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Adejumo OA, Okaka EI, Akinbodewa AA, Iyawe OI, Edeki IR, Abolarin OS. Self-perceived Burden on Caregivers, Anxiety and Depression among Chronic Kidney Disease Patients in Southern Nigeria. West Afr J Med 2021; 38:335-341. [PMID: 33900716] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
INTRODUCTION Psychosocial problems are common in chronic kidney disease (CKD) patients and are associated with poor overall outcomes; however, their evaluation has not received the deserved attention. This study assessed self-perceived burden on caregivers, psychosocial wellbeing, anxiety and depression among CKD patients, and the impact on their quality of life (QoL) in two hospitals in Nigeria. METHODS This was a cross-sectional study. Self-perceived burden on caregivers, QoL, anxiety, and depression of the patients, were assessed using the Cousineau questionnaire, modified SF-12 questionnaire, Hospital Anxiety and Depression Scale, respectively. RESULTS There were 141 participants in the study comprising 50 haemodialysis (HD) patients, 41 pre-dialysis CKD patients and 50 controls. The male: female ratio for CKD patients and controls were 1.1 and 1.4 respectively. Prevalence of depressive and anxiety symptoms in the CKD patients were 46.2% and 33.0% respectively. The QoL score was significantly higher in the control group compared to the CKD patients (p= <0.001) and significantly lower in the HD patients compared to the pre-dialysis CKD patients (p= <0.001). Self-perceived burden score was significantly higher in the HD group compared to the pre-dialysis CKD group (p = < 0.001) There was a negative correlation between QoL score and self-perceived burden, hospital anxiety score and hospital depression score (p =<0.001). CONCLUSION Psychological disorders and self-perceived burdens are highly prevalent among CKD patients. They have negative impact on their QoL, hence regular evaluation and management of these disorders should be incorporated into the care of CKD patients.
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Affiliation(s)
- O A Adejumo
- Department of Internal Medicine, University of Medical Sciences, Ondo City, Ondo State, Nigeria
| | - E I Okaka
- Department of Internal Medicine, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria
| | - A A Akinbodewa
- Department of Internal Medicine, University of Medical Sciences, Ondo City, Ondo State, Nigeria
| | - O I Iyawe
- Department of Internal Medicine, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria
| | - I R Edeki
- Department of Internal Medicine, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria
| | - O S Abolarin
- Department of Internal Medicine, University of Medical Sciences, Ondo City, Ondo State, Nigeria
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Adejumo OA, Akinbodewa AA, Ogunleye A, Okaka EI, Lamidi O, Akinbo E. Metabolic Syndrome and Atherosclerotic Cardiovascular Risk in a Population Of Market Women in a Semi-Urban Town, South-West Nigeria. West Afr J Med 2020; 37:666-670. [PMID: 33185264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
BACKGROUND Metabolic Syndrome (MS) is a non-communicable disease of global significance. The presence of MS denotes increased risk of cardiovascular disease. The global prevalence of MS is on the increase because of lifestyle changes like consumption of high calorie, low fibre foods coupled with reduced physical activity OBJECTIVES: To determine the prevalence of MS and its components and to estimate atherosclerotic cardiovascular disease (ASCVD) risk in a population of market women. METHODS A cross-sectional, observational study among female traders in a market in South-western Nigeria. MS was determined using the harmonized NCEP-ATPIII and IDF criteria. The ASCVD risk estimator by the American College of Cardiologists and American Heart Association was used to assess ASCVD risk. RESULTS One hundred and sixty-nine female traders aged 23 to 80 years with a mean age of 52.8±13.2 years were involved in the study. Overweight and obesity were seen in 61 (36.5%) and 57 (34.1%) participants respectively. Prevalence of MS was 34.9% and the most frequent components of MS were hypertension (62.1%), low HDL-cholesterol (53.8%) and elevated serum triglycerides (18.3%). MS was associated with increasing age (p= 0.010) and BMI (p= 0.009). Significant 10-year ASCVD risk was found in 63 (52.1%) out of 121 participants eligible for ASCVD risk estimation. Significant 10-year ASCVD risk was found in 33(67%) out of 59 participants with MS. CONCLUSION This study demonstrated significant risk for cardiovascular disease in a population of market women. A more active lifestyle, appropriate diet and treatment of hypertension, diabetes and dyslipidaemia should be encouraged.
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Affiliation(s)
- O A Adejumo
- Department of Internal Medicine, University of Medical Sciences Teaching Hospital, Ondo, Nigeria
| | - A A Akinbodewa
- Department of Internal Medicine, University of Medical Sciences Teaching Hospital, Ondo, Nigeria
| | - A Ogunleye
- Department of Medical Laboratory Science, University of Medical Sciences Teaching Hospital, Ondo, Nigeria
| | - E I Okaka
- Department of Internal Medicine, University of Benin Teaching Hospital, Benin City, Nigeria
| | - O Lamidi
- Department of Internal Dietetics, University of Medical Sciences Teaching Hospital, Ondo, Nigeria
| | - E Akinbo
- Department of Nursing, Federal Medical Centre, Owo, Nigeria
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Adejumo OA, Akinbodewa AA, Enikuomehin OC, Lawal OM, Abolarin OS, Alli OE. Pregnancy-related acute kidney injury: Etiologies and short-term outcomes in a tertiary hospital in Southwest Nigeria. Saudi J Kidney Dis Transpl 2020; 30:1423-1430. [PMID: 31929290 DOI: 10.4103/1319-2442.275487] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Although the incidence of pregnancy-related acute kidney injury (PRAKI) is declining in developing countries, it still remains a major cause of maternal and fetal morbidity and mortality. The aim of this study was to determine the etiologies, short-term outcomes, and their predictors in patients with PRAKI managed in a tertiary health facility in Southwest Nigeria over a four-year period. This was a four-year retrospective review of clinical records of patients managed for PRAKI in University of Medical Sciences Teaching Hospital, Ondo State, Nigeria. Thirty-two women with a mean age of 31.09 ± 7.50 years had PRAKI during the period reviewed. Twenty-four (75%) patients were multiparous and PRAKI was most common in the postpartum period (56.3%). Twenty-three patients (71.9%) were in RIFLE Stage 3, 24 (75%) received blood transfusion, 5 (15.6%) required intensive care unit (ICU) care, 24 (75%) needed dialysis while 19 (59.4%) had hemodialysis. The common causes of PRAKI were obstetric hemorrhage in 16 (50%), sepsis in seven (21.9%), and eclampsia in six (18.8%). Maternal and fetal mortality were 34.4% and 50% respectively. Seventeen (53.1%) had full renal recovery and only one (3.1%) became dialysis dependent. Significant factors that were associated with maternal mortality were admission to ICU (P = 0.01), hypotension (P = 0.02), and impaired consciousness (P <0.001) PRAKI is still relatively common and significantly contributes to maternal and perinatal mortality in Nigeria. Obstetric hemorrhage which is the most common cause of PRAKI is preventable and treatable. There is a need for physicians to effectively prevent and manage obstetric hemorrhage.
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Affiliation(s)
- O A Adejumo
- Department of Internal Medicine, Kidney Care Centre, University of Medical Sciences, Ondo, Ondo State, Nigeria
| | - A A Akinbodewa
- Department of Internal Medicine, Kidney Care Centre, University of Medical Sciences, Ondo, Ondo State, Nigeria
| | - O C Enikuomehin
- Department of Internal Medicine, Kidney Care Centre, University of Medical Sciences, Ondo, Ondo State, Nigeria
| | - O M Lawal
- Department of Internal Medicine, Kidney Care Centre, University of Medical Sciences, Ondo, Ondo State, Nigeria
| | - O S Abolarin
- Department of Internal Medicine, Kidney Care Centre, University of Medical Sciences, Ondo, Ondo State, Nigeria
| | - O E Alli
- Department of Internal Medicine, Kidney Care Centre, University of Medical Sciences, Ondo, Ondo State, Nigeria
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Akinbodewa AA, Gbadegesin BA, Adejumo OA, Ahmed SD, Uwameiye O, Dada SA, Okunola O, Osho PO. A Multicentre Study of Awareness and Practice of Vaccination Against Infectious Diseases Among Haemo-Dialysis Subjects in Nigeria. West Afr J Med 2019; 36:239-245. [PMID: 31622486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
BACKGROUND Numerous studies indicate that immunization against vaccine-preventable infectious diseases lowers mortality among Chronic Kidney Disease/dialysis patients and improve their quality of life. However, their knowledge and practice of this appears to be poor in Nigeria and parts of Africa. OBJECTIVES We set out to determine subjects' awareness of vaccination against preventable infectious diseases and its impact on their participation in vaccination programs. METHODS A prospective, cross-sectional study. Data was collated using questionnaires, laboratory results and dialysis entries and analyzed using IBM SPSS Statistics19. RESULTS One hundred and twenty-four participants (mean age, 48.26±14.45 years) undergoing maintenance haemodialysis were studied. Sixty-two subjects (50.4%), 15.3% and 16.9% had heard of Hepatitis B Virus, S. pneumoniae and H. influenza virus respectively. Thirty-four (54.6%) of the participants first heard of these infections from sources other than healthcare personnel. Of the three common infections, study participants only received formal counselling on Hepatitis B Virus (HBV) infection. Majority had never heard of S. pneumoniae or H. influenzae. Seven (5.7%) had completed their HBV immunisation schedule only. Better educated participants were more aware of necessary vaccination against Hepatitis B Virus (p=0.000) S. pneumoniae (p=0.005) and H. influenza virus (p = 0.003). A significantly higher proportion of participants who received health-personnel driven formal education commenced vaccination against Hepatitis B virus (p=0.000). CONCLUSION Awareness and practice of vaccination against infectious diseases by haemodialysis patients was found to be poor. Defective system and practice of information dissemination by healthcare workers was remarkably contributory.
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Affiliation(s)
- A A Akinbodewa
- Kidney Care Centre, Department of Medicine, University of Medical Sciences Teaching Hospital, Ondo City, Ondo State, Nigeria
| | - B A Gbadegesin
- Renal Unit, Ladoke Akintola University of Technology Teaching Hospital, Ogbomosho, Oyo State, Nigeria
| | - O A Adejumo
- Kidney Care Centre,Medical Village,University of Medical Sciences Teaching Hospital,Ondo City, Ondo State,Nigeria
| | - S D Ahmed
- Renal Unit, Irrua Specialist Teaching Hospital, Irrua, Edo State
| | - O Uwameiye
- Renal Unit, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria
| | - S A Dada
- Renal Unit, Ekiti State University Teaching Hospital, Ekiti State, Nigeria
| | - O Okunola
- Renal Unit, Obafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria
| | - P O Osho
- Department of Haematolgy , University of Medical Sciences Teaching Hospital, Ondo City, Nigeria
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Akinbodewa AA, Ogunleye A, Adejumo OA, Daomi VO, Okunola O, Oluwafemi TT, Alli EO, Olalusi VO, Osho PO, Lamidi OA, Fadipe F, Falekulo OK. Study of association between sickle cell trait and renal dysfunction among young adults in South-west Nigeria. Niger J Clin Pract 2019; 22:201-207. [PMID: 30729943 DOI: 10.4103/njcp.njcp_253_18] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background Although sickle cell disease has become a recognized etiology of chronic kidney disease (CKD), the sickle cell trait (SCT) variant was until recently believed to be a benign carrier state with little or no effect on the health of affected individuals. However, recent studies now appear to suggest an association between SCT and CKD. Objective The objective of the study is to determine the association between SCT (hemoglobin AS) and renal dysfunction among young Nigerian adults. Methodology This was a cross-sectional, descriptive study among apparently healthy undergraduates of Adeyemi College of Education, Ondo, southwest Nigeria. Their hemoglobin genotypes were determined using standard alkaline electrophoresis; their blood pressure, anthropometry, serum total cholesterol (TC), creatinine, and estimated glomerular filtration rate (eGFR) were determined. Data analyzed using Statistical Package for Social Sciences (SPSS) 20 were significant at P < 0.05. Results Six hundred and two subjects with HbAS (SCT, n = 465) and HbAA (non-SCT, n = 137) were studied. Their age range was 18-30 years with male-to-female ratio 1:3.8. There was no difference in the prevalence of renal dysfunction between SCT and non-SCT subjects (5.1% vs. 5.2%, P = 0.591). There was no increased risk of CKD among subjects with SCT (PR, 0.99 at 95% CI [0.417-2.348]). Conclusion SCT was not associated with increased risk of renal dysfunction among young adults in Nigeria. Further studies are needed to clarify the controversy, especially in Nigeria, with a relatively higher prevalence of SCT.
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Affiliation(s)
- A A Akinbodewa
- Department of Medicine, University of Medical Sciences Teaching Hospital, Ondo, Nigeria
| | - A Ogunleye
- Department of Medical Laboratory Services, University of Medical Sciences Teaching Hospital, Ondo, Nigeria
| | - O A Adejumo
- Department of Medicine, University of Medical Sciences Teaching Hospital, Ondo, Nigeria
| | - V O Daomi
- Department of Medical Laboratory Services, University of Medical Sciences Teaching Hospital, Ondo, Nigeria
| | - O Okunola
- Renal Unit, Obafemi Awolowo University Teaching Hospital, Ile Ife, Nigeria
| | - T T Oluwafemi
- Department of Medical Laboratory Services, University of Medical Sciences Teaching Hospital, Ondo, Nigeria
| | - E O Alli
- Department of Medicine, University of Medical Sciences Teaching Hospital, Ondo, Nigeria
| | - V O Olalusi
- Department of Medicine, University of Medical Sciences Teaching Hospital, Ondo, Nigeria
| | - P O Osho
- Department of Haematology, University of Medical Sciences Teaching Hospital, Ondo, Nigeria
| | - O A Lamidi
- Department of Dietetics, University of Medical Sciences Teaching Hospital, Ondo, Nigeria
| | - F Fadipe
- Department of Nursing Science, University of Medical Sciences Teaching Hospital, Ondo, Nigeria
| | - O K Falekulo
- Department of Medicine, University of Medical Sciences Teaching Hospital, Ondo, Nigeria
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Akinbodewa AA, Adejumo OA, Ogunsemoyin AO, Osasan SA, Adefolalu OA. Co-existing autosomal dominant polycystic kidney disease and nephrotic syndrome in a Nigerian patient with lupus nephritis. Ann Afr Med 2016; 15:83-6. [PMID: 27044732 PMCID: PMC5402818 DOI: 10.4103/1596-3519.179735] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
A little over 30 cases on co-existing nephrotic syndrome and autosomal dominant polycystic kidney disease (ADPKD) have been reported from different regions of the world since 1957. We present a case report on co-existence of nephrotic syndrome (secondary to lupus nephritis) with ADPKD in a 24-year-old woman from Nigeria. She was positive for anti-double stranded DNA. Renal histology showed International Society of Nephrology/Renal Pathology Society Class II lupus nephritis. The co-existence of nephrotic syndrome and ADPKD may have been overlooked in Africa in the past. There is a need to screen for nephrotic syndrome in patients with ADPKD among clinicians in the African setting.
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Affiliation(s)
- A A Akinbodewa
- Kidney Care Centre, University of Medical Sciences, Ondo State, Nigeria
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Abstract
Co-occurrence of aminoglycoside-induced ototoxicity and nephrotoxicity is rare, possibly as a result of divergent mechanisms of tissue damage despite similarities in the anatomy of the inner ear and the proximal renal tubular epithelium. We present the case of a 63-year-old hypertensive woman who developed nonoliguric acute exacerbation of chronic renal failure and sudden onset of sensorineural deafness after receiving daily injections of gentamicin. Coexisting ototoxicity and nephrotoxicity from aminoglycosides can occur, though rare. Adverse effects of aminoglycosides are better prevented by a careful exercise of discretion by prescribers.
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Affiliation(s)
- A A Akinbodewa
- Department of Medicine, Kidney Care Centre, University of Medical Sciences, Ondo, Ondo State, Nigeria
| | - O Okunola
- Department of Renal Unit, Obafemi Awolowo University Teaching Hospital, Ile Ife, Osun State, Nigeria
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