Quelles Etiologies Pour Linsuffisance Renale Aigue Dans Le Service De Nephrologie Du Chu De Brazzaville?

Abstract

Context: Acute kidney failure (AKI) is a sudden and reversible deterioration of kidney function. It is of various etiologies which are decisive for its management. Goals: Determine the frequency of AKI determine the types the different stages and aetiologies of AKI in the nephrology service of the university hospital of Brazzaville(UHB). Patients and Methods: This was a retrospective and descriptive study. We reviewed the files of patients hospitalized between January 1, 2016 and October 31, 2020 in the nephrology department of the UHB. Were included, patients aged at least 18 years with a discharge diagnosis of AKI. The study variables were socio-demographic data, stages the type of AKI and the aetiologies. Results: Out of 1,823 hospitalized patients, 244 were hospitalized for an AKI (13.38%), of which 164 had met the inclusion criteria. These were 60.2% boys and 39.8% women, with an average age of 47 ± 19 years. AKI was stage 3 in 69.5%. It was functional in 55.2% of cases with sepsis as the main cause (19.2%) organic (36%) with the main cause of NTA (25.5%) and obstructive in 8.7% of patients. Conclusion: In the nephrology department of the UHB, AKI preferentially affects young adult males. The severe form is common, functional AKI secondary to dehydration or sepsis is the main mechanism of occurrence.

Cardio-Renal Syndrome: Epidemiological, Clinical, Paraclinical, Etiological Aspects and Prognostic Factors in the Cardiology Department of the CHU Ignace Deen in Conakry

“…The age of our patients ranged from 9 to 84 years with an average of 47 ± 19 years with a majority range of 59 -69 or 23.6% (Table 1). This result is slightly different from that of Sinomono et al [4] at the CHU DE BRAZZAVILLE in 2020 who had obtained an average age of 49 years. This result could be explained by the fact that these two diseases affect older people more.…”

Clinical, Etiological and Progressive Aspects of Acute Tubular Necrosis of Toxic Origin at the Brazzaville University Hospital Center

“…AKI due to toxic tubular necrosis is common in hospitals [7] [10] [11] [12]. Our work reported a frequency of 24.6% of causes of AKI.…”

“…And the acute tubular necrosis (ATN) toxic origin is the second cause of AKI after infections [6]. Indications for dialysis are common [7] [8]. In the Republic of Congo, the intra-hospital incidence of AKI is reported at 13.4% [7], dehydration and ATN of toxic origin are the main causes [7].…”

“…Indications for dialysis are common [7] [8]. In the Republic of Congo, the intra-hospital incidence of AKI is reported at 13.4% [7], dehydration and ATN of toxic origin are the main causes [7]. Intrinsic renal AKI is a risk factor for chronic kidney disease (CKD) [9].…”

“…Intrinsic renal AKI is a risk factor for chronic kidney disease (CKD) [9]. Dialysis centers are rare in Congo [7] [8], so it is necessary to place an emphasis on prevention. Prevention of ATN involves controlling its etiologies, and therefore toxic substances, in order to avoid them.…”