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Hospital Mortality Related to Chronic Renal Failure Chu-National Reference

Received: 10 January 2023    Accepted: 2 February 2023    Published: 16 February 2023
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Abstract

Chronic renal failure is a public health problem worldwide because of its high mortality rate and the cost of its management. Our study aims to determine the mortality factors related to CKD at the University Hospital of the National Reference of N’Djamena (Chad). This was a cross-sectional, descriptive study over a period of three (3) years from January 1, 2016 to December 31, 2018. The study focused on the records of patients hospitalized and whose death was related to chronic renal failure at the CHU-RN of N'Djamena. The mortality rate related to CKD was 10.52%. The mean age was 48 ± 16.3 years with a sex ratio of 1.2. The main causative nephropathies were hypertension and diabetes. 83,8 % were in the terminal stage of CKD. Hemodialysis was performed in 17 patients (21.3%). The average length of hospitalization of our patients was 20.1± 16.9 days. Hemodynamic PAO was the main cause of death. One third of the deaths occurred between 00:00 and 5:59 with a frequency of 30%. Deaths occurring between 12:00 and 17:59 minutes represented 21%. In developing countries, CKD is diagnosed in the end stage as indicated by our study (83%). Hemodialysis remains the best treatment to reduce the mortality rate.

Published in American Journal of Internal Medicine (Volume 11, Issue 1)
DOI 10.11648/j.ajim.20231101.13
Page(s) 8-11
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Mortality, Chronic Renal Failure, CHU-RN, N’Djamena, CHAD

References
[1] International Sociéty of Nephrologie (ISN). Programme d’action pour les maladies rénales. Floor Cranford, New Jersey 07016, année 2018.
[2] Bah A. O, Balde M. C, Diallo T. A et al. Morbidité et mortalité hospitalières dues à l’insuffisance rénale chronique dans un pays dont l’accès à la dialyse est limité (Guinée Conakry). Néphrologie & Thérapeutique Volume 10, Issue 5, september 2014, Page 394. http://dx.doi.org/10.1016/j.nephro.2014.07.115
[3] Hermine Fouda, Gloria Ashuntantang, François Kaze et al. Survival among chronic hemodialysed patient in Cameroon. Pan African Medical Journal. 2017; 26: 97. Doi: 10.11604/pamj.2017.26.97.9658.
[4] Benja R, Eliane M, Mihary D et al. A retrospective study on the incidence of chronic renal failure in the department of Internal Medicine an Nephrology at University Hospital of Antananarivo. Pan African Medical Journal. 2016; 23: 141. Doi:10.11604/pamj.2016.23.141.8874
[5] KDIGO 2012. Clinical practice guideline for the evaluation and management of chronic kidney disease. Volume 3 january 2013. http://www.kidney.international.org.
[6] Labidi O. Hassine M, Ben Mahmoud N, et al. Caractéristiques cliniques et évolution intra-hospitalière à la phase aiguë de l’infarctus du myocarde chez les patients atteints d’une insuffisance rénale. Néphrologie & Thérapeutique 13 (2017) 389–404. http://dx.doi.org/10.1016/j.nephro.2017.08.297.
[7] Luc Frimat, Georges Siewe, Carole Loos-Ayav et al. Chronic kidney disease: do generalists and nephrologists differ in their care, le 14 avril 2006. Disponible sur: http://france.elsevier.com/direct/nephro.
[8] Bah. A. Prise en charge néphrologique tardive et mortalité par insuffisance rénale chronique dans un pays à ressources très limitées, CHU Donka, Conakry, Guinée. Néphrologie thérapeutique volume 12 (2016) page 375.
[9] Eyeni D, Sinomono G, Gassongo K et al. Profil épidémiologique de l’insuffisance rénale chronique au CHU de Brazzaville en 2016. Néphrologie & Thérapeutique 13 (2017) 389–404; http://dx.doi.org/10.1016/j.nephro.2017.08.302.
[10] Diallo A, Niamkey E, Beda Y. L'insuffisance renale chronique en Côte d’Ivoire, étude de 800 cas hospitalises. Bull Soc Pathol Exot. 1997; 90 (5): 346-8. PubMed | Google Scholar.
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[12] Réseau Epidémiologie et Information en Néphrologie (REIN) Caractéristiques initiales et indicateurs de prise en charge des nouveaux malades dialysés. France, Rapport annuel 2017, avenue du Stade de France SAINT DENIS LA PLAINE CEDEX 93212.
[13] Diawara. M, Cisse. M, Kane. Y et al. Chronic kidney disease in the Thies Region: epidemiology, clinical features, treatment and evolution. A report of 86 cases Health Sci. Dis: Vol 20 (6) Suppl 1 November 2019.
[14] Takongue, Andre P Kengne et al. Epidemiological profile of patients with end stage renal disease in a referral hospital in Cameroon. BMC Nephrology (2015) 16: 59; DOI: 10.1186/s12882-015-0044-2.
[15] Ouattara B, Ouffoue K, Hubert Y et al. Particularities of chronic renal failure in black adult patients hospitalized in internal medicine of Treichville university hospital. Abidjan, Cote d’Ivoire. Néphrologie Thérapeutique 7 (2011) 531–534. Doi: 10.1016/j.nephro.2011.03.009.
[16] Kaba M, Amm N, Ao B et al. Prévalence de l’insuffisance rénale chronique terminale traitée à Conakry; Néphrologie-hémodialyse, CHU Donka, Conakry, Guinée. Néphrologie & Thérapeutique 11 (2015) 338–406. http://dx.doi.org/10.1016/j.nephro.2015.07.310.
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    Ibrahim Hamat, Youssouf Djibril, Youssouf Seid Haoua, Senoussi Charfadine, Hissein Nassima, et al. (2023). Hospital Mortality Related to Chronic Renal Failure Chu-National Reference. American Journal of Internal Medicine, 11(1), 8-11. https://doi.org/10.11648/j.ajim.20231101.13

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    ACS Style

    Ibrahim Hamat; Youssouf Djibril; Youssouf Seid Haoua; Senoussi Charfadine; Hissein Nassima, et al. Hospital Mortality Related to Chronic Renal Failure Chu-National Reference. Am. J. Intern. Med. 2023, 11(1), 8-11. doi: 10.11648/j.ajim.20231101.13

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    AMA Style

    Ibrahim Hamat, Youssouf Djibril, Youssouf Seid Haoua, Senoussi Charfadine, Hissein Nassima, et al. Hospital Mortality Related to Chronic Renal Failure Chu-National Reference. Am J Intern Med. 2023;11(1):8-11. doi: 10.11648/j.ajim.20231101.13

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  • @article{10.11648/j.ajim.20231101.13,
      author = {Ibrahim Hamat and Youssouf Djibril and Youssouf Seid Haoua and Senoussi Charfadine and Hissein Nassima and Djibrine Mahamat Djibrine and Abdelkerim Aboubakar and Hissein Yakhoub and Ali Mahamat Hissein and Mahamat Zalba Abderraman Guillaume and Mahamat Moussa Ali},
      title = {Hospital Mortality Related to Chronic Renal Failure Chu-National Reference},
      journal = {American Journal of Internal Medicine},
      volume = {11},
      number = {1},
      pages = {8-11},
      doi = {10.11648/j.ajim.20231101.13},
      url = {https://doi.org/10.11648/j.ajim.20231101.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20231101.13},
      abstract = {Chronic renal failure is a public health problem worldwide because of its high mortality rate and the cost of its management. Our study aims to determine the mortality factors related to CKD at the University Hospital of the National Reference of N’Djamena (Chad). This was a cross-sectional, descriptive study over a period of three (3) years from January 1, 2016 to December 31, 2018. The study focused on the records of patients hospitalized and whose death was related to chronic renal failure at the CHU-RN of N'Djamena. The mortality rate related to CKD was 10.52%. The mean age was 48 ± 16.3 years with a sex ratio of 1.2. The main causative nephropathies were hypertension and diabetes. 83,8 % were in the terminal stage of CKD. Hemodialysis was performed in 17 patients (21.3%). The average length of hospitalization of our patients was 20.1± 16.9 days. Hemodynamic PAO was the main cause of death. One third of the deaths occurred between 00:00 and 5:59 with a frequency of 30%. Deaths occurring between 12:00 and 17:59 minutes represented 21%. In developing countries, CKD is diagnosed in the end stage as indicated by our study (83%). Hemodialysis remains the best treatment to reduce the mortality rate.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Hospital Mortality Related to Chronic Renal Failure Chu-National Reference
    AU  - Ibrahim Hamat
    AU  - Youssouf Djibril
    AU  - Youssouf Seid Haoua
    AU  - Senoussi Charfadine
    AU  - Hissein Nassima
    AU  - Djibrine Mahamat Djibrine
    AU  - Abdelkerim Aboubakar
    AU  - Hissein Yakhoub
    AU  - Ali Mahamat Hissein
    AU  - Mahamat Zalba Abderraman Guillaume
    AU  - Mahamat Moussa Ali
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    PY  - 2023
    N1  - https://doi.org/10.11648/j.ajim.20231101.13
    DO  - 10.11648/j.ajim.20231101.13
    T2  - American Journal of Internal Medicine
    JF  - American Journal of Internal Medicine
    JO  - American Journal of Internal Medicine
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    EP  - 11
    PB  - Science Publishing Group
    SN  - 2330-4324
    UR  - https://doi.org/10.11648/j.ajim.20231101.13
    AB  - Chronic renal failure is a public health problem worldwide because of its high mortality rate and the cost of its management. Our study aims to determine the mortality factors related to CKD at the University Hospital of the National Reference of N’Djamena (Chad). This was a cross-sectional, descriptive study over a period of three (3) years from January 1, 2016 to December 31, 2018. The study focused on the records of patients hospitalized and whose death was related to chronic renal failure at the CHU-RN of N'Djamena. The mortality rate related to CKD was 10.52%. The mean age was 48 ± 16.3 years with a sex ratio of 1.2. The main causative nephropathies were hypertension and diabetes. 83,8 % were in the terminal stage of CKD. Hemodialysis was performed in 17 patients (21.3%). The average length of hospitalization of our patients was 20.1± 16.9 days. Hemodynamic PAO was the main cause of death. One third of the deaths occurred between 00:00 and 5:59 with a frequency of 30%. Deaths occurring between 12:00 and 17:59 minutes represented 21%. In developing countries, CKD is diagnosed in the end stage as indicated by our study (83%). Hemodialysis remains the best treatment to reduce the mortality rate.
    VL  - 11
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Author Information
  • Nephrology Department, Hospital Teaching “National Reference”, Ndjamena, Chad

  • Nephrology Department, Hospital Teaching “National Reference”, Ndjamena, Chad

  • Nephrology Department, Hospital Teaching “National Reference”, Ndjamena, Chad

  • Nephrology Department, Hospital Teaching “National Reference”, Ndjamena, Chad

  • Nephrology Department, Hospital Teaching “National Reference”, Ndjamena, Chad

  • Nephrology Department, Hospital Teaching “National Reference”, Ndjamena, Chad

  • Nephrology Department, Hospital Teaching “National Reference”, Ndjamena, Chad

  • Nephrology Department, Hospital Teaching “National Reference”, Ndjamena, Chad

  • Service of Nephrology, Hospital Teaching “la Renaissance”, Ndjamena, Chad

  • Service of Nephrology, Hospital Teaching “la Renaissance”, Ndjamena, Chad

  • Nephrology Department, Hospital Teaching “National Reference”, Ndjamena, Chad

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