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[Chronic renal failure's profile in hemodialysis at the Edith Lucie Bongo Ondimba General Hospital]
P E Gandzali Ngabe1, R Loumingou2, H Yattara3
1Service de médecine interne de l'Hôpital General Edith Lucie Bongo Ondimba d'Oyo.
Insights
This study evaluated chronic renal failure management in hemodialysis patients at HGELBO. Findings highlight areas for improvement in care for kidney disease patients undergoing hemodialysis.
Area of Science:
- Nephrology
- Public Health
Context:
- Chronic renal failure (CRF) management is critical for patient outcomes.
- Hemodialysis is a vital treatment for end-stage renal disease.
- The Edith Lucie Bongo Ondimba General Hospital (HGELBO) serves a significant patient population.
Purpose:
- To assess the current management of chronic renal failure patients undergoing hemodialysis at HGELBO.
- To identify sociodemographic, clinical, and therapeutic factors influencing hemodialysis treatment.
- To evaluate the outcomes of hemodialysis in this specific healthcare setting.
Summary:
- A 10-month cross-sectional study analyzed 97 hemodialysis patients (aged 16+) at HGELBO.
- The primary indication for hemodialysis was poorly tolerated uremia (81.25%), with diabetic nephropathy as the leading cause of CKD.
- Key findings include a mean age of 49.19 years, 59% male patients, and a high baseline femoral catheter utilization (84.37%).
Impact:
- The study identifies strengths and weaknesses in hemodialysis management at HGELBO.
- Results suggest a need for enhanced resources, such as additional hemodialysis stations.
- Further research on the prevalence of renal disease in the Republic of Congo is recommended.
Introduction:
Our objective was to evaluate the management of chronic renal failure in hemodialysis at the Edith Lucie Bongo Ondimba General Hospital (HGELBO).
Materials And Methods:
This was a cross-sectional and analytical study over a 10-month period from March 1, 2018 to December 31, 2018. This included all patients aged 16 and over whohad at least one treatment session hemodialysis during the study period. The sociodemographic, clinical, biological, therapeutic and evolutionaryparameters of the patients werenoted. And data entry wasdoneusing Excel 2013 and EPI Infos version 3 software with a p <0.05 consideredstatisticallysignificant.
Results:
The number of patients hospitalized for chronic and acute renal failurein 10 months was 101 patients, of whom 97 received hemodialysis treatment. The sex ratio was 1.4 with 59% males. The meanagewas 49.19 ± 28.4 years. The most affected intervalisbetween 50 and 59 years old with 19 patients or 29.68%. The patients came from Brazzaville in 60.93%. The first indication of hemodialysis wasuremiapoorlytoleratedin 81, 25% of cases. Diabeticnephropathywas the leading cause of CKD in hemodialysis. Meanserumcreatinine at initiation of hemodialysis was128.5 ± 75.12 mg / l. The incidence of HIV in hemodialysis is 6.4%, those of hepatitis B and C are 1.25% respectively. There were 54 patients (84.37%) whobenefited from femoralcatheter placement at baseline. We have so far 7 deaths out of 64 patients.
Conclusion:
This center of hemodialysis contributes to the improvement of the management of the renal insufficiency in the stage of hemodialysis. The assessment of this work reveals strong and weak points and we are consideringother work, more hemodialysis stations and itwould be interesting to do some work on the prevalence of renal disease in the Republic of Congo.
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