Impact of Nephrology Follow-Up on Survival and Clinical Outcomes in Patients Initiating Emergency Dialysis

This study aimed to evaluate the clinical and laboratory characteristics of patients presenting with emergency dialysis requirements and to assess the impact of nephrology follow-up on patient outcomes. In this retrospective study. patients who were given an emergency hemodialysis indication in the emergency department were divided into two groups according to the presence or absence of nephrology follow-up within the past year. Dialysis indications. laboratory findings. mortality rates. and transition to routine dialysis were analyzed. The most common indications for emergency dialysis were severe metabolic acidosis and elevated creatinine levels. The 28-day mortality rate was significantly lower in patients with nephrology follow-up (16.2% vs. 36.2%. p=0.001). The transition rate to routine hemodialysis was also higher in this group (p=0.024). However, there was no statistically significant difference between the groups regarding 90-day mortality or hospital readmission rates. Regular nephrology follow-up reduces short-term mortality and increases the transition to planned dialysis in patients requiring emergency dialysis. However, more effective monitoring and early intervention strategies are needed to improve long-term outcomes.