Connaught Hospital, University of Sierra Leone Teaching Hospitals' Complex, Sierra Leone.
College of Medicine and Allied Health Sciences, University of Sierra Leone, Sierra Leone.
West Afr J Med. 2022 Nov 30;39(11):1188-1192.
The burden of HIV is on the rise and patients with HIV are also vulnerable to renal impairment from both acute and chronic causes. This study sets out to evaluate renal care received by such patients.
The study was conducted at Connaught Hospital, the main tertiary hospital (for medical and surgical cases) in the country. A retrospective review of all admitted patients with HIV between January and December 2019. Data was collected using a well- structured study proforma.
A total of 230 patients were admitted with HIV during the study period. The mean age of patients was 36.9 ± (11.5) years with a female preponderance of 61.3%. A vast majority of the patients (54.8%) could afford to do some renal investigations and only 13.9% were seen by renal physicians; 69.1% of patients with azotaemia died while on admission.
The extent of renal care observed from the study was poor because the majority of the patients were not seen by renal physicians and could not afford renal investigations. Also, the occurrence of renal impairment in patients with HIV suggests a poor prognosis.
HIV 的负担正在增加，HIV 患者也容易因急性和慢性原因导致肾功能损害。本研究旨在评估此类患者的肾脏护理情况。
该研究在该国主要的三级医院（用于内科和外科病例）康诺特医院进行。对 2019 年 1 月至 12 月期间所有入院的 HIV 患者进行回顾性审查。使用结构化研究方案收集数据。
在研究期间，共有 230 名 HIV 患者入院。患者的平均年龄为 36.9 ± (11.5) 岁，女性占 61.3%。绝大多数患者（54.8%）能够负担得起一些肾脏检查，只有 13.9%的患者接受了肾脏医生的治疗；入院时，69.1%的氮血症患者死亡。
从研究中观察到的肾脏护理程度很差，因为大多数患者没有接受肾脏医生的治疗，也无法负担肾脏检查的费用。此外，HIV 患者肾功能损害的发生表明预后不良。
