title: Pattern and outcome of renal admissions at the University of Port Harcourt Teaching Hospital, Nigeria: A 4 years review.
abstract: 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.
  
  
  METHODS
  A retrospective study of patients admitted for renal disease in 4 years.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: 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.
authors.forename: Chinyere Mmanwanyi
authors.initials: CM
authors.lastname: Wachukwu
authors.forename: Pedro Chimezie
authors.initials: PC
authors.lastname: Emem-Chioma
authors.forename: Friday Samuel
authors.initials: FS
authors.lastname: Wokoma
authors.forename: Richard Ishmael
authors.initials: RI
authors.lastname: Oko-Jaja
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D002423:Cause of Death; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D007674:Kidney Diseases / Q000175:diagnosis* / Q000401:mortality* / Q000628:therapy; D007902:Length of Stay / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D009549:Nigeria / Q000453:epidemiology; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data* / Q000639:trends; D010343:Patient Admission / Q000706:statistics & numerical data* / Q000639:trends; D015995:Prevalence; D012189:Retrospective Studies; D017678:Sex Distribution