dc.contributor.author | McLigeyo, SO | |
dc.contributor.author | Otieno, LS | |
dc.contributor.author | Kinuthia, DM | |
dc.contributor.author | Ongeri, SK | |
dc.contributor.author | Mwongera, FK | |
dc.contributor.author | Wairagu, SG | |
dc.date.accessioned | 2013-04-08T06:40:06Z | |
dc.date.available | 2013-04-08T06:40:06Z | |
dc.date.issued | 1988 | |
dc.identifier.citation | Postgrad Med J. 1988 Oct;64(756):783-6. | en |
dc.identifier.uri | http://hinari-gw.who.int/whalecomwww.ncbi.nlm.nih.gov/whalecom0/pubmed/3076664 | |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/15485 | |
dc.description.abstract | Since August 1984 patients with end-stage renal disease in Kenya have been started on haemodialysis with a view to renal transplantation. In a two year period (August 1984-August 1986) 77 patients mean age 29.6 years (49 males), have been dialysed. The mean duration on dialysis prior to death or transplantation was 2.9 months (range 1 day to 11 months). Fifty patients (65%) died while on dialysis, including 2 who had had unsuccessful transplantation. Fourteen patients were still on dialysis, 11 had discharged themselves to peripheral hospitals for conservative management, and 2 had had successful renal transplantation. The possible causes of this abysmal experience include admission of critically ill patients, shortage of trained staff, over-dependence on arteriovenous shunts for vascular access, lack of centralization of patient management, recurrent shortage of essential equipment and reagents and a slow pace of transplantation. | en |
dc.language.iso | en | en |
dc.title | Problems with a renal replacement programme in a developing country | en |
dc.type | Article | en |
local.publisher | Department of Medicine, University of Nairobi | en |
local.publisher | Renal Unit, Kenyatta National Hospital, Nairobi. | en |