#5987 EPIDEMIOLOGICAL AND CLINICAL PROFILE OF PATIENTS REQUIRING EMERGENCY HEMODIALYSIS

Abstract Background and Aims Dialysis can be either programmed or performed in an emergency context, which complicates the management of patients. Our objective was to study indications as well epidemiological, clinical biological elements dialysis emergencies. Method This is a retrospective conducted over period 5 months from March 2022 September nephrology department Mongi Slim Hospital La Marsa including patients having had hemodialysis sessions Results We collected total 32 cases with average age 65 years, ranging 30 years 93 sex ratio at 1.06. The majority were transferred (69%) secondarily (6%) cardiology departments. Sixty-five percent arterial hypertension, 53% diabetic, 37% chronic kidney disease, 28% cardiovascular complications, 41% active infection inflammatory syndrome. Emergency indicated for severe metabolic acidosis 50% cases, threatening hyperkalemia uremic syndrome anuria acute lung edema resistant medical treatment 19% cases. Indeed, 47% single them dialyzed several interrelated indications. vascular approach mainly femoral catheter 84% followed by arteriovenous fistula 13% jugular 3%. session duration 3.5 hours good hemodynamic tolerance Five required blood transfusion. Conclusion Severe main hemodialysis. Unfortunately, our via catheter. It therefore recommended insist on necessity early preparation stage 4 disease if patient obviously chooses preferred method epuration.