Incidence, pattern and outcome of renal admissions at the Abia state university teaching hospital, aba: a five year review

Abstract

The aim of this study was to determine the burden of renal diseases in Aba -a cosmopolitan town in Nigeria undergoing increased urbanization in the last decade. The study involved 359 patient case notes with records of renal diseases between January 2009 and December 2013. Information extracted included age, sex, type of renal disease, length of hospitalization and treatment outcome. Data obtained were analyzed using the statistical package for social sciences (SPSS). The student t-test was used and p < 0.05 was considered statistical significant. The mean age was 53±5.5 years, while the highest incidence was recorded among those aged between 50 - 59 years (23.67%). Majority (56.82%) of the patients were admitted on account of chronic kidney disease with 45.58% of these associated with renal failure. Other associated diseases included nephritic syndrome (11.45), pyelonephritis (7.79%) glomerulonephritis (5.57%), urinary infection (3.06%) and renal stone (1.11%). Mean duration of hospital stay was 12 ± 5 days with 110 (30.64%) deaths. Majority of the dead patients (27.54%) were those with renal failure resulting from CKD. Most of the deaths occurred within 6 days of hospital stay. Thus renal diseases constitute a significant health burden in our community requiring urgent attention.

Key words: Renal diseases, admissions, results, Aba