teaching Hospital, Accra. Vascular access was established initially by arteriovenous
shunt (133 cases), femoral venous cannulation (10 cases), and
subclavian vein cannulation (27 cases). The overall mortality for acute renal
failure (ARF) was 31.8% (54/170). The mortality for obstetric cases was 43.7%
(14/32); for surgical cases, 33.3% (6/18); medical cases, 28.3% (13/32); and
gynecologic (posthysterectomy) cases, 28.3% (21). The most important causes
of death in ARF were pulmonary edema (42%), sepsis (20%0), and cardiac
tamponade (10.4%). Hemodialysis is now established as a form of treatment for
ARF and a overall survival rate of 68.2% justifies the development of our program.
With improvement of economies of developing countries and health insurance
schemes, this form of treatment should be available in all developing countries.
Description
Research Article
Keywords
Hemodialysis, Acute Renal Failure
Citation
M. 0. Mate-Kole, E. D. Yeboah, R. K. Affram, D. Ofori-Adjei & D. Adu (1996) Hemodialysis in the Treatment of Acute Renal Failure in Tropical Africa: A 20-Year Review at the Korle Bu Teaching Hospital, Accra, Renal Failure, 18:3, 517-524