对西非某三级医院肾脏病例的10年回顾性分析

E. Tannor, Kwame K. Adusei, B. Norman
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引用次数: 4

摘要

肾脏疾病常见于Komfo Anokye教学医院(KATH)。目前还没有对管理的肾脏病例数量进行全面分析。我们开始全面分析在KATH看到的肾脏病例,以描述十年来的趋势。方法于2006年1月至2016年12月进行回顾性研究。我们从KATH年度报告的病房、门诊和血液透析单位的记录中收集二次数据。然后绘制肾脏病例的趋势。结果肾科门诊于2007年开业。每年平均有65,273名患有肾病的门诊病人,占5,397人(8.3%)。肾脏门诊患者从2007年的710例增加到2016年的1927例,增长了271%。年平均住院6880例,其中肾脏住院276例(4.0%)。肾脏住院的平均位置为第6位(范围2 -10)。肾脏住院患者的年平均死亡率为32.7%。普通病例年平均死亡率为23.8%。血液透析服务于2006年开始。血液透析患者从2006年的8人增加到2016年的407人,增加了50倍。血液透析次数也从2006年的59次增加到2016年的2350次,增加了38.8倍。平均每年进行血液透析的患者人数为211.5人。结论肾脏疾病是KATH的常见病,具有较高的发病率和死亡率。需要作出协调一致的努力,加强加纳肾脏疾病的诊断和管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A 10-Year retrospective review of renal cases seen in a Tertiary Hospital in West Africa.
IntroductionRenal diseases commonly present to the Komfo Anokye Teaching Hospital (KATH). There has not been a comprehensive analysis of the number of renal cases managed. We set out to analyze comprehensively the renal cases seen at KATH to describe the trends a decade.MethodsA retrospective study was conducted from January 2006 to December 2016. We collected secondary data from the records on the wards, outpatient clinics and hemodialysis unit from the KATH annual reports. Trends in renal cases were then plotted. ResultsRenal outpatient clinics started in 2007. There were an average of 65,273 medical out patients seen yearly with renal conditions accounting for 5,397 (8.3%). Renal clinic patients increased by 271% from 710 in 2007 to 1927 in 2016.The average yearly medical admission was 6,880 patients of which renal admissions accounted for 276 (4.0%).  The average position of renal admissions was 6th (range 2nd-10th) of total medical admissions. The average annual mortality rate of renal admissions was 32.7%. The average mortality of general medical cases was 23.8% annually.Hemodialysis services commenced in 2006. Patients on haemodialysis have increased by 50 times from 8 in 2006 to 407 in 2016. Hemodialysis session also increased by 38.8 times from 59 in 2006 to 2350 in 2016. The average number of patients on hemodialysis per year was 211.5.ConclusionRenal disease is a common condition in KATH associated with significant morbidity and mortality. A concerted effort is needed to enhance the diagnosis and management of renal diseases in Ghana. 
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