Wachukwu Chinyere Mmanwanyi, Emem-Chioma Pedro Chimezie, Wokoma Friday Samuel, Oko-Jaja Richard Ishmael
Department of Medicine, Faculty of Clinical Sciences, College of Health Sciences, University of Port Harcourt; Department of Internal Medicine, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria.
Ann Afr Med. 2016 Apr-Jun;15(2):63-8. doi: 10.4103/1596-3519.172559.
BACKGROUND/OBJECTIVE: Renal diseases constitute an enormous health burden globally, more so in developing countries. This report determines the patterns and outcomes of renal diseases in the medical wards of the University Teaching Hospital in Nigeria.
A retrospective study of patients admitted for renal disease in 4 years.
A total of 3841 patients were admitted to the medical wards, of which 590 (15.4%) had renal disease. Mean age of patients was 46 ± 15 years. Median duration of admission was 14 days (range 1-92 days). The most prevalent renal diseases were hypertensive nephropathy, diabetic nephropathy, chronic glomerulonephritis, and HIV-related renal disease constituting 22.8%, 16.6%, 14.4%, and 13.1%, respectively. Acute kidney injury constituted 12.4% of renal admissions. Analysis of outcome showed that 317 (53.7%) were discharged home, 49 (8.3%) patients discharged themselves against medical advice or absconded while 120 (20.3%) patients died of the disease. The highest mortality rate (22.5%) was observed among patients with the HIV-related renal disease.
Renal disease remains a significant cause of morbidity and mortality in Port Harcourt, Southern Nigeria. This underscores an urgent need to institute measures for prevention and early detection of renal disease and reduction of its burden.
背景/目的：肾脏疾病在全球构成了巨大的健康负担，在发展中国家更是如此。本报告确定了尼日利亚大学教学医院内科病房中肾脏疾病的模式和转归。
对4年内因肾脏疾病入院的患者进行回顾性研究。
共有3841名患者入住内科病房，其中590名（15.4%）患有肾脏疾病。患者的平均年龄为46±15岁。中位住院时间为14天（范围1 - 92天）。最常见的肾脏疾病是高血压肾病、糖尿病肾病、慢性肾小球肾炎和与HIV相关的肾脏疾病，分别占22.8%、16.6%、14.4%和13.1%。急性肾损伤占肾脏疾病入院患者的12.4%。转归分析显示，317名（53.7%）患者出院回家，49名（8.3%）患者自行出院或擅自离院，而120名（20.3%）患者死于该疾病。与HIV相关的肾脏疾病患者的死亡率最高（22.5%）。
在尼日利亚南部的哈科特港，肾脏疾病仍然是发病和死亡的重要原因。这凸显了迫切需要采取措施预防和早期发现肾脏疾病并减轻其负担。
