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Peritoneal dialysis vs . haemodialysis in the management of paediatric acute kidney injury in K ano, N igeria: a cost analysis
Author(s) -
Obiagwu Patience N.,
Abdu Aliyu
Publication year - 2015
Publication title -
tropical medicine and international health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 114
eISSN - 1365-3156
pISSN - 1360-2276
DOI - 10.1111/tmi.12409
Subject(s) - medicine , peritoneal dialysis , acute kidney injury , dialysis , nephrology , cost analysis , hemodialysis , urology , intensive care medicine , reliability engineering , engineering
Objective To determine the cost of the dialytic management of paediatric acute kidney injury in a low‐income country. Methods All children under the age of 15 years, who had either peritoneal dialysis or haemodialysis for acute kidney injury in Aminu Kano Teaching Hospital over a 1‐year period, were studied. The average cost of each dialysis modality was estimated. Results Of 20 children, who had dialysis for acute kidney injury, 12 (60%) had haemodialysis and 8 (40%) had peritoneal dialysis. The mean cost for haemodialysis exceeded that of peritoneal dialysis ($363.33 vs . $311.66, t = 1.04, P = 0.313) with the mean cost of consumables significantly accounting for most of the cost variation ($248.49 vs . $164.73, t = 2.91, P = 0.009). Mean costs of nephrologist visit and nursing were not found to be significant. Conclusion Peritoneal dialysis is the less costly alternative for managing acute kidney injury in children in our environment.