Open Journal of Nephrology, 2021, 11, 358-369
https://www.scirp.org/journal/ojneph
ISSN Online: 2164-2869
ISSN Print: 2164-2842
DOI: 10.4236/ojneph.2021.113029 Aug. 19, 2021 358 Open Journal of Nephrology
Epidemiological Clinical Profile of Chronic
Kidney Disease in Adults under 50 at the
University Hospital of Brazzaville
Daniel Tony Eyeni Sinomono
1*
, Ginesse Ndinga-Okaka Sedan
2
, Gael Honal Mahoungou
1
,
Eric Pierre Gandzali Ngabe
3
, Richard Moukengue Loumingou
1
, Bertrand Ellenga-Mbolla
4
,
Mohamed Arrayhani
5
, Tarik Sqalli Houssain
5
1
Department of Nephrology and Dialysis, University Hospital of Brazzaville, Brazzaville, Congo
2
Hemodialysis Unit of the Medical Center for Specialists of the 15 years old plateau of Brazzaville, Brazzaville, Congo
3
Departement of Nephrology, Edith Lucie Bongo General Hospital of Oyo, Oyo, Congo
4
Department of Cardiology and Internal Medicine, University Hospital of Brazzaville, Brazzaville, Congo
5
Departement of Nephrology, University Hospital Hassan II of Fez, Fez, Morocco
Abstract
Introduction: Chronic Kidney Disease (CKD) is a major global public health
problem. In Congo, we have very few studies on it. Patients and Methods:
We carried out an analytical cross-sectional study with retrospective data col-
lection including patients aged 18 to 49 years, hospitalized for CKD in the neph-
rology department of University Hospital of Brazzaville, during the period from
January 1, 2016 to August 31, 2020. The variables considered were socio-demo-
graphic, clinical, paraclinical, therapeutic and evolutionary. The statistical test
used was Pearson’s chi-square test. Results: CKD in those under 50
represented 21.1% of admissions and 35.6% of CKD. The mean age was 35.9
± 8.4 years. There was a male predominance with a sex ratio of 1.27. Hyper-
tension was the most common comorbidity (49.2%), followed by HIV (13.6%)
and diabetes mellitus (13.2%). Stage 5 CKD was most prevalent (82.7%). Inde-
terminate kidney disease was in the order of 55.9%. The low socioeconomic
level (74.9% of cases) hampered the achievement of dialysis in 66.3% of pa-
tients for whom this treatment was indicated. Failure to perform dialysis sig-
nificantly influenced the occurrence of death (p-value = 0.005). Conclusion:
CKD is common among people under 50 and more affects males with a high
mortality rate due to lack of access to dialysis. The main causes are hyperten-
sion and HIV.
Keywords
Chronic Kidney Disease, Epidemiology, Brazzaville
How to cite this paper: Sinomono, D.T.E.,
Sedan, G.N.-O., Mahoungou, G.H., Ngabe,
E.P.G., Loumingou, R.M., Ellenga-Mbolla,
B., Arrayhani, M. and Houssain, T.S. (2021)
Epidemiological Clinical Profile of Chronic
Kidney Disease in Adults under 50 at the
University Hospital of Brazzaville. Open Jour-
nal of Nephrology, 11, 358-369.
https://doi.org/10.4236/ojneph.2021.113029
Received: June 4, 2021
Accepted: August 16, 2021
Published: August 19, 2021
Copyright © 2021 by author(s) and
Scientific Research Publishing Inc.
This work is licensed under the Creative
Commons Attribution-NonCommercial
International License (CC BY-NC 4.0).
http://creativecommons.org/licenses/by-nc/4.0/
Open Access