Profil évolutif de l’insuffisance rénale aiguë au cours de la dengue des patients suivis dans le service de néphrologie et hémodialyse du CHU Yalgado Ouédraogo de Ouagadougou (Burkina Faso)

Lengani, H.Y.A.; Dibri, D.B.; Zoeyinga, P.; Kadio, S.A.; Karambiri, A.R.; Sanou, G.; Nitiéma, I.J.; Coulibaly, G.

doi:10.1016/j.nephro.2018.07.249

Cited by 3 publications

(3 citation statements)

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“…According to the KDIGO 2012, acute renal failure was stage I (6.52%), stage II (13.04%) or stage III (80.44%) in some cases. This high frequency of severe ARF has also been found in other African studies, including Sinomono from Brazzaville University Hospital in 2021 and Lengani H et al, who found 2/3 of ARF at stage 3 of the KDIGO 2012 classification, explaining the high mean creatinine level (701±564 μmol/l) and 73.33% of ARF at the severe stage [18,[28][29][30][31][32]. The delay in diagnosis and the limited technical resources could explain the large number of patients seen at stage 3.…”

Section: Discussionsupporting

confidence: 77%

Epidemiological and Etiological Aspects of Acute Renal Failure in the Nephrology and Haemodialysis Department of the Point G University Hospital

Yattara,

Coulibaly

2024

J Nephro & Endo Res

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Introduction: Acute renal failure (ARF) represents a major public health problem associated with high mortality. The incidence is increasing with the emergence of multiple risk factors. In Mali, there are currently no data on the extent and severity of this condition in either hospital or community settings. The aim of our study was to describe the epidemiological, therapeutic and prognostic aspects of ARF in adults treated at the University Hospital Centre (CHU) of Bamako. Patients and Methods: This was a retrospective and descriptive study that took place from 1 July 2021 to 30 June 2022 at the CHU du Point G in Bamako. It focused on patients hospitalised and/or followed up on an outpatient basis in the nephrology department during the study period. Results: The prevalence of acute renal failure was 11.55% with a sex ratio of 1.49. The mean age was 42.37±20.7 (range 6-88 years). Elevated plasma creatinine was the main reason for consultation. Creatinine levels were above 500µmol/l in 65.21% of cases. High blood pressure was the main presenting condition in 33.7% of cases. Acute renal failure was organic, obstructive and functional in 72.8%, 15.2% and 12% respectively. Rehydratation was used in 97.8% of cases. Dialysis was indicated in 40% of cases. Age over 60 years was a major risk factor for ARF. The outcome was favourable in 81.5% of cases. Conclusion: Mortality in dialysis patients with ARF remains high. Several factors influence the prognosis of these patients, including the severity of ARF and pre-existing comorbidity.

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Section: Discussionsupporting

confidence: 77%

Epidemiological and Etiological Aspects of Acute Renal Failure in the Nephrology and Haemodialysis Department of the Point G University Hospital

Yattara,

Coulibaly

2024

J Nephro & Endo Res

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“…Cette fréquence élevée de l'IRA sévère est également retrouvée dans d'autres études africaines. Lengani H et al ont retrouvé 73,33% des IRA au stade de sévérité [22]. Le retard au diagnostic, et le plateau technique limité pourraient expliquer le nombre important des patients vus au stade 3.…”

Section: Discussion:-unclassified

Quelles Etiologies Pour Linsuffisance Renale Aigue Dans Le Service De Nephrologie Du Chu De Brazzaville?

Sinomono¹,

Bouloupy-Malanga²,

Loumingou³

et al. 2021

IJAR

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Context: Acute kidney failure (AKI) is a sudden and reversible deterioration of kidney function. It is of various etiologies which are decisive for its management. Goals: Determine the frequency of AKI determine the types the different stages and aetiologies of AKI in the nephrology service of the university hospital of Brazzaville(UHB). Patients and Methods: This was a retrospective and descriptive study. We reviewed the files of patients hospitalized between January 1, 2016 and October 31, 2020 in the nephrology department of the UHB. Were included, patients aged at least 18 years with a discharge diagnosis of AKI. The study variables were socio-demographic data, stages the type of AKI and the aetiologies. Results: Out of 1,823 hospitalized patients, 244 were hospitalized for an AKI (13.38%), of which 164 had met the inclusion criteria. These were 60.2% boys and 39.8% women, with an average age of 47 Â± 19 years. AKI was stage 3 in 69.5%. It was functional in 55.2% of cases with sepsis as the main cause (19.2%) organic (36%) with the main cause of NTA (25.5%) and obstructive in 8.7% of patients. Conclusion: In the nephrology department of the UHB, AKI preferentially affects young adult males. The severe form is common, functional AKI secondary to dehydration or sepsis is the main mechanism of occurrence.

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“…This high frequency of severe AKI has also been found in other African studies. Lengani H et al found that 73.33% of AKI were severe [39]. The delay in diagnosis and the limited technical resources could explain the large number of patients seen at stage 3.…”

Section: Severity Of Akimentioning

confidence: 99%

Acute Kidney Injury in the Nephrology Department of the Brazzaville University Hospital: Epidemiological, Clinical and Evolutionary Aspects

Sinomono,

Mahoungou,

Ngabé

et al. 2024

OJNeph

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Introduction: Acute kidney injury (AKI) is defined as a sudden and reversible deterioration in renal function. It is a life-threatening condition in hospitalized patients. Our objectives were to determine the prevalence of AKI in a nephrology department, list the causes, describe the evolutionary profile and identify the factors associated with death. Patients and Methods: We reviewed the records of patients hospitalised between 1 January 2016 and 31 October 2020 in the nephrology department of Brazzaville University Hospital. We included patients aged at least 18 years whose discharge diagnosis included the item "AKI". Study variables were socio-demographic data, clinical and paraclinical signs, stage and type of AKI, etiology and evolutionary profile. Results: Of the 1823 patients hospitalised, 244 (13.38%) were hospitalised for AKI. Of these, 60.2% were boys and 39.8% girls, with an average age of 47 ± 19 years. The average consultation time was 10 ± 6.5 days. AKI was stage 3 in 69.57% of cases. It was functional, organic and obstructive in the order of 55.28%, 36.02% and 8.69%. Dialysis was indicated in 62 patients (38.51%) and performed in 24 patients (14.9%). In-hospital mortality was 27.95%, with an average hospital stay of 9.6 ± 5.8 days. Metabolic acidosis and anemia were the main causes of death in 14.28% and 4.35% of patients respectively. Factors associated with death were male sex, socioeconomic level, coma, indication for dialysis and absence of dialysis, with a p < 0.05. Conclusion: AKI is more common in young adult males. Mortality is relatively low. Improving prognosis requires early management and access to dialysis.

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Profil évolutif de l’insuffisance rénale aiguë au cours de la dengue des patients suivis dans le service de néphrologie et hémodialyse du CHU Yalgado Ouédraogo de Ouagadougou (Burkina Faso)

Cited by 3 publications

References 1 publication

Epidemiological and Etiological Aspects of Acute Renal Failure in the Nephrology and Haemodialysis Department of the Point G University Hospital

Epidemiological and Etiological Aspects of Acute Renal Failure in the Nephrology and Haemodialysis Department of the Point G University Hospital

Quelles Etiologies Pour Linsuffisance Renale Aigue Dans Le Service De Nephrologie Du Chu De Brazzaville?

Acute Kidney Injury in the Nephrology Department of the Brazzaville University Hospital: Epidemiological, Clinical and Evolutionary Aspects

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