SUN-226 Audit of deaths in the nephrology department of the Zinder National Hospital

Abstract

Mortality is one of the most important demographic phenomena in public health and its rate is the first indicator of a population's health status. The purpose of our audit is to determine the epidemiological profile of the deaths, and to assess the management of the risk factors related to the occurrence of this unfortunate event. The study is a retrospective, descriptive and analytical cross-sectional study over a period of 5 years from January 2013 to December 2017, which is a census of all deaths of patients on dialysis or not in the Nephrology Department of HNZ. All patients who died while in hospital in nephrology and dialysis, or who were transferred to intensive care for renal complications, are included; and deaths outside these services and deaths at home are excluded. Our study showed an increase in the percentage of deaths in 2017 to 22.35% and a higher percentage in the 41-60 age groups to 36.87%. Men accounted for 74.46% of deaths. 80.15% of patients had an indication for first dialysis 55.32% of patients had ARF. Uremic complications accounted for 56.02% and anemia 42.55%. Mortality was high in the first 24 hours and beyond a week, at 24.82 and 61% respectively. The deaths occurred in 55.32% between 6pm - 8am, i.e. during the on-call period. We were able to evaluate the overall functioning of the nephrology hospitalization service at Zinder Hospital.