Annals of African Medicine
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Year : 2016  |  Volume : 15  |  Issue : 2  |  Page : 63-68

Pattern and outcome of renal admissions at the University of Port Harcourt Teaching Hospital, Nigeria: A 4 years review

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

Correspondence Address:
Chinyere Mmanwanyi Wachukwu
Department of Medicine, Faculty of Clinical Sciences, College of Health Sciences, University of Port Harcourt, Port Harcourt
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1596-3519.172559

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Background/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. Conclusion: 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.

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