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[Acute kidney failure in Morocco]
A Bourquia1, B Ramdani, A J Jabrane
1Service de Néphrologie-Hémodialyse, CHU Ibn Rochd, Casablanca, Maroc.
Abstract:
During the February 1983-February 1988 period, 172 patients (113 men and 59 women, mean age 36 years) were admitted to the Ibn-Rochd hospital for acute renal failure (ARF). Oliguria or anuria were present on admission in 131 patients (76.2 per cent). ARF occurred in a medical context in more than two thirds of the cases (73.8 per cent) post-operatively or in a surgical context in 11 per cent in an obstetrical context, notably post-partum, in 15 per cent. The causes of ARF were varied: prerenal in 12 cases, obstructive in 15 cases and renal parenchymal in 141 cases; in the remaining 4 patients no cause could be found. Acute tubular necrosis was the most frequent lesion (104 cases) and it was due to infection in 72 per cent of the cases; acute glomerular lesions were present in 27 patients. In the 108 patients treated by haemodialysis, 4 sessions on average were required for each patient; the main duration of peritoneal dialysis was 6 days. The most frequent complication observed was infection. The mortality rate was 21 per cent (36 deaths).
Insights
Acute renal failure (ARF) in 172 patients was primarily caused by acute tubular necrosis, often linked to infection. Infection was also the most common complication, contributing to a 21% mortality rate in this study.
Area of Science:
- Nephrology
- Internal Medicine
- Critical Care
Context:
- Study conducted at Ibn-Rochd hospital between February 1983 and February 1988.
- Involved 172 patients (113 men, 59 women) with a mean age of 36 years admitted for acute renal failure (ARF).
- Oliguria or anuria observed in 76.2% of patients upon admission.
Purpose:
- To analyze the causes, management, complications, and outcomes of acute renal failure (ARF).
- To identify the most frequent lesions and etiological factors contributing to ARF.
- To assess the effectiveness of dialysis treatments and overall mortality rates.
Summary:
- The majority of ARF cases (73.8%) occurred in a medical context, followed by obstetrical (15%) and surgical (11%) settings.
- Renal parenchymal causes were most common (141 cases), with acute tubular necrosis (ATN) being the predominant lesion (104 cases), frequently associated with infection (72%).
- Infection was the most frequent complication, and the overall mortality rate was 21% (36 deaths).
Impact:
- Highlights the significant role of infection in the etiology and complications of ARF, particularly ATN.
- Provides data on the utilization and duration of hemodialysis and peritoneal dialysis in ARF management.
- Contributes to understanding ARF epidemiology and outcomes in a specific hospital setting, informing clinical practice and further research.