title: [Epidemiology of severe chronic renal insufficiency in Burkina Faso].
abstract: We identified 174 cases of chronic severe renal failure (blood creatinine > 650 mumol/l) and/or blood urea > 35 mmol/l) in a retrospective study of patients admitted to hospital between January 1989 and June 1996. Of these patients, 110 were men and 64 were women. The mean age was 36 +/- 15 years. Fifty three patients had a history of hypertension before admission, 3 patients had diabetes and 3 had gout. The most frequent clinical signs were dyspnea (55.2% of all patients), fatigue (78.2%), vomiting (63.2%) and edema (66.1%). The prevalence of hypertension was 64.9%. Glomerulonephritis was found in 42.5% of patients, chronic interstitial nephritis in 16.1%, polycystic kidney disease in 2 cases, congenital renal hypoplasia in 4 cases and unclassified kidney disease in 14.4% of cases. End-stage renal failure was complicated by heart failure in 40.2% of patients, pericarditis in 31.6%, hemorrhage of the gastrointestinal tract in 15% and infections in 22.4%. 47.7% of the patients died following admission.
authors.affiliation: Centre hospitalier national Yalgado-Ouédraogo, Faculté des sciences de la santé, Ouagadougou, Burkina Faso.
authors.forename: A
authors.initials: A
authors.lastname: Lengani
authors.forename: G
authors.initials: G
authors.lastname: Coulibaly
authors.forename: M
authors.initials: M
authors.lastname: Laville
authors.forename: P
authors.initials: P
authors.lastname: Zech
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001424:Bacterial Infections / Q000453:epidemiology; D002050:Burkina Faso / Q000453:epidemiology; D003404:Creatinine / Q000097:blood; D003920:Diabetes Mellitus / Q000453:epidemiology; D004417:Dyspnea / Q000453:epidemiology; D004487:Edema / Q000453:epidemiology; D005221:Fatigue / Q000453:epidemiology; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000453:epidemiology; D005921:Glomerulonephritis / Q000453:epidemiology; D006073:Gout / Q000453:epidemiology; D006333:Heart Failure / Q000453:epidemiology; D017052:Hospital Mortality; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D006973:Hypertension / Q000453:epidemiology; D007676:Kidney Failure, Chronic / Q000097:blood / Q000453:epidemiology* / Q000401:mortality; D008297:Male; D008875:Middle Aged; D009395:Nephritis, Interstitial / Q000453:epidemiology; D010493:Pericarditis / Q000453:epidemiology; D007690:Polycystic Kidney Diseases / Q000453:epidemiology; D015995:Prevalence; D012189:Retrospective Studies; D012737:Sex Factors; D014508:Urea / Q000097:blood; D014839:Vomiting / Q000453:epidemiology
chemical_list: D014508:Urea; D003404:Creatinine
vernacular_title: Epidémiologie de l'insuffisance rénale chronique sévère au Burkina Faso.