%0 Journal Article
%T Factors Associated with Mortality in Diabetic Patients with End-Stage Renal Failure Starting Emergency Hemodialysis
%A Ga&euml
%A l Honal Mahoungou
%A Daniel Tony Eyeni Sinomono
%A Farel Elili¨¦ Mawa Ongoth
%A ¨¦ric Ngandzali-Ngab¨¦
%A Nestor Andzouana
%A Raissa Laure Mayanda
%A Aymande Okoumou-Moko
%A Francky Ambounou
%A Pr¨¦cieux Ngoma
%A Berline Ndinga
%A H¨¦l¨¦na Botokoto Bothard
%A Hardy Ibovi
%A Richard Loumingou
%J Open Journal of Nephrology
%P 17-24
%@ 2164-2869
%D 2024
%I Scientific Research Publishing
%R 10.4236/ojneph.2024.141003
%X <strong>Background:</strong> Diabetic nephropathy is the leading cause of end-stage chronic kidney disease with poor prognosis in resource-limited settings. This study aimed to determine factors associated with mortality in patients starting dialysis treatment for end-stage chronic renal disease in an emergency context. <strong>Patients and Methods:</strong> This was a retrospective study from January 2020 to December 2022 at CHU-B. Data from 79 diabetic patients requiring emergency dialysis were compared with those of 79 non-diabetic patients with an end-stage renal disease requiring emergency dialysis. Data were collected from the Nephrology Department registry. We studied their initial clinical and biological profiles and factors related to mortality. <strong>Results:</strong> Out of 545 compiled records, 79 diabetic chronic kidney disease patients needing dialysis were included (group 1). A control group of 79 non-diabetic chronic kidney disease patients requiring emergency dialysis was also included (group 2). The average age of patients was 53.5 ¡À 17 years, and the duration of diabetes at dialysis initiation was 14.8 ¡À 4.3 years. Twenty-three percent were hypertensive. Fifty-two percent of patients experienced intra-dialytic hypotension. Death occurred in 22% of patients. Results show that age (adjusted OR 1.955; CI: 1.025 - 1.086; p-value: &lt; 0.001) and intra-dialytic hypotension (adjusted OR 2.412; CI: 1.901 - 2.201; p-value: &lt; 0.001) are independent and significant risk factors for mortality in diabetic patients admitted with end-stage renal disease requiring emergency dialysis. <strong>Conclusion:</strong> Emergency dialysis in diabetics is associated with unfavorable outcomes in terms of mortality. Despite follow-up, renal involvement remains poorly explored, emphasizing the need for physician awareness.
%K Diabetic Nephropathy
%K Emergency Dialysis
%K Republic of the Congo
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=130832