Bangoura S*, Camara MLT, Traore M, Dannon SG, Traore A, Diallo AY, Kaba F, Camara M, Barry KMB, Balde MS, Diakite F and Kaba ML

Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

*Corresponding Author: Bangoura S, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea.

Received: September 02, 2025; Published: September 27, 2025

Abstract

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.

Keywords: Follow-Up Impact; Extra-Renal Replacement Therapy

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Citation

Citation: Bangoura S., et al. “Impact of Nephrological Follow-Up Before Initiation of Extrarenal Purification in Conakry".Acta Scientific Neurology 8.10 (2025): 97-106.

Copyright

Copyright: © 2025 Bangoura S., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.