Prevalence, Clinique Aspect and Evolution of Uremic Pericarditis in Chronic Hemodialysis Patients at the Donka National Hemodialysis Center

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Introduction: Uremic pericarditis is a major complication of renal disease, occurring in patients with chronic renal failure, prior to dialysis or during dialysis treatment. Our aim was to determine the prevalence and clinique aspect of uremic pericarditis in our center. Material and Methods: This was a dynamic descriptive study covering the period from August 1 to March 30, 2022. Recruitment was exhaustive of all chronic hemodialysis patients over three months of age, and only those presenting with uremic pericarditis after our means of investigation were included in the study. The sample size was obtained after counting and showed a total of 47 patients with uremic pericarditis. Data were entered and analyzed in SPSS v21. Results: The prevalence of uremic pericarditis in this study was 17.54%; the mean age of patients was 34.42 ± 12.38 years; vascular nephropathy accounted for 57.45% of cases; clinical signs were dominated by pericardial friction (91.50%) and liquid pericarditis (89.36%); more than half of patients (93.62%) received two hemodialysis sessions per week. Late discovery of CKD was 74.47%. The mortality rate in this study was 34.04%. There was no statistically significant association between late onset of CKD and uremic pericarditis (p-value = 0.59). Conclusion: Late diagnosis of CKD is often accompanied by serious complications, including uremic pericarditis, which is responsible for early morbidity and mortality in new hemodialysis patients.

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