Related Experiment Videos
[Chronic renal insufficiency in Côte d'Ivoire: study of 800 hospital cases]
A D Diallo1, E Niamkey, B Beda Yao
1Service de médecine Interne, CHU Treichville, Abidjan.
Insights
This study on chronic renal failure (CRF) in Abidjan found that most patients were young with limited socioeconomic status and presented with late-stage uremia. The primary causes were chronic glomerulonephritis and nephrosclerosis, with limited access to dialysis treatment.
Area of Science:
- Nephrology
- Internal Medicine
- Epidemiology
Background:
- Chronic renal failure (CRF) poses a significant health burden globally.
- Understanding the specific etiological, clinical, and epidemiological aspects of CRF in diverse populations is crucial for targeted interventions.
- Previous studies have highlighted variations in CRF presentation and management across different regions.
Purpose of the Study:
- To precisely define the etiological, radiological, biological, clinical, and epidemiological features of chronic renal failure (CRF) in a West African practice.
- To analyze the clinical particularities of CRF in Black African patients.
- To assess the prevalence and management of CRF within the Teaching Hospital of Treichville.
Main Methods:
- Retrospective study design.
- Inclusion of 800 cases of chronic renal failure (CRF) admitted between January 1990 and December 1990.
- Comprehensive data collection on etiological, radiological, biological, clinical, and epidemiological aspects.
Main Results:
- Kidney renal failure constituted 5.8% of all hospitalizations during the study period.
- A significant majority of patients (61%) were under 45 years old, with 92% belonging to a weak or mild socioeconomic status.
- Late uremic state was observed in 41% of cases, with chronic glomerulonephritis (49.1%) and nephrosclerosis (25.4%) as leading causes.
- Only 5% of patients received dialysis treatment, while 95% did not receive any dialysis therapy.
Conclusions:
- Chronic renal failure in this West African cohort is characterized by a young patient demographic, low socioeconomic status, and advanced disease presentation.
- Chronic glomerulonephritis and nephrosclerosis are the predominant etiologies.
- Limited access to renal replacement therapy, such as dialysis, is a critical issue in this setting.
- The findings highlight unique clinical characteristics of CRF in Black African patients, necessitating context-specific healthcare strategies.
Abstract:
We report a retrospective study of 800 cases of chronic renal failure (CRF) admitted in the Internal Medical Department at Teaching Hospital of Treichville in Abidjan from January 1990 to December 1990 for precising the etiological, radiological, biological, clinical and epidemiological aspects of this entity in our practice. Kidney renal failure represents 5.8% of the whole patients hospitalised at the same period. 61% of patients were less 45 years old with a weak or mild socio-economic status (92%). In clinical field, 84% of our patients had a variety signs and symptoms which referred to a late uremic state in 41% of cases. Chronic glomerulonephritis (49.1%) and nephrosclerosis (25.4%) were the two main revealed causes. In therapeutical field, 95% of our patients did not receive any treatment in dialysis. Only 5% of patients could be treated by dialysis. The analysis of the results has permitted us to describe clinical particularities of CRF in black African patient.