Epidemiological and Clinical Profile and Pathologies Associated with Chronic Kidney Disease in Internal Medecine Departement at the Abdou Aziz Sy Dabakh Hospital in Tivaouane

Introduction: Chronic kidney disease (CKD) is a major global public health problem. Its prevalence varies according to studies and is influenced by sociodemographic, clinical, and individual factors, the increase of which is correlated with the prevalence of CKD. Material and method: We conducted a retrospective descriptive study in the internal medicine department of the HAAD in Tivaouane. The study period was 3 years, from January 1st, 2019, to December 31st, 2021. The study involved all patients at least 18 years of age followed or hospitalized in the internal medicine department who presented with chronic kidney disease during their follow-up. Results: We Collected Data From 102 Patients Out of a Total of 816 Patients, Representing a Prevalence of 12.5%. The Average Age of Our Patients Was 55.22 Years with ages ranging from 18 to 92 Years. The 60-70 Age Group Was the Most Represented at 28.43% (n=29). The Female Sex Was Predominant with a Sex Ratio of 0.73. Most of Our Patients Were in the Primary Sector and of Low Socioeconomic Status. The clinical manifestations were dominated by clinical anemia (60%), edema of renal origin (33.33%) and altered general condition (72%). The Mean Creatinine Clearance Value According to MDRD Was 51.94 ± 31.25 ml/min/1.73m2 with ranges from of 1.31 to 195.4 ml/min/1.73m2. Most patients were in stage 3 chronic kidney disease (36%), followed by stage 4 (20%). Associated etiologies included benign prostatic hyperplasia (39.22%), diabetes (10.78%), systemic lupus (5.88%) and HIV (5.88%). The prescribed treatment consisted of: diet (56 patients), conservative treatment (64 patients), treatment of hyperkalemia (34 patients). Conclusion: Chronic kidney disease is a frequent complaint in internal medicine departments. It can often complicate certain chronic pathologies.