A 10-Year retrospective review of renal cases seen in a Tertiary Hospital in West Africa.

Authors

  • Elliot Koranteng Tannor Department of Internal Medicine, Division of Nephrology, Komfo Anokye Teaching Hospital
  • Kwame Adusei Research and Development Unit, Komfo Anokye Teaching Hospital
  • Betty R Norman Department of Medicine, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

DOI:

https://doi.org/10.31191/afrijcmr.v2i2.24

Keywords:

Renal medicine, West Africa, Chronic Kidney disease, Acute Kidney Injury, Ghana

Abstract

Introduction

Renal diseases commonly present to the Komfo Anokye Teaching Hospital (KATH). There has not been a comprehensive analysis of the number of renal cases managed. We set out to analyze comprehensively the renal cases seen at KATH to describe the trends a decade.

Methods

A retrospective study was conducted from January 2006 to December 2016. We collected secondary data from the records on the wards, outpatient clinics and hemodialysis unit from the KATH annual reports. Trends in renal cases were then plotted.

Results

Renal outpatient clinics started in 2007. There were an average of 65,273 medical out patients seen yearly with renal conditions accounting for 5,397 (8.3%). Renal clinic patients increased by 271% from 710 in 2007 to 1927 in 2016.

The average yearly medical admission was 6,880 patients of which renal admissions accounted for 276 (4.0%).  The average position of renal admissions was 6th (range 2nd-10th) of total medical admissions. The average annual mortality rate of renal admissions was 32.7%. The average mortality of general medical cases was 23.8% annually.

Hemodialysis services commenced in 2006. Patients on haemodialysis have increased by 50 times from 8 in 2006 to 407 in 2016. Hemodialysis session also increased by 38.8 times from 59 in 2006 to 2350 in 2016. The average number of patients on hemodialysis per year was 211.5.

Conclusion

Renal disease is a common condition in KATH associated with significant morbidity and mortality. A concerted effort is needed to enhance the diagnosis and management of renal diseases in Ghana.

 

Author Biographies

Elliot Koranteng Tannor, Department of Internal Medicine, Division of Nephrology, Komfo Anokye Teaching Hospital

Dr Elliot Koranteng Tannor is a Specialist Physician and Nephrologist at the Komfo Anokye teaching Hospital (KATH). He is also an Adjunct Lecturer with the Department of Medicine of the School of Medical Sciences of the Kwame Nkrumah University of Science and Technology (KNUST). He is a Member of the West African college of physicians (WACP) and Fellow of the international society of Nephrologist (ISN) after training with Prof Razeen Davids in Tygerberg Hospital in Cape Town, South Africa from 2014-2016 passing the Nephrology certificate exams with Distinction and MPhil Nephrology with Cum laude.

During his stay in Tygerberg hospital he enhanced himself by taking up courses in Research Methodology, data management and exploratory data analysis organized by the Centre for Evidence based health care of the Stellenbosch University and Fundamentals of Epidemiology from 1st July to 30th November, 2015 organized by the Division of Community health of the Department of Interdisciplinary health sciences.

Dr. Tannor is a Principal Investigator of the KNUST site of the H3Africa Kidney disease research network. The H3Africa Kidney Disease Research Network has recruited over 7,000 subjects with chronic kidney disease (CKD) and controls into research studies. The study now embarks on genotyping of Apolipoprotein L1 (APOL1) gene variants in recruited subjects. These studies will allow an understanding of the contribution of APOL1 gene variants to the development of chronic kidney disease (CKD) in black Africans.

He is also in charge of the African association of Nephrologist (AFRAN) renal registry for the Kumasi site. His research interest are in lupus nephritis and quality of life in patients with chronic kidney disease and those on chronic dialysis and interested in using qualitative research to ascertain the quality of life of and patients with end stage renal disease on renal replacement therapy. 

 He is currently also rejuvenating the renal unit of the KATH with proper management of patients on hemodialysis and have started performing renal biopsies for the adequate management of kidney disease in KATH. He plans to start chronic peritoneal dialysis in adults at the KATH soon. He is also setting up a database for proper record keeping of patients with kidney diseases in the Ashanti region..

 

Elliot is also involved with advocacy to help prevent kidney diseases through talks on radio, television, churches and organizations. He is also a board member of a non-governmental Organization (NGO) involves in preventing non-communicable diseases such as diabetes, hypertension and kidney diseases. He has also written a lot of articles for publication in the most popular media houses in Ghana such as The Graphic, myjoyonline.com, and Ghana Business news.

Kwame Adusei, Research and Development Unit, Komfo Anokye Teaching Hospital

Research assistant at the Research and Development Unit of komfo Anokye Teaching Hospital

Betty R Norman, Department of Medicine, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

Lecturer in the Department of Medicine, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

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Published

07-12-2018

How to Cite

Tannor, E. K., Adusei, K., & Norman, B. R. (2018). A 10-Year retrospective review of renal cases seen in a Tertiary Hospital in West Africa. African Journal of Current Medical Research, 2(2). https://doi.org/10.31191/afrijcmr.v2i2.24

Issue

Vol. 2 No. 2 (2018): Status quo

Section

Research

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Copyright (c) 2018 Elliot Koranteng Tannor, Kwame Adusei, Betty R Norman

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