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Epidemiological and Clinical Aspects of Chronic renal Failure in the medical Department at the Hospital of Sikasso

Open Journal of Nephrology 2023年第1期13卷 57-66页

作者： Djénéba maïga Drissa Goïta magara Samaké Aboudou messoum Dolo Yohanna Koné Aboubacar Sidiki Fofana Seydou Sy moctar Coulibaly Atabième Kodio Sahdit Baba Coulibaly Saharé Fongoro Nephrology Unit of Sikasso Hospital Sikasso Mali National Center for Scientific and Technological research (CNRST) Bamako Mali Service de médecine CHU Mère-Enfant le Luxembourg Bamako Mali Nephrology Unit of the Fousseyni DAOU Hospital Kayes Mali Nephrology and Hemodialysis Service CHU du Point-G Bamako Mali Faculty of medicine of Bamako Bamako Mali Nephrology Unit of mali GAVARDO Hospital of Sebenicoro Bamako Mali

Introduction: Chronic renal failure is a real public health problem because of its prevalence, the cost of its management and the high morbidity and mortality rate associated with it. The objective of this study was to determine the frequency, causes and main aggravating factors of chronic renal failure in the medical department of the hospital of Sikasso. materials and methods: This was a cross-sectional, retrospective, descriptive study conducted in the medical department of the Sikasso hospital from January 1, 2021 to November 30, 2022. It covered all the records of patients with chronic renal failure hospitalized in the department during this period. The mDRD formula was used to estimate the glomerular filtration rate. The KDIGO 2012 classification was used to stage CKD. results: Of 820 patient records reviewed, we retained 197 records. The mean age of our patients was 42.25 ± 10 years. The male sex represented 114 (57.9%). The socio-economic level was considered low and precarious in 79.8% of cases. The frequency of chronic renal failure was 24%. The reason for hospitalization was mostly hyper creatinine > 185 μmol/l (92.4%). Herbal medicine was reported in 103 cases (52.3%). medical history was hypertension 101 cases (51.3%), undocumented gastro duodenal ulcer (UGD) 14 cases (7.6%), hypertension and diabetes 11 cases (5.1%), diabetes 8 cases (4%), lower limb edema 9 cases (4.6%). Hypocalcemia was 147 cases (75.6%) with hyper phosphoremia was 153 cases (77.7%). Hemoglobin level was: m 8 - 10 g/dl, 54 cases (27.4%). The etiologies of CKD were vascular nephropathy 106 cases (53.8%), interstitial nephropathy, 44 cases (22.3%), glomerular nephropathy, 33 cases (16.8%), diabetic nephropathy, 12 cases (6.1%) and polycystic kidney disease 2 (1%). CKD was classified as stage 5, 171 cases (86.8%), stage 4, 11 cases (5.6%), stage 3, 13 cases (6.6%) and stage 2, 2 cases (1%.) Dialysis was performed in 1095

关键词： Epidemiology Clinical Chronic renal Failure Sikasso mali

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metabolic Syndrome: Epidemiological, Clinical and Biological Profiles in the Cardiology and Internal medicine Departments of the mother-Child chu “luxembourg”

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World Journal of Cardiovascular Diseases 2021年第12期11卷 593-602页

作者： Asmaou Keita Boubacar Sonfo Sanoussi Daffé Daouda Fofana Coumba Thiam Oumar Doucouré Souleymane Diallo mariam Sako massama Konaté Hamidou Omar Bâ Youssouf Camara Ibrahima Sangaré Souleymane Coulibaly Ichaka menta mamadou Bocary Diarra Cardiology Department of chu mère-enfant Bamako Mali Cardiology Department of chu Kati Bamako Mali Cardiology Department of chu Point G Bamako Mali Internal medicine Department Mali Hospital Bamako Mali Cardiology Department of chu Gabriel Touré Bamako Mali

Introduction: The metabolic syndrome is a clinical entity defined by the association in the same subject of four of the following five factors: abdominal obesity (or android), type 2 diabetes, hypertension, hypo HDL cholesterolemia, hypertriglyceridemia. The aim of the work was to study the epidemiological, clinical-biological profiles and complications of patients in the cardiology and internal medicine department of the Mother-Child CHU “luxembourg”. materials and methods: We carried out a cross-sectional study, from September 2019 to June 2020 in the cardiology and internal department of the mother-child chu “luxembourg”. All patients with metabolic syndrome admitted to the two departments who agreed to participate during the study period were included in the study. These patients meet the 2009 harmonization attempt criteria (IDF 2009). The variables studied were: socio-demographic characteristics (sex, age, profession), pathological history, clinical signs (functional signs, BmI, waist size), paraclinical signs (ECG, cardiac ultrasound, laboratory assessment) and complications. results: A total of 104 patients were included. The female sex represented 58.65% of cases. The 60 to 69 age group was the majority with 40.78%, housewives occupied 41.34% of cases. Diabetes, arterial hypertension and dyslipidemia were the most represented cardiovascular risk factors with respectively: 80.77%, 79.81% and 53.85%. Visual blurring was the most common functional sign with 23.08% of cases. moderate obesity was observed in 34% of patients. Waist circumference was high in 39.53% of male patients and 37.70% of female patients. Cardiac ultrasound found a severely collapsed ejection fraction in 25% of patients. HDL-c levels were low in 64.52% of male patients and 75% of female patients. The most observed complications were: dyslipidemia (53.85%), stroke and renal failure with 23% respe

关键词： metabolic Syndrome Epidemiological Profiles Clinical-Biological chumE luxembourg Bamako

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Evolutionary and Prognostic Aspects of Thrombolysed Patients for Acute Coronary Syndrome ST+ at chu Ernesto Guevara De La Serna. Las Tunas (Cuba)

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World Journal of Cardiovascular Diseases 2020年第7期10卷 437-445页

作者： Boubacar Sonfo Hamidou Oumar Bâ Youssouf Camara Coumba Thiam Ibrahima Sangaré massama Konaté Sidibé Samba Sako mariam Asmaou Keita Coulibaly Souleymane Ilo Bella Diall menta Ichaka Amadou Khalil Traoré Yudelquis Ojeda Riquenes maikel Santos medina Cardiology Department of chu Kati Bamako Mali Cardiology Department chu Gabriel Touré Bamako Mali Internal medicine Service Mali Hospital Bamako Mali Cardiology Department chu Point G Bamako Mali Cardiology Department chu mère-enfant Bamako Mali Cardiology Department chu Ernesto Guevara Las Tunas Cuba

Introduction: Acute myocardial infarction (IDm) occupies the first place in terms of mortality, among ischemic pathologies. Thrombolysis in the case of medical treatment for acute myocardial infarction (AmI) is undoub... 详细信息

Introduction: Acute myocardial infarction (IDM) occupies the first place in terms of mortality, among ischemic pathologies. Thrombolysis in the case of medical treatment for acute myocardial infarction (AMI) is undoubtedly the most revolutionary performed to date in this context, with a significant reduction in the mortality rate. The aim of our study was to describe the epidemiological aspects, the criteria for myocardial reperfusion post thrombolysis, the complications during thrombolysis and the complications of acute myocardial infarction in the cardiology department of the CHU Ernesto Guevara De La Serna of Las Tunas (Cuba).le="font-family:;" "=""> Methods: A retrospective cross-sectional descriptive study was carried out from June 2009 to December 2011. The patients hospitalized during this period in the USIC (coronary intensive care unit) for SCA ST(+) were included in the study. The variables studied were: Age, sex, myocardial reperfusion criteria, complications during thrombolysis and complications of myocardial infarction. Results: A total of 207 patients were included. The male sex represented 72.5% of the cases, giving a sex ratio of 2.63. The age group > 60 years was predominant with 54.2% of the cases. Thrombolysed patients represented 65.2% of the cases. myocardial reperfusion criteria were observed in the majority of thrombolysed patients: relief of precordial pain (77%), regression of the ST segment to

关键词： Acute Coronary Syndrome Thrombolysis chu Las Tunas Cuba

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malignant Transformation of Cerebellar Pleomorphic Xanthoastrocytoma: A Case report

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World Journal of Neuroscience 2017年第4期7卷 376-382页

作者： Oumar Coulibaly mahamadou Dama Oumar Diallo Quenum Kouassi Jean marie maurin Kisito Li Gu Boubacar Sogoba moussa Denou Sieleche Auxence Christ Youssouf Sogoba mamadou Salia Diarra Alpha Singuépiré Drissa Kanikomo Hopital du mali Bamako Mali Unité de Neurochirurgie Centre Hospitalier Départemental et Universitaire de Parakou Parakou Benin The First Affiliated Hospital of medical School of Zhejiang University Zhejiang China Hopital Gabriel Touré Bamako Mali Hopital mère-enfant “le luxembourg” Bamako Mali

Pleomorphic xanthoastrocytoma (PXA) generally occurs in children and young adults and is classified as a low-grade astrocytic tumor with a potential favorable prognosis. But these data must be interpreted with much caution, because of some rapid progression or malignant transformation during the postoperative follow-up. We report herein a rare case of a cerebellar PXA manifested as a benign lesion at first time in a 39 year-old woman, but with malignant transformation two years later. In this paper, we discuss the clinical signs, radiological findings and the therapeutic data on the subject according to literature review.

关键词： Pleomorphic Xanthoastrocytoma Cerebellar malignant

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Assessment of Common Dental Indices and Need for Periodontal Treatment in the Cardiology Outpatients Unit at the University Hospital Gabriel Touré(UH-GT) in Bamako

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World Journal of Cardiovascular Diseases 2020年第3期10卷 131-143页

作者： Hamidou Oumar Ba Ibrahima Sangaré Youssouf Camara Sidibé Noumou Daou Ousmane maiga Asmaou Kéita Touré mamadou Coulibaly Souleymane Sidibé Samba Konaté massama Doumbia Coumba Thiam Sonfo Boubacar Diakité mamadou menta Ichaka Ilo Bella Diall Ahmed Ba Boubacar Ba Sanogo Kassoum mamourou Service de Cardiologie chu Gabriel Touré Bamako Mali Service de Cardiologie CHU Kati Bamako Mali chu Odontostomatologie Bamako Mali Service de Cardiologie chu mère-enfant Bamako Mali Service de Cardiologie du chu Point G Bamako Mali Service de médecine Interne et d’Endocrinologie Hôpital du Mali Bamako Mali

Introduction: Little is known through the literature about dental status of patients seen in cardiology department, motivating this study which aims to assess most dental indices of outpatients and the need for periodontal treatment. methodology: It was a cross-sectional study from November 2016 to April 2017 in the cardiology outpatient unit of the University Hospital Gabriel Touré (UH-GT) in Bamako. Included were all patients with minimum 24 teeth and willing to be involved in the study. History, cardiovascular parameters and dental examination by a resident in Odontostomatology were performed for each patient. Data were analyzed using SPSS 18, quantitative as means and standard deviation (SD) and categorical as proportions. Khi-2 Test, analysis of variance were applied with a significance level set at 0.05. All patients give their verbal consent after being informed about the procedures in the study. results: Our sample involved 100 patients (66% female, mean age of 54.12 ± 16.150 and patients ≥ 60 years most represented with 50% for male and 37.9 for female patients. Tooth brush use was practiced by 100% and 98.5% respectively for male and female patients and twice daily brushing by 97.1% of male and 97% of female patients. Brushing duration was less than 3 minutes for 35.3% and 31.8% of respectively male and female patients. Plaque index and calculus index were in the male group with respectively 0.79 and 1.06 for male and 0.63 and 0.79 for female (p = 0.047 and 0.020). mean Decayed missed and Filled Teeth (DFmT) index showed a significantly increase from 0.22 in the age group under 30 to 0.68 for that other 60 years. Only 2.9% and 9.1% of respectively male and female patients had community paradontal index for treatment needs (CPITN) classe 0. The need for treatment was TN1 meaning instruction to an oral cavity hygiene, similar for both sex (55.9 and 57.6 respectively for male and female patients) and highest in the age-group 30 - 44 increased to 70%. The need

关键词： Dental Indices Cardiology Outpatients Bamako

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Epidemiological, Clinical and Coronary Angiography Aspects of Acute Coronary Syndrome in the Cardiology Department of the Hospital mother-Child “le luxembourg”mali

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World Journal of Cardiovascular Diseases 2024年第4期14卷 228-233页

作者： Sidibé Samba Toure mamadou Konate massama Sankaré Hamma Traoré Ousmane mahamat Guire Sadik Diall mahan Ameri Dicko Bahaide Daffe Sanoussy Keita Asmaou Thiam Coumba Adiaratou Diarra Soumaila menta Ichaka Cardiology Department CHU-M&#232re Enfant Bamako Mali Cardiology Department CHU-Point G Bamako Mali Faculty of medicine University of Sciences Techniques and Technologies of Bamako Bamako Mali Cardiology Department CHU-Gabriel Tour&#233 Bamako Mali Cardiology Department Mali Hospital Bamako Mali

Introduction: Cardiac catheterisation plays a fundamental role in the management of acute coronary syndrome. These explorations require heavy, complex and costly equipment and a large team of doctors, nurses and technicians with highly specialized training. Aims: To describe epidemiological, clinical and coronary angiography aspects of patients with acute coronary syndrome. Patients and methods: Descriptive study from September 2019 to December 2023 in the Cardiology Department of the Hôpital mère-enfant of Bamako. Inclusion criteria were patients admitted for coronary angiography with the diagnosis of acute coronary syndrome. results: During the study period, 1253 patients underwent coronary angiography, 596 of whom had acute coronary syndrome as an indication, representing a hospital frequency of 47%. Sex-ratio was 2.10. mean age of patients was 58.5 ± 11.39 years. ST elevation acute coronary syndrome was the most common indication with 63.92% of cases. High blood pressure was the main cardiovascular risk factor with 58.7% of cases, and radial access approach was used in 98% of cases. Coronary angiography was pathological in 91.70% of cases (n = 548). Patients with lesions of anterior interventricular artery were 73.73% of cases. Tritruncal lesions accounted for 40.63% of cases. Conclusion: ST elevation acute coronary syndrome is the most frequent manifestation of acute coronary syndrome. Anterior interventricular artery is most often the culprit lesion for our patients.

关键词： Coronary Angiography Acute Coronary Syndrome Bamako mali

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Pediatric Hypertension (HTN) Assessed by Various methods: A Study among Pediatric Inpatients in University Hospital Gabriel Touré(UH-GT)

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World Journal of Cardiovascular Diseases 2020年第3期10卷 144-154页

作者： Hamidou Oumar Ba Youssouf Camara Ibrahima Sangare maiga Belco Diakite mamadou A. Dembele Fofana Cheick Hamala Toure mamadou Hamidou Camara Sogodogo Adama Traore Aladji Sidibe Samba Sidibe Noumou Doumbia Coumba Thiam maiga Asmaou Kéita Konate massama Sonfo Boubacar menta Ichaka Ilo Bella Diall Togo Boubacar Diarra mamadou Bocary Service de Cardiologie chu Gabriel Touré Bamako Mali Service de Cardiologie CHU Kati Bamako Mali Service de Pédiatrie CHU Gabriel Touré Bamako Mali Service de Cardiologie du chu Point G Bamako Mali Service de Cardiologie chu mère-enfant Bamako Mali Service de médecine Interne et d’Endocrinologie Hôpital du Mali Bamako Mali

Introduction: It is known for decades that a correlation among child blood pressure and adult pressure exist. There are few publications on Hypertension (HTN) in pediatric area. We therefore conducted this study to estimate the extension of HTN among children and looking for associated factors. methods: Blood pressure was assessed using the references released by the National institutes of health in the United States, those of the French Society of Pediatric Nephrology and z-score. We used the auscultation method with appropriate cuff adapted to the child’s upper arm. We got for each arm 3 blood pressure measures taken children seated or lying on the back and mean blood pressure was calculated and used for the evaluation of the pressure level. The arm with the higher blood pressure was considered for the study. Socio-demographical and clinical data were collected anonymously on a formulary and then inserted in a microsoft Access Database. Analysis was done using Statistical Package for the Social Sciences (SPSS) software using appropriate tests. results: The study involved 154 patients (boys:girls = 56.5:43.5) aged 3 to 16 years. Patients of 11 years and older made 57.1% of the sample. most patients suffered from severe malaria (35.1%, glomerular and heart diseases with respectively 16.2% and 9.1%. The global proportion of hypertensive patients was 27%, 39% and 5.2% respectively based on references of the French society of nephrology, those of the 4th report of the NHBPEP and standard deviation. Looking for associated factors with hypertension the logistic regression found no predictor for hypertension using pressure cut-offs values based on the French society of nephrology and those of the 4th report of the National High Blood Pressure Education Programm (NHBPEP). Conclusion: Children must be checked for hypertension to avoid organ damage and later cardiovascular complications. Blood pressure assessment should be preferably done on outpatients as the role of the st

关键词： Hypertension Pediatric Bamako

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Practice of Pediatric Neurosurgery at the “Hôpital Spécialisémère-enfant Blanche Gomes” in the republic of the Congo

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Open Journal of modern Neurosurgery 2023年第1期13卷 41-50页

作者： Boukaka Kala rel Gerald Kinata Bambino Sinclair Brice Ekouele mbaki Hughes Brieux Bingui Outman Pascal Diogène Boukassa Léon moukouengo Nee Kaya Fleur Patricia mabiala Babela Jean Robert Service de chirurgie pédiatrique H&#244 pital spécialisé mère-enfant Blanche Gomes (HSmEBG) Brazzaville Républic of the Congo Service de Chirurgie Polyvalente CHU de Brazzaville Brazzaville Républic of the Congo Faculty of Health Sciences Université Marien Ngouabi Brazzaville Républic of the Congo Service de Pédiatrie H&#244 pital spécialisé mère-enfant Blanche Gomes (HSmEBG) Brazzaville Républic of the Congo

Introduction: Pediatric Neurosurgery is a growing specialty in its own right worldwide. Its practice in sub-Saharan Africa remains confronted with many challenges, notably the absence of a pediatric neurosurgeon, the lack of a dedicated service and the absence of multidisciplinary pediatric collaboration (neuroanesthesist, neurologist, oncologist and psychotherapist). The objective of this preliminary study is to describe the practice of pediatric neurosurgery at the HSmEBG and to present perspectives for its improvement. methods: This is a retrospective, monocentric, descriptive study covering the period from march 2021 to march 2022 at the Pediatric Surgery Department of the HSmEBG. Résults: During the study period, 50 children were hospitalized for a neurosurgical condition. The sex ratio was 1.77. The average age was 6 years with extremes of 2 weeks and 16 years. most children were from the emergency department (46%). Computed tomography (CT) was performed in 35 patients (70%), magnetic resonance imaging (mRI) in 4% and plain radiography in two patients (8%). malformative, traumatic (cranial and spinal) and tumor pathology were the most frequent with 42%, 36% and 12% respectively. Twenty-six patients were operated (52%). We recorded one postoperative infection (2.5%). The overall mortality was 8% (N = 4). Conclusion: This preliminary study allowed us to identify the epidemiological and clinical profile of the patients treated in our context as well as the therapeutic approach. malformative pathology remains the most frequent, followed by traumatic and tumor pathology. The development of the practice of this discipline remains a challenge in our working conditions and requires the training of pediatric neurosurgeons and dedicated paramedical staff.

关键词： Neurosurgery Pediatric Practice Brazzaville

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Boari Kuss Technique for Iatrogenic Ureter Injury on Single Kidney at C.H.U le luxembourg about a Case and review of the Literature

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Open Journal of Urology 2024年第11期14卷 554-561页

作者： Alkadri Diarra Pape Kanoute Aristo Tsayem Amadou Kassogué Badara Cissoko mamoutou dit mody Keita Dramane Cissé Felix Sanogo Richie Dioguey Calmer Seydou Younoussa Coulibaly Harouna Simido Urology Department CHU Mother Child Luxembourg Bamako Mali

Introduction: Ureteral lesions, most often iatrogenic, generally follow pelvic surgery. They are serious and can be life-threatening. Uretero-vesical reimplantation using the BOARI technique, modified by KUSS, was popularized in humans in 1954, and appears to be the most appropriate treatment for lesions of the lower ureter with significant loss of substance. Observation: We report in this work a case of iatrogenic ligation of the pelvic ureter on a single functional kidney (of fortuitous discovery) during gynecological surgery, having led to an Alteration of the General State (important Urinoma and collapse of the renal function) and treated by the surgical technique of BOARI KUSS at the urology department of the chu le luxembourg. Follow-up and postoperative follow-up were excellent. Conclusion: Surgical repair of the ureter is very often indicated in cases of stenosis or iatrogenic lesions of the ureter. The BOARI KUSS technique is a good choice in cases of significant loss of substance due to injury to the lower ureter. Gynecological surgery is the main source of these lesions, and the prognosis of the treatment depends on how early the diagnosis is made, the anatomical condition of the ureter and the expertise of the surgical team.

关键词： reimplantation BOARI KUSS Technique Iatrogenic lesion Loss of Substance Lower Ureter

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Single-Centre Descriptive Epidemiological Study of Emergency Haemodialysis Patients in the Haemodialysis Unit of the chu Point G (mali)

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Open Journal of Nephrology 2023年第3期13卷 246-255页

作者： Hamadoun Yattara Nouhoum Coulibaly Abdoul Karim Traoré Seydou Sy Atabieme Kodio Karamoko Djiguiba mahamadoun Kougoulba moctar Coulibaly Sah Dit Baba Coulibaly modi Sidibé Abdou messoum Dolo Yohana Koné moustapha Tangara Alkaya Touré Aboubacar Sididki Fofana magara Samaké Sahare Fongoro Point G University Hospital Bamako Mali regional Hospital of Segou Segou Mali Hopital mère-enfant le luxembourg Bamako Mali mali Gavardo Hospital Bamako Mali Infirmary Garnison de Kati Kati Mali Sikasso regional Hospital Sikasso Mali Kayes regional Hospital Sikasso Mali Faculty of medicine and Ondotostomatology of Bamako Bamako Mali

Introduction: Haemodialysis is an exchange of solutes and water between the patient’s blood and a dialysis solution with a composition close to that of normal extracellular fluid, through a semi-permeable membrane. It is used in the treatment of acute or chronic renal failure. The aim was to study the clinical and paraclinical aspects and the outcome of patients starting dialysis treatment for renal failure in an emergency setting. method: This was a prospective study from 1 January to 31 July 2020, with a sample of 62 patients receiving haemodialysis in an emergency setting in the nephrology department of the Point G University Hospital. results: The study showed that the sex ratio was 1.38 in favour of men and that the mean age of patients was 36.82 years. The group of patients with a low socio-economic standard of living dominated, accounting for 71% of cases. Hypertension and anaemia were the predominant risk factors in 77.4% and 87.3% respectively. Hyperphosphaemia, hypocalcaemia and secondary hyperparathyroidism accounted for 94.7%, 98.2% and 97.7% respectively. left ventricular hypertrophy was 29.27% on electrocardiogram and 22% on cardiac ultrasound. Isolated cardiomegaly was found in 30.76% of patients. The main indications for dialysis were uraemic syndrome (69.2%), pericardial friction (27.4), anuria for 48 hours (20.1%), hyperkalaemia (17.7%) and acute lung oedema (16.1%). The mean duration of haemodialysis was less than one month in one out of two cases. There was no significant association between age and time on dialysis (p = 0.178). The death rate was 20.97%. Case fatality was higher in patients whose duration of dialysis was less than one month than in the others (p = 0.0006). Conclusion: CKD is a public health problem in mali. It affects young people, especially males. Low economic income is an obstacle to the management of this disease.

关键词： Haemodialysis Emergency chu Point G

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