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Background: Haemodialysis adequacy is depended on completion of the prescribed haemodialysis duration. Premature termination of haemodialysis occurs when there is a complication that cannot be managed. The aim of this study is to determine the prevalence and causes of premature termination of haemodialysis in a tertiary hospital in Nigeria. Methodology: This is a retrospective study. All patients that had premature termination of haemodialysis at the renal unit of ESUT teaching hospital Parklane Enugu during the study period -1st January to 30th June 2018 were recruited for the study. Their biodata and clinical details were documented. The parameters were entered in a spreadsheet and analysed using SPSS package. The results obtained were presented in text, tables and chart. P value less than 0.05 was significant. Results: A total of 405 haemodialysis sessions was done during the study period in 183 patients. Haemodialysis were terminated prematurely in 52 (12.8%) dialysis sessions in 42 patients, 23 males and 19 females. The mean age was 49.9 ± 13.4 years. Most patients had CKD and used femoral catheters as vascular access. Nonclinical complications caused PTHD in 78.8%. Intradialytic hypotension and severe body weakness were the commonest clinical complication while vascular access dysfunction, dialysate alarm and extracorporeal blood clot were the commonest non clinical complications. Two (3.8%) patients terminated their HD against medical advice. The mean duration of HD was 165.7 ± 43.7 minutes, for those with clinical complications was 176.4 ± 44.4 minutes and those with nonclinical complications was 162.7 ± 43.1 minutes (P=0.1985). Conclusion: The prevalence of PTHD was 12.8% and the nonclinical complications especially poor vascular access were the commonest cause of PTHD. There is need for enhanced training of the HD staff especially the technicians and nurses.

Premature Termination of Haemodialysis (PTHD) Sessions in a Tertiary Hospital in Nigeria: Prevalence and Causes