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Prevalence of Metabolic Syndrome and Associated Factors among Hemodialysis Patients Monitored at the National Teaching Hospital, Hubert Koutoucou Maga in 2015

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Open Journal of Nephrology 2016年第4期6卷 167-175页

作者： Jacques Vigan Adébayo S. C. Alassani Mahoussi M. A. Ahissou Akomola K. Sabi ubald assogba-gbindou Vénérand Attolou François Djrolo Nephrology Hemodialysis Department Sylvanus Olympio Teaching Hospital Centre Lomé Togo Nephrology Hemodialysis University Clinic of Hubert K Maga Teaching Hospital (CNHU-HKM) Cotonou Benin Endocrinology and Metabolism University Clinic of CNHU-HKM Cotonou Benin Nephrology Hemodialysis Department Sylvanus Olympio Teaching Hospital Centre Lomé Togo

Introduction: Metabolic syndrome is one of the main risk factors of cardiovascular disease among hemodialysis patients. Objective: The main objective of this study was to determine the prevalence and factors associated with metabolic syndrome among hemodialysis patients in Cotonou in 2015. Patients and methods: It was a cross-sectional, descriptive and analytical study conducted from 05th October to 02nd November 2015 at the National Teaching Hospital, Hubert Koutoucou Maga of Cotonou. All patients aged 18 years and above, regularly under hemodialysis for the past 3 months and who gave their informed consent were included in the study. Those excluded were: currently hospitalized hemodialysis patients, hemodialysis patients hospitalized in the last three months, hemodialysis patients whose general condition deteriorated or unable to answer the questionnaire. Metabolic syndrome was defined according to the International Diabetes Federation’s criteria. Factors associated with metabolic syndrome were sought using logistic regression in univariate analysis. Confidence intervals were calculated at 95% and alpha significance threshold at 5%. Outcomes: In total 165 patients were included in the study. Male predominance was observed, with 1.27 sex-ratios. Average age was 49.3 ± 12.9 years with extremes ranging from 18 to 78 years. Metabolic syndrome is observed among 46 patients undergoing hemodialysis or 27.9% prevalence rate. Factors associated with the metabolic syndrome in univariate analysis were: gender (p 0.001), age (p = 0.007), body mass index (p = 0.029) and prior diabetes history (p = 0.011). Conclusion: Metabolic syndrome is common among hemodialysis patients. Early screening and fighting against associated risk factors are very important.

关键词： Benin Associated Factors Hemodialysis Patients Prevalence Metabolic Syndrome

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Knowledge Attitude and Practice of General Physicians for Early Detection of Diabetic Nephropathy in Cotonou

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Open Journal of Nephrology 2016年第4期6卷 122-131页

作者： Vigan Jacques Akoha T. Mauriac Agboton B. Leopold Akomola K. Sabi assogba-gbindou ubald Attolou Vénérand Djrolo François Nephrology Hemodialysis University Clinic of Hubert K. Maga Teaching Hospital (CNHU-HKM) Cotonou Benin Endocrinology and Metabolism University Clinic of CNHU-HKM Cotonou Benin

Introduction: General physicians can play an important role in the early detection of diabetic nephropathy (DN). Purpose: To assess the levels of general physicians’ knowledge, attitude and practice in terms of early detection of DN in Cotonou. Method: It was a cross-sectional, analytical and descriptive study which was conducted from 1st March 2015 to 30th September 2015. Every general physician working in a health structure in Cotonou who consented to participate in the study was included. We did not included medical specialists and general physicians working in nephrology department. Data were collected through a survey form designed with a score to assess the various items such as: knowledge, attitude and practice. The significance threshold is set to below 0.05. Results: In total, 202 general physicians were included. The average age was 30.9 ± 6.9 years ranging from 24 to 68 years. A male predominance was observed with 2.2 sex ratio. The majority of respondent medical physicians had poor knowledge in 76.2% cases, bad attitudes (61%) and bad practices (64.9%) in terms of early detection of diabetic nephropathy. There was positive impact of continuing medical training focused on diabetic nephropathy on attitudes (p = 0.016) and practices (p = 0.001) of these physicians. Conclusion: Diabetic nephropathy requires particular attention. General physicians’ continuous training is a principal solution.

关键词： Attitude Benin Knowledge Early Detection Practice Diabetic Nephropathy

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