Insuffisance rénale aiguë du post-partum en Mauritanie : prévalence, étiologies et facteurs pronostiques

Lemrabott, Ahmed Tall; Mah, S.M.; Faye, M.; Saleck, M.; Cissé, Mouhamadou Moustapha; Fall, K.; Diagne, S.; Mbengue, M.; Niang, Abdou; Diouf, Boucar; Kâ, E.H.F.

doi:10.1016/j.nephro.2017.08.230

Cited by 2 publications

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“…This result is close to that found by S. Alaoui et al [8] in Morocco in 2016 who reported an average age of 29 ± 6 years. On the other hand, it is different from that of A.T. Lemrabott et al [9] who reported in their study an average age of 32 ± 6 years.…”

Section: Discussioncontrasting

confidence: 85%

Obstetrical Acute Kidney Injury: Epidemiology and Clinical Aspects in Teaching Hospital of Ignace Deen, Conakry Guinea

Bah¹,

Diakité²,

Baldé³

et al. 2020

CRCM

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Introduction: In Guinea, data on the acute kidney injury (AKI) of women in the obstetrical context is still limited. This study attempted to determine the prevalence and the clinical signs of obstetric AKI in Guinea. Patients and methods: The study population consisted of pregnant or postpartum women with AKI, whom we treated in this institute from August 2018 to January 2019. All had normal anterior renal function with serum creatinine clearance ≥ 120 μmol/L, and then suffered AKI. Patients characteristics were examined; maternal age, gestational weeks, AKI characteristics. Results: Of 2438 pregnant women admitted during the study period, 56 showed AKI. Antepartum and postpartum AKI accounted for approximately 80% and 17%, respectively. Regarding the maternal age, <25 years of age accounted for 54% (range: 17-40). Multiple gestations accounted for 34 (60.71%) of which functional AKI, organic AKI, and obstructive AKI accounted for 28/34, 2/34, and 4/34, respectively. Regarding the clinical manifestations, abdominal pain, tinnitus, visual disturbances, edema of the lower limb, and facial swelling accounted for 79%, 75%, 7%, 57%, and 54%, respectively. Conclusion: We here demonstrated peripartum AKI in Guinea, which findings may provide fundamental data to establish some strategy against this condition in this region.

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Section: Discussioncontrasting

confidence: 85%

Obstetrical Acute Kidney Injury: Epidemiology and Clinical Aspects in Teaching Hospital of Ignace Deen, Conakry Guinea

Bah¹,

Diakité²,

Baldé³

et al. 2020

CRCM

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“…The hospital prevalence of obstetric AKI during the study period in the nephrology department of Point G teaching hospital was 2.08%. A study conducted in Mauritania over a period of 3 years reported a hospital prevalence of 4.61% [6]. Our low prevalence could be explained by the lower access of women to nephrology, especially those not residing in the district of Bamako.…”

Section: Discussionmentioning

confidence: 53%

“…In 2012, Tounkara in the same department had found a mean age of 25.9 years and extremes of 17 and 42 years [7]. On the other hand, Lemrabott in Mauritania and Mahfoudh in Tunisia had respectively found an average age of 32 and 37.8 years [6,9].…”

Section: Discussionmentioning

confidence: 99%

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Clinical and Prognostic Aspects of Obstetric Acute Renal Failure in the Nephrology and Hemodialysis Department of the Point G Teaching Hospital in Mali

Sidiki¹,

Yattara²,

Sy³

et al. 2020

SASJM

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Original Research ArticleIntroduction: Acute kidney injury (AKI) remains a serious and frequent complication in developing countries. Objective: To evaluate the clinical and evolutionary profile of patients hospitalized for acute obstetric renal failure in the nephrology department of the Point G teaching hospital in Mali. Patients and methods: This was a prospective and descriptive study from June 1, 2015 to June 1, 2019. Results: The prevalence of obstetrical AKI in the nephrology department of the Point G teaching hospital was 2.08%. The majority of AKI occurred postpartum 61 cases versus 2 cases during pregnancy after the 20th week of amenorrhea. The mean age of the patients was 27.31 ± 5.49 years. Blood pressure was normal in 30.2% of participants. According to the WHO classification of hypertensive patients, hypertension grade 2 was found in 36.5% of cases followed by grade 3 and 1 (17.5% and 15.9%). The average blood pressure was 150.39 / 98.68 mmHg. The haemogram objectified severe anaemia in thirty-five patients. The causes of AKI were severe preeclampsia (55.5%), postpartum hemorrhage (36.5%), post-clandestine abortion sepsis (3.2%), severe Palsmodium falciparum malaria (1.6%), severe superimposed preeclampsia (1.6%) and hemolytic uremic syndrome (1.6%). Forty-six patients were dialysed, i.e. 73%. During their follow-up, total recovery of renal function was observed in 67.9% (31 cases) versus 1 case of partial recovery, 4 patients progressed to end-stage chronic renal failure, 7 cases of death were observed and 3 cases of discontinuation of follow-up. Among the non-dialysis patients, recovery of ad-integrum renal function was observed in 16 patients and 1 case of death. Maternal and perinatal mortality was 12.69% and 41.2% of cases. Conclusion: Obstetric AKI remains common in Africa. Screening for renal impairment during pregnancy should be routine. We insist on primary prevention of obstetrical complications, decentralization of dialysis centers, close collaboration between nephrologist and obstetrician in order to significantly reduce this non-negligible morbi-mortality.

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Insuffisance rénale aiguë du post-partum en Mauritanie : prévalence, étiologies et facteurs pronostiques

Cited by 2 publications

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Obstetrical Acute Kidney Injury: Epidemiology and Clinical Aspects in Teaching Hospital of Ignace Deen, Conakry Guinea

Obstetrical Acute Kidney Injury: Epidemiology and Clinical Aspects in Teaching Hospital of Ignace Deen, Conakry Guinea

Clinical and Prognostic Aspects of Obstetric Acute Renal Failure in the Nephrology and Hemodialysis Department of the Point G Teaching Hospital in Mali

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