Impact of Nephrological Follow-Up Before Initiation of Extrarenal Purification in Conakry

This study aimed to assess how pre-dialysis nephrological follow-up influences the clinical condition of patients at dialysis initiation. Methodology:Patients undergoing hemodialysis from September to November 2022 at the Donka Public Center were divided into two groups: those with early planned management and those admitted late with emergency dialysis.Cases of acute renal failure were excluded.Results: Of 78 hemodialysis patients, 70 were included.Of these, 13 (18.57%)had early nephrological follow-up, compared with 57 (81.43%) admitted late.Comparing the two groups, the mean ages were 46 and 49 respectively, with sex ratios of 0.6 and 0.7.The main comorbidities were arterial hypertension (17.14% and 67.14%) and diabetes mellitus (2.86% and 14.29%).Among the indications for hemodialysis, acute lung edema was absent in the first group versus 9% in the second, uremic pericarditis zero cases versus 4%, and uremic coma zero cases versus 14%.Recourse to femoral catheterization was 9% in the early-admission dialysis group versus 91% in the late-admission dialysis group (p-value=0.0001).There were no deaths in the early-admission group versus 4% in the late-admission group. Conclusion:Early management of kidney disease and the factors associated with its progression can limit the need for emergency dialysis and improve patient survival.