Screening of Chronic Kidney Diseases in Patients Hospitalized for Surgery at the National Hospital of Zinder in Niger
Background: Chronic kidney diseases (CKD) represent a significant public health issue worldwide, particularly in developing countries. Often with a silent onset, kidney diseases are frequently diagnosed late, necessitating hemodialysis treatment. Hence, prevention through screening remains the pri...
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| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Liaquat National Hospital and Medical College
2025-04-01
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| Series: | Liaquat National Journal of Primary Care |
| Subjects: | |
| Online Access: | https://journals.lnh.edu.pk/lnjpc/pdf/6c7bd80a-fc1a-4715-948a-a60dba49821c.pdf |
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| Summary: | Background: Chronic kidney diseases (CKD) represent a significant public health issue worldwide, particularly in developing
countries. Often with a silent onset, kidney diseases are frequently diagnosed late, necessitating hemodialysis treatment. Hence,
prevention through screening remains the primary approach to addressing this issue.
Objective: To screen for CKD patients hospitalized at the National Hospital of Zinder, Niger (HNZ) and scheduled for surgery.
Methods: This cross-sectional study was conducted within 8 surgical departments of the National Hospital of Zinder (HNZ) in Niger
over six months. The study included patients scheduled for surgery across various departments of HNZ.
Results: During this period, 497 patients were screened leading to the identification of 91 cases of CKD (stage 3 and below),
representing a prevalence of 18.3%. Among the children tested, 33 out of 47 (70.2%) had CKD stage 3 and above, without proteinuria.
The mean age of all patients was 31± 8 years, with a gender ratio of 2.6. Medical histories revealed high blood pressure (n=24;4.8%),
diabetes (1 patient), urinary tract infections (n=13;2.6%), and obstructive syndrome of the lower urinary tract (n=30;7.8%). Overweight
was observed in 4.8% of cases. De novo high blood pressure was identified in 98 patients (24.7%). Dipstick screening yielded positive
results in 17 patients (3.4% of cases). Renal ultrasound examination was performed in 75(15.1%) patients, with hydronephrosis
being the most frequent finding (n=22, i.e., 29.3% of tested patients). Regarding the absolute number of patients, among the different
departments of surgery, CKD prevalence was higher in general surgery, urology, and pediatric surgery.
Conclusion: Our findings demonstrate that childhood, hypertension, and urological pathologies are risk factors for CKD. Subclinical
renal abnormalities can be detected through screening via urine dipstick urinalysis, biological examinations, and renal ultrasound.
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| ISSN: | 2707-3521 2708-9134 |