POS-056 Pattern of kidney disease in medical admissions in Ghana – a single centre study

Hitherto, chronic kidney disease (CKD) was almost always the diagnosis made by most clinicians when patients present with elevated serum creatinine in clinical settings Ghana. The majority of studies Ghana have therefore focused on CKD. There is anecdotal evidence that acute injury (AKI) mostly underdiagnosed settings. proportion reporting AKI currently unknown hospital admissions according to our knowledge. We set out describe pattern medical conducted a retrospective study all at Komfo Anokye Teaching Hospital (KATH) from November 2018 June and or KATH second largest tertiary 1200 beds. recorded demography, presentation laboratory findings notes admitted through emergency unit wards. compared diagnosed CKD also determined predictors mortality multiple logistic regression. P value less than 0.05 considered statically significant. involved 748 4,765 within period. Kidney diseases had prevalence 15.7% Hospital. were I86 (24.9%) 562 (75.1%) common cause tubular necrosis (ATN) involving 138 (74.2%) cases followed 43 (23.1%) pre-renal AKI. Post renal (obstruction) found 5 (2.7%) cases. 189 (25.3%) seen discharged Emergency 559 (74.7%) Renal replacement therapy required 306 (40.9%) point their management but only (14.5%) able undergo haemodialysis admission. In-patient admission 341 (45.6%). In-patients 96 (51.3%) as 245 (43.7%) (p=0.057). Mortality those significantly higher (73%) vs. 206 (36.9%), p<0.001. associated male sex (p<0.001), presence pericardial rub (p=0.018), discharges low MCV (p=0.020) account for 24.9% disease. high mortality. rub, sex, MCV.