Why the study?
The study was conducted to determine the prevalence, stages, diagnosis, and evolution of chronic renal failure in Mbujimayi, specifically at Dipumba Hospital.
In this Congolese hospital cohort, chronic kidney disease frequently presented at an end-stage, with high rates of comorbid hypertension and diabetes, leading to significant mortality.
Highlights CKD burden in understudied regions; leaves open need for longitudinal data before guiding practice.
The objective of this study was to determine the prevalence, stages, diagnosis and evolution of chronic renal failure in the town of Mbujimayi and specifically at Dipumba Hospital. Material and Methods: This was a retrospective, descriptive and cross-sectional study, spanning a period of 6 years, i.e. from 01/01/2014 to 12/31/2019 at DIPUMBA hospital. The study involved 33 patients with CKD. Results: The hospital frequency was 1.22%. The age of our patients varied between 35 and 90 years with an average age of 58.2 11.7 years. The age group most affected was that of 50 to 59 years in a proportion of 39.39%. Men were the most affected with 26 cases (78.79%) against 7 (21.21%) for women. The reasons for admission were dominated by oligo-anuria, digestive disorders, dyspnea and physical asthenia. Arterial hypertension, diabetes mellitus and acute renal failure were the antecedents found in the majority of our patients, i.e. in 90.91% respectively; 84.85% and 66.67% of cases. The majority of patients, 60.6%, had end-stage chronic renal failure. The healthy diet + medication was the most recommended treatment. The majority of cases, or 66.67%, resulted in stabilization against 33.33% of death cases. Conclusion: Chronic renal failure is a frequent pathology in our environment. It affects patients from their thirties, of both sexes. The majority of patients consult for oligo-anuria, digestive disorders, dyspnea and physical asthenia. High blood pressure and diabetes mellitus are the most common history. Most patients are admitted at the terminal stage. The lethality is quite high (33.33%).
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Lukusa et al. (2021) studied this question.
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