L’insuffisance rénale aiguë au Burkina Faso

Lengani, A.; Kargougou, Désiré; Fogazzi, G.B.; Laville, Maurice

doi:10.1016/j.nephro.2009.07.013

Cited by 17 publications

(28 citation statements)

References 22 publications

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“…Most adult patients with AKI in Africa are young, with a pooled mean age of 41.3 standard deviation (SD) 9.3 years with a male to female ratio of 1.2 : 1.0 [ 8 , 12 , 13 , 18 , 23 , 24 ].…”

Section: Resultsmentioning

confidence: 99%

“…Even where AKI is diagnosed, dialysis may be unavailable, or the patient may not be able to afford dialysis. In a study from Burkina Faso, out of 84 cases of AKI who required dialysis, only 14 patients received this treatment [ 8 ]. The challenges of reducing the burden of AKI in low- and middle-income countries have been discussed [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

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Community-acquired acute kidney injury in adults in Africa

Adu¹,

Okyere²,

Boima³

et al. 2016

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Aims: We review recent published data on demographics, causes, diagnoses, treatment, and outcome of acute kidney injury (AKI) in Africa. Methods: A review of the incidence, etiology, diagnoses, and treatment of AKI in adults in Africa from studies published between the years 2000 and 2015. Results: The incidence of AKI in hospitalized patients in Africa ranges from 0.3 to 1.9% in adults. Between 70 and 90% of cases of AKI are community acquired. Most patients with AKI are young with a weighted mean age of 41.3 standard deviation (SD) 9.3 years, and a male to female ratio of 1.2 : 1.0. Medical causes account for between 65 and 80% of causes of AKI. This is followed by obstetric causes in 5 – 27% of cases and surgical causes in 2 – 24% of cases. In the reported studies, between 17 and 94% of patients who needed dialysis received this. The mortality of AKI in adults in Africa ranged from 11.5 to 43.5%. Conclusions: Most reported cases of AKI in Africa originate in the community. The low incidence of hospital-acquired AKI is likely to be due to under ascertainment. Most patients with AKI in Africa are young and have a single precipitating cause. Prominent among these are infection, pregnancy complications and nephrotoxins. Early treatment can improve clinical outcomes.

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“…Most adult patients with AKI in Africa are young, with a pooled mean age of 41.3 standard deviation (SD) 9.3 years with a male to female ratio of 1.2 : 1.0 [ 8 , 12 , 13 , 18 , 23 , 24 ].…”

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Community-acquired acute kidney injury in adults in Africa

Adu¹,

Okyere²,

Boima³

et al. 2016

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“…En effet, SABI et al [ 6 ] avaient trouvé dans leur étude une moyenne d’âge de 49,5 ans. Au Sénégal en 2015, NDIAYE et al [ 7 ] ont retrouvé une moyenne d’âge de 44,73 ans; au Burkina Faso, LENGANI et al ont trouvé une moyenne d’âge de 40 ans [ 8 ]. Des travaux réalisés dans les pays occidentaux ont montré que les patients en hémodialyse chronique étaient plus âgés, au-delà de 60 ans [ 9 , 10 ].…”

Section: Discussionunclassified

Hémodialyse chronique et dépression au Centre Hospitalier Universitaire Sylvanus Olympio de Lomé (Togo)

Tsevi¹,

Salifou²,

Sabi³

et al. 2016

Pan Afr Med J

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IntroductionEstimer la prévalence de la dépression et rechercher les facteurs associés chez les patients insuffisants rénaux chroniques en hémodialyse.MéthodesÉtude transversale descriptive allant du 1er Janvier 2014 au 31 Décembre 2014 à l’unité d’hémodialyse du service de Néphrologie du CHU Sylvanus Olympio de Lomé (Togo). L’échelle d’autoévaluation de la dépression de Beck dans sa version simplifiée a été notre outil d’évaluation.RésultatsDurant la période d’étude, 88 patients ont été recrutés dont 61,4% d’hommes soit un sex-ratio de 1,6. La moyenne d’âge a été de 38,80 ± 13,24 ans avec des extrêmes de 12 et 66 ans. La majorité des patients (90,9%) étaient des travailleurs. L’hypertension artérielle a été la comorbidité somatique la plus retrouvée (45,4%). Quarante-six patients (52,3%) avaient une durée en hémodialyse comprise entre 1 et 4 ans. La dépression touchait 68,2% des patients; 47,7% des patients déprimés avaient une dépression sévère. La survenue de la dépression était significativement liée à la durée en hémodialyse (p= 0,008).ConclusionLa prise en charge du patient hémodialysé chronique doit être pluridisciplinaire incluant le néphrologue et le psychiatre.

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“…Les cas de décès étaient liés à une défaillance multi viscérale. LEGANI au Burkina Faso avait trouvé un taux de mortalité de 24% chez des patients soufrant d'une IRA toutes causes confondues (Lengani, 2010). Ce taux élevé de mortalité en Afrique subsaharien pourrait s'expliquer par l'absence de structure de réanimation équipée et un retard de prise en charge.…”

Section: Materiels Et Methodesunclassified

Décentralisation De La Dialyse Au Sénégal : Expérience D’1 An Du Centre De Tambacounda A l’Est Du Pays

Kane

Mbacké

Tondi

et al. 2016

ESJ

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IntroductionHemodialysis has made numerous and significant progress in recent decades resulting in life expectancy increase (thirty or forty years). The aim of our study was to assess the treatment of acute and chronic hemodialysis in the reference center of Tambacounda. Patients and methods:This was a prospective study over a one-year period (April 2013 to March 2014) in the hemodialysis center of the regional hospital of Tambacounda, 450km away from Dakar. The study focused on epidemiological, clinical, paraclinical and scalable data. Results: Fifty-nine patients were involved in the study. The sex ratio was 0.85 (32F/ 27M). The mean age was 41.3 years [12-72 years old]. Nineteen patients were on dialysis treatment for acute renal failure (ARF) (32.2%) and 40 were chronic hemodialysis patients (67.79%). Fifty patients were under emergency dialysis (84.7%) including 17 in intensive care (28.8%). Most chronic hemodialysis patients had 3 sessions per week (98.3%). Only 9 patients were monitored in nephrology prior to dialysis (22%). Thirty-two patients had a femoral double-lumen catheter (54.23%), 6 patients used ordinary double-

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L’insuffisance rénale aiguë au Burkina Faso

Cited by 17 publications

References 22 publications

Community-acquired acute kidney injury in adults in Africa

Community-acquired acute kidney injury in adults in Africa

Hémodialyse chronique et dépression au Centre Hospitalier Universitaire Sylvanus Olympio de Lomé (Togo)

Décentralisation De La Dialyse Au Sénégal : Expérience D’1 An Du Centre De Tambacounda A l’Est Du Pays

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