| ORIGINAL ARTICLE |
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| Year : 2022 | Volume
: 5
| Issue : 2 | Page : 86-90 |
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The poor outcome of pediatric chronic kidney disease in a resource-limited country
Tochi Ada Uchenwa, Ifeoma Comfort Anochie
Department of Paediatrics, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria
Correspondence Address:
Tochi Ada Uchenwa
Department of Paediatrics, University of Port Harcourt Teaching Hospital, Port Harcourt
Nigeria
 Source of Support: None, Conflict of Interest: None
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Introduction: There is a global rise in the incidence of chronic kidney disease (CKD), with the implication of increased demand for kidney replacement therapy (KRT). In resource-limited countries where there is a large deficit in renal support for such patients, this translates into poor clinical outcomes. Materials and Methods: This was a retrospective review of the prevalence, clinical outcomes of CKD patients that were managed in the renal unit of the University of Port Harcourt Teaching Hospital from June 2016 to June 2019. Results: Findings from the study showed a male preponderance of 1:0.6. Of all patients with kidney disease, CKD comprised 24.6% of cases, and among these, 75.6% had ESKD. Of 34 (75.6%) patients who required KRT, 10 (29.4%) patients received at least one session of hemodialysis; however, only one patient (2.9%) continued to receive once weekly sessions of hemodialysis, sustained for a year. Mortality among the patients with CKD was 60%, with 28.9% lost to follow-up, signed against medical advice, or absconded. Conclusion: Considering the burden of CKD in Nigeria, much is desired with regards to available KRT options. Government regulation is needed to improve access to available KRT.
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