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High Blood Pressure and Pregnancy in a Hospital Environment in Lomé: Prognostic and Clinical Epidemiological Aspects

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Open Journal of Internal Medicine 2020年第1期10卷 96-101页

作者： Abago Balaka Toyi Tchamdja Kodjo Agbeko Djagadou Akila Bassowa Komi Dzidzonu Némi Lihanimpo Djalogue Komi Edem Mossi abou-bakari tchala Mohaman Awalou Djibril Internal Medicine Unit Lomé Togo Health Science Faculty University of Lomé Lomé Togo Health Science Faculty University of Kara Kara Togo Gynecology and Obstetrics Unit Lomé Togo

Objectives: Study the prognostic, clinical and epidemiological profile of high blood pressure and pregnancy association at the Sylvanus Olympio Teaching Hospital (CHU Sylvanus Olympio) of Lomé. Patients and Method: It is about a retrospective study that is carried out at the gynecology-obstetrics unit from January to December 2016. Pregnant women with High Blood Pressure after delivery were concerned. Results: In total, 767 pregnant women with High Blood Pressure out of 12107 were taken. The frequency of HBP-pregnancy association was 6.33%. The 21 to 30 bracket age was the most represented (53.71%). The most common risk factor was the overweight or over-obseness (41.98%). Other risk factors were the first delivery and maternal age superior to 30 years old. Common clinical cases described in the study are the same as a predominance of preeclampsia. Caesarean has been the common method of delivering with foetal complications of prematurity type, neonatal suffering and hypotrophy. Conclusion: HBP-pregnancy association is a public health concern with serious foetal maternal complications. The prevention of this association is of great importance.

关键词： HTA-Pregnancy Complication Prognostic Lomé (Togo)

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Chronic Nephropathies in the Internal Medicine Department of the Sylvanus Olympio University Hospital

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Open Journal of Internal Medicine 2021年第3期11卷 140-150页

作者： Agbeko Kodjo Djagadou Toyi Tchamdja Abdou-bakari tchala Yawovi Mawufemo Tsevi Abago Balaka Awalou Mohaman Djibril Department of Internal Medicine Sylvanus Olympio University Hospital University of Lomé Lomé Togo Department of Internal Medicine Kara University Hospital University of Kara Kara Togo Department of Nephrology and Hemodialysis Sylvanus Olympio University Hospital University of Lomé Lomé Togo

Introduction: The chronic nephropathies constitute a real global public health concern due to the constant increase in the prevalence estimated between 10% and 15%. In Sub-Saharan Africa, this prevalence has been estimated at 13.9%. This study will allow knowing the epidemiological, clinical, paraclinical and etiological aspects of chronic kidney disease in the internal medicine department of CHU-SO Lomé. Method: This was a cross-sectional, retrospective and descriptive study. It concerned all the patients suffering from a chronic kidney disease, hospitalized between the 1st of January 2014 and the 31st of December 2018, for a duration of 5 years. Results: During our study, 330 cases of chronic nephropathy were identified. The prevalence of chronic kidney disease was 8.3% of admissions. The mean age of the patients was 46.3 years with extremes of 19 and 86 years and a sex ratio of 1.32. A low socio-economic level of patients was observed in 63.9% with an urban origin in 69.7%. The main risk factors for renal impairment were hypertension (55.2%), diabetes mellitus (29.1%), obesity (20.6%), use of nephrotoxic products (19.4%), HIV infection (17%) and smoking (16.1%). The causes were dominated by nephroangiosclerosis (33.3%), followed by diabetic nephropathy (25.5%) and HIV-associated nephropathy (17%). Chronic renal failure was present in 95.8% of cases and was end stage in 69.7% of cases. Anemia was the main complication during the evolution of chronic kidney disease (98.2%). Mortality was 57.3% during hospitalization. Conclusion: Chronic kidney disease is a fairly common reason for hospitalization in the internal medicine department. Emphasis should therefore be placed on preventive measures for hypertension, diabetes and HIV.

关键词： Chronic Kidney Disease Profile CHU Lomé (Togo)

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