Publications by authors named "Samuel Oluwole Ajayi"
Introduction: vascular access is an important aspect of haemodialysis treatments and determinant of patient outcomes. Arteriovenous (AV) fistula has been described as the preferred haemodialysis vascular access for patients on chronic dialysis. There continues to be a challenge with the creation of AV fistula, due to shortage of vascular surgeons skilled in the AV fistula creation particularly in source limited setting.
View Article and Find Full Text PDFIntroduction: A substantial proportion of patients with chronic kidney disease (CKD) develop iron deficiency anaemia (IDA). Despite the association of IDA with adverse cardiovascular outcomes, it remains underdiagnosed and poorly managed. Up to 70% of patients with CKD are anaemic at the time of initiating dialysis, while the predictors of IDA in these patients in our setting are unknown.
View Article and Find Full Text PDFArticle Synopsis
- Acute kidney injury (AKI) is a significant issue in sub-Saharan Africa, affecting surgical outcomes in patients undergoing major surgeries, with rates often underreported.
- A study at the University College Hospital in Nigeria highlighted that among 219 patients, 18.7% experienced AKI within 24 hours post-surgery, with key risk factors including elevated pre-operative serum creatinine levels, sepsis, anemia, and prolonged surgery duration.
- The findings reveal a stark contrast in mortality rates, with 20.4% of patients with AKI dying compared to just 5.3% in those without, emphasizing the need for better recognition and management of AKI in surgical settings.