Affiliation:
1. Dialysis Unit, Hargeisa Group Hospital
2. Department of Nephrology, Medanta Institute of Kidney and Urology, Medanta – The Medicity,
3. Sheikh Khalifa Bin Zayed Al-Nahyan hospital, Burao
4. Dialysis Unit, Bosaso General Hospital
Abstract
Abstract
Background
End-stage renal disease (ESRD) is one of the leading causes of morbidity and mortality worldwide. The incidence of ESRD in Somalia has been increasing in recent years. There is no data available about the causes of chronic kidney disease (CKD) leading to ESRD in the states of Somalia.
Methods
This is a multicentre, descriptive cross-sectional study designed to determine the aetiology of ESRD among patients receiving haemodialysis in four major demographic areas of Somalia. The study was performed over a one-year period (June 2021 to June 2022). Participants were eligible for inclusion if they were diagnosed with ESRD, were on regular haemodialysis, and were aged over 18 years.
Results
A total of 127 patients were evaluated, out of which 84 (66.1%) were males and 43 (33.9%) were female participants. The mean age of ESRD patients was 49.27 years. Their origins were 5.6% from the south, 29.9% from the north-eastern, and 64.5% from the northwest regions. 61.7% were unemployed, and 38.7% were employed. The mean duration of haemodialysis was 4.39 ± 2.21 years. Haemodialysis vascular access was central venous catheter in 33.9% and arteriovenous fistula in 66.1%. The most common cause of ESRD in our study was hypertension 33.1%, followed by type 2 diabetes mellitus 27.6%, aetiology uncertain 24.4%, glomerulonephritis 7.1%, obstructive uropathy 3.8%, reno-vascular ischemic nephropathy 1.6%, and neurogenic bladder, polycystic kidney disease, congenital 0.8%.
Conclusions
Our study showed the leading cause of ESRD among haemodialysis patients is hypertension, followed by diabetes mellitus. To reduce the burden of ESRD in Somalia, primary prevention of hypertension and diabetes, as well as appropriate and timely management of CKD must be considered.
Publisher
Research Square Platform LLC
Reference28 articles.
1. Definition and classification of chronic kidney disease: a position statement from Kidney Disease: Improving Global Outcomes (KDIGO);Levey AS;Kidney Int,2005
2. Benjamin O, Lappin SL. End-stage renal disease. StatPearls [Internet]: StatPearls Publishing; 2021.
3. Racial differences in the progression from chronic renal insufficiency to end-stage renal disease in the United States;Hsu C-Y;J Am Soc Nephrol,2003
4. The epidemiology of chronic kidney disease in sub-saharan africa: A systematic review and meta-analysis;Stanifer JW;The Lancet Global Health,2014
5. Warsame AA. Somalia’s Healthcare System: A baseline study & human capital development strategy. Mogadishu: HIPS.: Heritage Institute for Policy Studies and City University of Mogadishu; 2020.
Cited by
2 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献