Zeitschrift für Nephrologie und Therapeutik

Chronic Kidney Disease: Current Situation in Togo

Abstract

Tsevi MY, Nemi KD, Djagadou KA, Amekoudi EY, Tchamdja T, Attisso E, Balaka A and Ackoundou N’Guessan Kan C

Objective: To describe the situations of discovery of CKD (CKD) in Togo.

Patients and methods: This was a cross-sectional and descriptive study conducted in the nephrology department of Sylvanus Olympio University teaching hospital (Lomé). This study was conducted from January 1st, 2017 to December 31st, 2018 for patients with CKD.

Results: The mean age was 44.08 years old with extreme ages of 18 to 71 years and a sex ratio of 1.56. The majority of patients came from urban areas in 68% of cases. The main antecedents were dominated by traditional medication in 69.5% of cases, followed by hypertension in 66.1% of cases. One hundred patients (84.7%) out of the 118 enrolled were referred from a health facility. Of these referred patients, 78% came from a public health center and 16% from private centers. University hospitals are at the forefront of referral centers with 30% of cases. The clinical manifestation at admission was dominated by edema (35.2%), dyspnea (33.9%) and hypertension (11.5%). 93.2% of patients were in stage 5 of CKD at admission.

Conclusion: CKD is a reason for hospitalization quite frequent in our service. His prognosis is redoubtable. Emphasis must be placed on better distribution of health human resources in the diagnosis and monitoring of CKD.