Évaluation du Risque Cardiovasculaire Absolu Chez les Patients Hémodialysés Diabétiques et Non diabétiques au Centre National d’Hémodialyse de Donka Conakry

Introduction: Cardiovascular risk in hemodialysis appears to vary depending on diabetic status and other associated factors and is a public health problem in Africa in general and particularly in Guinea. The objective of this study was to assess the risk of absolute cardiovascular disease in diabetic hemodialysis patients, compared to non-diabetic hemodialysis patients. Methods: Between April 1 and June 30, 2019, a descriptive and analytical cross-sectional study was conducted at the National Hemodialysis Centre in Donka. The study included 140 hemodialysis patients during the period. Recruitment was comprehensive and involved all hemodialysis patients meeting the selection criteria. The data were collected prospectively in hemodialysis patients and then compiled and processed in Epi info. 7.2.2.6. A semi-administered questionnaire had been used. To assess cardiovascular risk in patients, FRAMINGHAM RISK SCORE (FRS) was used. Results: The survey involved 140 individuals, 91 of whom (65.00%) 49 (35.00%) were men. sex ratio of 1.86 or 2 men per woman. The average age was 41-4.1 years with extremes of (30; 74) years. There was a predominance among men of risk factors for smoking. The study found 39 diabetics versus 101 non-diabetics. The risk was high in 23 out of 39 diabetics; and 25 out of 101 non-diabetic patients. Conclusion: The study shows that one in four patients would have a high absolute risk in diabetic and non-diabetic patients and also confirms the association of other factors that increase this risk. The survey involved 140 individuals, 91 of whom (65.00%) 49 (35.00%) were men. sex ratio of 1.86 or 2 men per woman. The average age was 41-4.1 years with extremes of (30; 74) years. There was a predominance among men of risk factors for smoking and diabetes. In our series, most of our patients had a low risk level of 56 (40%). Conclusion: This survey finds a low risk in this hemodialysis population. This should lead to strengthening strategies for preventing cardiovascular disease in this at-risk population. Le risque cardiovasculaire chez les hemodialyses semble varier en fonction du statut diabetique ainsi que d’autres facteurs associes et constitue un probleme de sante publique en Afrique en general et particulierement en Guinee. Dans ce sens, l’objectif de cette etude etait d’evaluer le risque de survenue d’une pathologie cardiovasculaire absolu chez les patients hemodialyses diabetiques, par rapport aux patients hemodialyses non diabetiques. La presente, etude transversale, descriptive et analytique a ete realisee entre le 1 ier avril et le 30 juin 2019 au Centre National d’Hemodialyse de Donka. L’etude a inclus les 140 patients hemodialyses durant la periode. Le recrutement etait exhaustif et concernait tous les patients hemodialyses repondant aux criteres de selection. Les donnees ont ete recueillies prospectivement chez les patients hemodialyses puis compilees et traitees dans Epi info. 7.2.2.6. Un questionnaire semi-administre a ete utilise a ce fin. Pour evaluer le risque cardiovasculaire chez les patients le FRAMINGHAM RISK SCORE (FRS) a ete aussi utilise. L’enquete a concerne 140 individus dont 91 (65,00%) etaient des hommes, contre 49 (35,00%) de femmes, soit un sex- ratio de 1,86 soit 2 hommes pour une femme. L’âge moyen etait de 41 ± 4,1 ans avec des extremes de (30 ; 74) ans. On notait une predominance chez les hommes des facteurs de risque, pour le tabagisme. L’etude a trouve 39 diabetiques contre 101 non diabetiques. Le risque etait eleve chez 23 diabetiquessur 39 ; et 25 sur 101 des patients non diabetiques. L’etude montre qu’un patient sur quatre aurait un risque absolu eleve chez les patients non diabetiques et un patient sur deux chez les patients diabetiques. Ce risque est majore par d’autres facteurs associes.