塞拉利昂一家三级医院的肾脏疾病住院负担情况。
The burden of renal admissions in a tertiary Hospital in Sierra Leone.
作者信息
Coker Joshua, Abiri Onome, Nwosu Obinna Jude, Gbla Alhaji, Taylor Adetunji Wilson, Lisk Durodami
机构信息
Department of Medicine, Connaught Hospital, University of Sierra Leone Teaching Hospitals Complex, Freetown, Sierra Leone.
University of Sierra Leone, Freetown, Sierra Leone.
出版信息
BMC Nephrol. 2022 May 2;23(1):167. doi: 10.1186/s12882-022-02806-7.
BACKGROUND
The burden of both acute kidney injury and chronic kidney disease is on the rise globally. In sierra Leone, there has been no data on renal patients or admissions. This study intends to close this gap in knowledge and give preliminary data on the burden of renal disease in this country.
METHODS
The study was a retrospective review of the case notes of patients admitted at Connaught Hospital, Freetown over a 2 year period. Data extraction was done using a well- structured proforma.
RESULTS
A 2.7% renal admission burden was obtained; mean duration of hospital stay was 15.1 ± 14.7; mean age of patients was 47.2 ± 17.5 with a female preponderance. The common risk factors for chronic kidney disease were systemic hypertension (43%) and diabetes mellitus (24%). The common risk factors for acute kidney injury were sepsis (77%) and hypovolemia (15%). The in- hospital mortality rate was 47% and 73% were non-compliant with haemodialysis probably due to financial reasons.
CONCLUSION
There is a significant burden of kidney disease in our environment, affecting mainly our young and middle-aged population. A rational approach is to embark on kidney disease prevention programs.
背景
全球范围内，急性肾损伤和慢性肾病的负担都在增加。在塞拉利昂，尚无关于肾病患者或住院情况的数据。本研究旨在填补这一知识空白，并提供该国肾病负担的初步数据。
方法
该研究是对弗里敦康诺特医院在两年期间收治患者的病历进行回顾性分析。使用结构良好的表格进行数据提取。
结果
得出肾病住院负担为2.7%；平均住院时间为15.1±14.7天；患者平均年龄为47.2±17.5岁，女性居多。慢性肾病的常见风险因素为系统性高血压（43%）和糖尿病（24%）。急性肾损伤的常见风险因素为败血症（77%）和血容量不足（15%）。住院死亡率为47%，73%的患者因经济原因未遵守血液透析治疗。
结论
在我们所处的环境中，肾病负担较重，主要影响年轻和中年人群。合理的做法是开展肾病预防项目。
Zotero 插件