The Journal of Nephrology
Prognosis And Predictive Factors For Mortality In Acute Kidney Failure
Correspondence to Author: Hamat Ibrahim , Djibrine Mahamat Djibrine , Haoua Youssouf Seid , Chamsadine Mahamat Ahmat , Charfadine Senoussi , Dakolé Mbainodji Jeremie , Yacoub Hissein , Adam Tidjani , Youssouf Djibril , Nassima Hissein .
Service de Néphrologie et Hémodialyse, Centre Hospitalier Universitaire la Référence Nationale, N’Djamena TCHAD
Abstract:
Introduction: Acute renal failure (ARF) is a life-threatening emergency with a often severe prognosis, particularly in Africa. The aim of our study was to identify prognostic and predictive factors for mortality from ARF at the National Reference University Hospital (CHU-RN) in N’Djamena
Patients and Methods: This was a descriptive study with an analytical focus, conducted over a period of nine months, from June 1, 2023, to March 1, 2024. All patients with acute renal failure admitted to the nephrology-hemodialysis department were included.
Results:Of the 249 hospitalized patients, 48 had ARF, representing a frequency of 19.27%. The majority of patients were male (male-to-female ratio of 3.38) with a mean age of 39.25 years. The main reason for admission was impaired renal function, with more than half classified as KDIGO stage 3. Emergency hemodialysis was performed in 54.17% of these patients. The outcome was marked by complete recovery of renal function in 41.7% of patients, progression to chronicity in 18.8%, and mortality in 39.6%. Factors associated with mortality were long admission time, hyperkalemia, and hyponatremia.
Conclusion: Acute renal failure is a public health problem due to its high frequency and mortality rate. Factors associated with mortality due to acute renal failure were time and metabolic disorders.
Keywords: Predictive factors, mortality, ARF, CHU-RN, Ndjamena.
Citation:
Dr. Hamat Ibrahim, Prognosis And Predictive Factors For Mortality In Acute Kidney Failure. The Journal of Nephrology 2025.
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