Contribution à l’étude de la mortalité dans un service d’urologie: Le cas du service d’urologie du CHU de Cocody d’Abidjan de 2000 à 2006

Dékou, A; Ouegnin, G. A.; Konan, P. G.; Kouamé, B.; Fofana, A.; Kramo, N.; Konin, A.D.; Manzan, K.; Djedje, M. A.

doi:10.1007/s12301-009-0009-4

Cited by 7 publications

(9 citation statements)

References 3 publications

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“…Compared to those of studies conducted in Côte d'Ivoire in other services, our mortality rate substantially corresponds to that found by Dekou A et al 5 (10.1%) in a urology Abidjan. This high mortality rate could be explained by the fact that the patients arrived at a very advanced stage.…”

Section: Discussionsupporting

confidence: 85%

Analysis of Mortality in a Dermatological Affections Referral Center in Sub-Saharan Africa, Abidjan, République de Côte d'Ivoire

Joseph¹,

Isidore²,

Alexandre³

et al. 2016

Dermatol Open J

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Objectives: To document patients who died in Dermatology Department at University Teaching Hospital (UTH) of Treichville; describe epidemiological aspects; indicate the various dermatological diseases associated; specify the immediate causes; identify the determinants. Materials and Methods: This was a cross-sectional study with descriptive and analytical referred. Included were all hospitalized patients died in the Dermatology and Venereology service of Treichville University Hospital from January 2000 through December 2014. Results: One thousand seven-hundred and thirty-five patients were hospitalized. The hospital mortality was 10.26% (178 deaths). The average age of the death was 43.16 years; the sex ratio was 0.83. Patients who had no source of income were the most numerous (61.53%). The average hospital stay was 20.05 days. Patients had at the entrance an altered condition in 49.43% of cases and 46.62% in middle condition. Those who regularly bought their drugs were 58.21%. Those who died in the second half of the month were the most numerous (55.61%). Dermatosis groups associated deaths were: infectious dermatosis 41.57%, 29.77% tumor dermatitis and drug eruptions 16.85%. Of the 178 deaths, the 1 st 3 are pathologies associated fasciitis (50 cases), Kaposi's sarcoma (46 cases) and toxic epidermal necrolysis (17 cases). Respiratory distress (41.31%) and septic shock (36.52%) were the main immediate causes of death. Anemia (41.40%), tuberculosis (10.82%) and diabetes (10.19%) were the major comorbidities. Serology was positive in 92.5% of dead patients who have realized their HIV status (n=80). Significantly associated determinants were essentially the regular bought of drugs (p=0.013), the altered condition (p=0.033), death hours (p=0.023) and comorbidities (p=00000). Conclusion: Mortality is a reality in the Dermatology and Venereology at UTH of Treichville. These determinants are numerous and some need to be better studied to identify true risk factors in order to make appropriate recommendations.

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Section: Discussionsupporting

confidence: 85%

Analysis of Mortality in a Dermatological Affections Referral Center in Sub-Saharan Africa, Abidjan, République de Côte d'Ivoire

Joseph¹,

Isidore²,

Alexandre³

et al. 2016

Dermatol Open J

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“…They occur mainly in older people, with a large male predominance, and the vast majority of cases (80%) are diagnosed after the age of 50 [2] [3]. In Côte d'Ivoire, bladder tumors are common, with a high mortality rate of 16.2%, representing the second most common cause of death in urology departments after prostate cancer [4]. Because of its size and, above all, its aggressiveness, bladder tumors represent a challenge for surgeon-urologists, despite notable advances in treatment in recent years.…”

Section: Introductionmentioning

confidence: 99%

Results of Trans-Urethral Resection of Bladder (TURB) for the Treatment of Non-Infiltrating Bladder Tumors (NMIBT) in Musk in Bouake

Avion,

Akassimadou,

Alloka

et al. 2024

OJU

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Background: bladder tumors rank 2 nd among urological tumors in sub-Saharan Africa, particularly in Côte d'Ivoire. Objective: to report the results of transurethral resection of the bladder (TURB) for the treatment of non-muscleinfiltrating bladder tumors (NMIBT) in Bouaké. Patients and methods: we conducted a cross-sectional, descriptive study of transurethral resection of the bladder (TURB) for the treatment of non-muscle-infiltrating bladder tumors (NMIBT) between January 2022 and April 2023. All patients and their families were informed in advance and had signed an informed consent form. All patients with a non-muscle-invasive bladder tumor confirmed by an initial TURB were included, and patients with a bladder tumor infiltrating the bladder muscle were excluded. Diagnosis was based on cystoscopy and anatomopathological examination of resection shavings. Parameters studied were: age, sex, risk factors, reason for consultation, clinical signs, cystoscopy findings, stage, grade, Evolution. Results: 17 patients with a mean age of 53.7 years (22 -73 years) underwent trans-ureteral bladder resection to treat a non-muscle-infiltrating bladder tumor (NMIBT). Male gender predominated with 88.23% (n = 15), the majority of patients came from the ME region with 47.05% (n = 8), farmers were the most numerous (52.94%; n = 9). The most frequent reason for consultation was macroscopic hematuria with 64.1% (n = 11), risk factors were dominated by urinary bilharziasis with 70.58% (n = 12), physical examination was normal in 47.05% (n = 8). Hemoglobin (HB) levels were between 7.5 and 8.5 g/dl in 52.94% (n = 9). On cystoscopy, the tumor was budding in 76.45% (n = 13), the localization was trigonal in 52.9% (n = 9) and the base of implantation was sessile in 70.52% (n = 12). On ultrasound, How to cite this paper: Avion, K.P., Akassimadou, N., Alloka, V., Kamara, S. and Dje, K. ( 2024) Results of Trans-Urethral Resection of Bladder (TURB) for the Treatment of Non-Infiltrating Bladder Tumors (NMIBT) in Musk in Bouake.

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“…Mortality study in this area usually focus on a specific condition or surgery and not on mortality in a hospital ward [4] [5] [6].…”

Section: Introductionmentioning

confidence: 99%

Post-Operative Mortality Analysis in the Urology Department of Conakry University Hospital

Bissiriou¹,

Daouda²,

Cissé³

et al. 2023

OJU

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Introduction: Death is a major accident which constitutes an element whose evaluation and analysis are necessary in a surgical service. Such a study is especially important in our country where the health structure operates with limited resources and more than half of the population lives below the poverty line. The objective of this study was to determine the frequency of post-operative mortality, to describe the main comorbidity factors responsible for this mortality and to identify the main cause of post-operative death in the urology department of the Ignace Deen National Hospital Material and Method: This was a retrospective descriptive study lasting 5 years from January 1, 2015 to December 31, 2019. It had focussed on all the files of patients operated on at the Urology Department of the Ignace Deen National Hospital, either in an emergency or planned and who died in per or post-operative immediately or 30 days later. Results: We recorded 63 cases of post-operative death, or a frequency of 1.84%. The average age was 61.92 ± 16.91 with the extremes of 12 and 91 years. Bladder (20.63%) and prostate tumours (60.3%) were the main admission diagnoses. High blood pressure was the main comorbidity factor found with 38.09% of cases followed by diabetes with 12.69%. Transurethral resection of the prostate, transurethral resection of the bladder and prostate adenocomectomy were the most performed surgical procedure with respective proportion of 19.04%, 20.63% and 38.09%. Probable cause of death were anemia in 25 cases (39.68%), septic in 20 cases (31.75%), heart failure in 6 cases (9.52%), pulmonary embolism in 5 cases (7.94%), obstructive renal failure 4 cases (6.35%) and stroke in 3 cases (4.76%). Conclusion: The majority of deaths occurred in patients over the age of fifty.

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Contribution à l’étude de la mortalité dans un service d’urologie: Le cas du service d’urologie du CHU de Cocody d’Abidjan de 2000 à 2006

Cited by 7 publications

References 3 publications

Analysis of Mortality in a Dermatological Affections Referral Center in Sub-Saharan Africa, Abidjan, République de Côte d'Ivoire

Analysis of Mortality in a Dermatological Affections Referral Center in Sub-Saharan Africa, Abidjan, République de Côte d'Ivoire

Results of Trans-Urethral Resection of Bladder (TURB) for the Treatment of Non-Infiltrating Bladder Tumors (NMIBT) in Musk in Bouake

Post-Operative Mortality Analysis in the Urology Department of Conakry University Hospital

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