Acute Renal Failure at the Lagos University Teaching Hospital: A 10-Year Review

The Dialysis Centre at the Lagos University Teaching Hospital was established in November 1981 as the first unit in West Africa to undertake chronic hemodialysis treatment. More than 500 patients have been managed in the center since then. Of these, 175 were cases of acute renal failure. The causes...

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Veröffentlicht in:Renal failure 1993, Vol.15 (1), p.77-80
Hauptverfasser: Bamgboye, E. L., Mabayoje, Monica O., Odutola, Taofeeqat A., Mabadeje, A. F. B.
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container_issue 1
container_start_page 77
container_title Renal failure
container_volume 15
creator Bamgboye, E. L.
Mabayoje, Monica O.
Odutola, Taofeeqat A.
Mabadeje, A. F. B.
description The Dialysis Centre at the Lagos University Teaching Hospital was established in November 1981 as the first unit in West Africa to undertake chronic hemodialysis treatment. More than 500 patients have been managed in the center since then. Of these, 175 were cases of acute renal failure. The causes and outcome of these cases have been reviewed. There were 89 males (50.9%) and 86 females (49.1%). The majority, 111 (63.4%), were aged
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Sixty-nine patients (39.4%) died in hospital, 92 (52.6%) recovered, and the fate of 14 (8%) was unknown as they were transferred from the hospital. Reasons for the high mortality included delayed hospitalization, selection of severe cases, and inability of patients to afford more than only one session of dialysis even though they needed more. It is hoped that as awareness of the value of dialysis increases and early treatment can be sought, the overall mortality will be reduced.</description><identifier>ISSN: 0886-022X</identifier><identifier>EISSN: 1525-6049</identifier><identifier>DOI: 10.3109/08860229309065577</identifier><identifier>PMID: 8441842</identifier><identifier>CODEN: REFAE8</identifier><language>eng</language><publisher>Colchester: Informa UK Ltd</publisher><subject>Acute Kidney Injury - etiology ; Acute Kidney Injury - mortality ; Adult ; Biological and medical sciences ; Female ; Hemodialysis Units, Hospital ; Humans ; Male ; Medical sciences ; Nephrology. 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L.</creatorcontrib><creatorcontrib>Mabayoje, Monica O.</creatorcontrib><creatorcontrib>Odutola, Taofeeqat A.</creatorcontrib><creatorcontrib>Mabadeje, A. F. B.</creatorcontrib><title>Acute Renal Failure at the Lagos University Teaching Hospital: A 10-Year Review</title><title>Renal failure</title><addtitle>Ren Fail</addtitle><description>The Dialysis Centre at the Lagos University Teaching Hospital was established in November 1981 as the first unit in West Africa to undertake chronic hemodialysis treatment. More than 500 patients have been managed in the center since then. Of these, 175 were cases of acute renal failure. The causes and outcome of these cases have been reviewed. There were 89 males (50.9%) and 86 females (49.1%). The majority, 111 (63.4%), were aged &lt;40 years. The main cause was sepsis, which occurred in 67 cases (38.3%). Gynecological and obstetric cases were 45 (25.7%), including 14 cases (8%) of pregnancy toxemia. Other causes were hemorrhage 18 (10.3%), obstructive uropathy 6 (3.4%), acute glomerulonephritis 8 (4.6%), and poisoning with "Holy Water" 6 (3.4%) and other nephrotoxins 9 (5.1%). Sixty-nine patients (39.4%) died in hospital, 92 (52.6%) recovered, and the fate of 14 (8%) was unknown as they were transferred from the hospital. Reasons for the high mortality included delayed hospitalization, selection of severe cases, and inability of patients to afford more than only one session of dialysis even though they needed more. It is hoped that as awareness of the value of dialysis increases and early treatment can be sought, the overall mortality will be reduced.</description><subject>Acute Kidney Injury - etiology</subject><subject>Acute Kidney Injury - mortality</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Hemodialysis Units, Hospital</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Nephropathies. Renovascular diseases. Renal failure</subject><subject>Nigeria - epidemiology</subject><subject>Renal failure</subject><subject>Retrospective Studies</subject><subject>Survival Rate</subject><subject>Treatment Outcome</subject><subject>Tropical medicine</subject><issn>0886-022X</issn><issn>1525-6049</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU9LAzEQxYMotVY_gAchB6-rSTZ_NuqliLVCoSAt6GmZzWbblO1uSbZKv71bWgsi9DSH936PmTcIXVNyF1Oi70mSSMKYjokmUgilTlCXCiYiSbg-Rd2tHrWGj3N0EcKCECoSxTqok3BOE866aNw368bid1tBiQfgyrW3GBrczC0ewawOeFq5L-uDazZ4YsHMXTXDwzqsXAPlA-5jSqJPC76N-HL2-xKdFVAGe7WfPTQdvEyeh9Fo_Pr23B9FhsekiWjOQGpuIFMso1JaLmNlRaaZzimlRFFBoCi0ollmiUwY0UUuDVNGZokGHfcQ3eUaX4fgbZGuvFuC36SUpNtu0n_dtMzNjlmts6XND8S-jFa_3esQDJSFh8q4cLBxIbhiorU97WyuKmq_hO_al3nawKas_S8TH9vi8Q8-t1A2cwPepot67ds_hCM3_ADMao8O</recordid><startdate>1993</startdate><enddate>1993</enddate><creator>Bamgboye, E. L.</creator><creator>Mabayoje, Monica O.</creator><creator>Odutola, Taofeeqat A.</creator><creator>Mabadeje, A. F. B.</creator><general>Informa UK Ltd</general><general>Taylor &amp; Francis</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>1993</creationdate><title>Acute Renal Failure at the Lagos University Teaching Hospital: A 10-Year Review</title><author>Bamgboye, E. L. ; Mabayoje, Monica O. ; Odutola, Taofeeqat A. ; Mabadeje, A. F. B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c430t-1d2a694cab72b166e4637e5b929d11107150aff971bbe068209fd6c27c6b89a93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Acute Kidney Injury - etiology</topic><topic>Acute Kidney Injury - mortality</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Hemodialysis Units, Hospital</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Nephropathies. Renovascular diseases. Renal failure</topic><topic>Nigeria - epidemiology</topic><topic>Renal failure</topic><topic>Retrospective Studies</topic><topic>Survival Rate</topic><topic>Treatment Outcome</topic><topic>Tropical medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bamgboye, E. L.</creatorcontrib><creatorcontrib>Mabayoje, Monica O.</creatorcontrib><creatorcontrib>Odutola, Taofeeqat A.</creatorcontrib><creatorcontrib>Mabadeje, A. F. B.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Renal failure</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bamgboye, E. L.</au><au>Mabayoje, Monica O.</au><au>Odutola, Taofeeqat A.</au><au>Mabadeje, A. F. B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute Renal Failure at the Lagos University Teaching Hospital: A 10-Year Review</atitle><jtitle>Renal failure</jtitle><addtitle>Ren Fail</addtitle><date>1993</date><risdate>1993</risdate><volume>15</volume><issue>1</issue><spage>77</spage><epage>80</epage><pages>77-80</pages><issn>0886-022X</issn><eissn>1525-6049</eissn><coden>REFAE8</coden><abstract>The Dialysis Centre at the Lagos University Teaching Hospital was established in November 1981 as the first unit in West Africa to undertake chronic hemodialysis treatment. More than 500 patients have been managed in the center since then. Of these, 175 were cases of acute renal failure. The causes and outcome of these cases have been reviewed. There were 89 males (50.9%) and 86 females (49.1%). The majority, 111 (63.4%), were aged &lt;40 years. The main cause was sepsis, which occurred in 67 cases (38.3%). Gynecological and obstetric cases were 45 (25.7%), including 14 cases (8%) of pregnancy toxemia. Other causes were hemorrhage 18 (10.3%), obstructive uropathy 6 (3.4%), acute glomerulonephritis 8 (4.6%), and poisoning with "Holy Water" 6 (3.4%) and other nephrotoxins 9 (5.1%). Sixty-nine patients (39.4%) died in hospital, 92 (52.6%) recovered, and the fate of 14 (8%) was unknown as they were transferred from the hospital. Reasons for the high mortality included delayed hospitalization, selection of severe cases, and inability of patients to afford more than only one session of dialysis even though they needed more. It is hoped that as awareness of the value of dialysis increases and early treatment can be sought, the overall mortality will be reduced.</abstract><cop>Colchester</cop><pub>Informa UK Ltd</pub><pmid>8441842</pmid><doi>10.3109/08860229309065577</doi><tpages>4</tpages></addata></record>
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source MEDLINE; Taylor & Francis Journals Complete
subjects Acute Kidney Injury - etiology
Acute Kidney Injury - mortality
Adult
Biological and medical sciences
Female
Hemodialysis Units, Hospital
Humans
Male
Medical sciences
Nephrology. Urinary tract diseases
Nephropathies. Renovascular diseases. Renal failure
Nigeria - epidemiology
Renal failure
Retrospective Studies
Survival Rate
Treatment Outcome
Tropical medicine
title Acute Renal Failure at the Lagos University Teaching Hospital: A 10-Year Review
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