Particularities of chronic renal failure in black adult patients hospitalized in internal medicine of Treichville university hospital

Objective. - To describe the epidemiological, clinical, biological aspects, treatment and outcome of chronic renal failure. Methods. - A retrospective study was conducted on medical data of 301 inpatients with chronic renal failure from January 1, 2004 to December 31, 2008 in the internal medicine department of Treichville university hospital. Results. - The hospital prevalence of chronic renal failure was 7.5%. The average patient age was 44 ± 10 years [range : 16-86 years] and sex ratio was 1.3. The main medical histories were self-medication (38.5%) and hypertension (33.5%). In 82.4% cases, it was the end-stage renal disease. Biological abnormalities were important. The causes were dominated by nephroangiosclerosis noted in 25.3%, followed by HIV-Associated nephropathy in 17% and chronic interstitial nephritis in 10.3%. Treatment consisted of transfusion in 71% and dialysis in 16%. Lethality was 54%. Conclusion. - The chronic renal failure is a fairly common cause of hospitalization in our department. His prognosis is terrible. The main causes are nephroangiosclerosis and HIV-Associated nephropathy. Accent should be placed on preventive measures of hypertension and AIDS. © 2011 Association Sociétéde néphrologie.