Author(s)

Arlette Géraldine Nguea Ndjame^1,2, Ameth Dieng^3,4, Vincent Ebenezer Ngamby¹, Mamadou Coume^5,6, El Hadji Fary Ka^5,7, Maria Fall^5,7, Ahmed Tall Lemrabott^5,7, Mouhamadou Moustapha Cisse^3,4, Abdou Niang^5,8

¹Department of Clinical Sciences, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon.
²Central Hospital of Yaoundé, Yaoundé, Cameroon.
³Health Sciences Training and Research Unit, University of Thiès, Thiès, Senegal.
⁴Regional Hospital of Thiès, Thiès, Senegal.
⁵Faculty of Medicine, Pharmacy and Odontology, Cheikh Anta Diop University, Dakar, Senegal.
⁶National University Hospital of Fann, Dakar, Senegal.
⁷Aristide Le Dantec Hospital, Dakar, Senegal.
⁸Dalal Jamm National University Hospital of Guédiawaye, Dakar, Senegal.

Introduction: The incidence of acute renal failure (ARF) increases with age. In Senegal, few studies have described the epidemiology of ARF in the elderly. The aim of our study is to establish the epidemiological profile of elderly patients with ARF, identify the causes of ARF in the elderly and assess treatment and prognosis. Methods: We conducted a descriptive and retrospective study over a five-year period from 2011 to 2015 involving patients aged 60 and over, treated for ARI during the study period. Data entry and analysis were done on Epi info 7.3. Results: We included a total of 45 patients. The prevalence of ARF was 3.34%. The mean age was 70.31 years (60 - 83) and the sex ratio was 3.5. Phytotherapy was found in 68.9%, hypertension was found in 68.9%, and diabetes was found in 31.1%. Prostate hypertrophy was found in 53.4% of patients. Pre-renal ARF was the most common (46.6%). Most of the cases, 66.67%, were at Stage 3 of KDIGO. The most common etiologies were respectively tumor (35.5%) and infection (20%). The most common complications were respectively hyperkalemia (33.3%) and hyponatremia (33.3%). Recovery was complete in 62.6% of cases, partial in 37.8% of patients and 13.3% of patients ended up on chronic hemodialysis. Mortality was 4.4%. Conclusion: Herbal medicine, hypertension and diabetes are frequently associated with ARF in the elderly. This justifies increased monitoring of the elderly subject with these conditions in order to subject him to early and appropriate care.

Acute Renal Failure, Elderly, Epidemiology

Ndjame, A. , Dieng, A. , Ngamby, V. , Coume, M. , Ka, E. , Fall, M. , Lemrabott, A. , Cisse, M. and Niang, A. (2023) Acute Renal Failure in the Elderly in the Nephrology Department of Aristide Le Dantec Hospital in Senegal: About 45 Cases. Open Journal of Nephrology, 13, 451-463. doi: 10.4236/ojneph.2023.134041.