摘要
<strong>Introduction:</strong> Chronic Kidney Disease (CKD) is a major global public health problem. In Congo, we have very few studies on it. <strong>Patients and Methods:</strong> We carried out an analytical cross-sectional study with retrospective data collection including patients aged 18 to 49 years, hospitalized for CKD in the nephrology department of University Hospital of Brazzaville, during the period from January 1, 2016 to August 31, 2020. The variables considered were socio-demographic, clinical, paraclinical, therapeutic and evolutionary. The statistical test used was Pearson’s chi-square test. <strong>Results:</strong> CKD in those under 50 represented 21.1% of admissions and 35.6% of CKD. The mean age was 35.9 ± 8.4 years. There was a male predominance with a sex ratio of 1.27. Hypertension was the most common comorbidity (49.2%), followed by HIV (13.6%) and diabetes mellitus (13.2%). Stage 5 CKD was most prevalent (82.7%). Indeterminate kidney disease was in the order of 55.9%. The low socioeconomic level (74.9% of cases) hampered the achievement of dialysis in 66.3% of patients for whom this treatment was indicated. Failure to perform dialysis significantly influenced the occurrence of death (p-value = 0.005). <strong>Conclusion:</strong> CKD is common among people under 50 and more affects males with a high mortality rate due to lack of access to dialysis. The main causes are hypertension and HIV.
<strong>Introduction:</strong> Chronic Kidney Disease (CKD) is a major global public health problem. In Congo, we have very few studies on it. <strong>Patients and Methods:</strong> We carried out an analytical cross-sectional study with retrospective data collection including patients aged 18 to 49 years, hospitalized for CKD in the nephrology department of University Hospital of Brazzaville, during the period from January 1, 2016 to August 31, 2020. The variables considered were socio-demographic, clinical, paraclinical, therapeutic and evolutionary. The statistical test used was Pearson’s chi-square test. <strong>Results:</strong> CKD in those under 50 represented 21.1% of admissions and 35.6% of CKD. The mean age was 35.9 ± 8.4 years. There was a male predominance with a sex ratio of 1.27. Hypertension was the most common comorbidity (49.2%), followed by HIV (13.6%) and diabetes mellitus (13.2%). Stage 5 CKD was most prevalent (82.7%). Indeterminate kidney disease was in the order of 55.9%. The low socioeconomic level (74.9% of cases) hampered the achievement of dialysis in 66.3% of patients for whom this treatment was indicated. Failure to perform dialysis significantly influenced the occurrence of death (p-value = 0.005). <strong>Conclusion:</strong> CKD is common among people under 50 and more affects males with a high mortality rate due to lack of access to dialysis. The main causes are hypertension and HIV.
作者
Daniel Tony Eyeni Sinomono
Ginesse Ndinga-Okaka Sedan
Gael Honal Mahoungou
Eric Pierre Gandzali Ngabe
Richard Moukengue Loumingou
Bertrand Ellenga-Mbolla
Mohamed Arrayhani
Tarik Sqalli Houssain
Daniel Tony Eyeni Sinomono;Ginesse Ndinga-Okaka Sedan;Gael Honal Mahoungou;Eric Pierre Gandzali Ngabe;Richard Moukengue Loumingou;Bertrand Ellenga-Mbolla;Mohamed Arrayhani;Tarik Sqalli Houssain(Department of Nephrology and Dialysis, University Hospital of Brazzaville, Brazzaville, Congo;Hemodialysis Unit of the Medical Center for Specialists of the 15 years old plateau of Brazzaville, Brazzaville, Congo;Departement of Nephrology, Edith Lucie Bongo General Hospital of Oyo, Oyo, Congo;Department of Cardiology and Internal Medicine, University Hospital of Brazzaville, Brazzaville, Congo;Departement of Nephrology, University Hospital Hassan II of Fez, Fez, Morocco)
