Causes de décès en milieu de réanimation polyvalente au Centre Hospitalier Universitaire Analakininina, Madagascar / Causes of death in the intensive care unit Of the Analakininina teaching hospital, Madagascar

Background: Intensive Care Unit unit is taking care the serious patients whose vital prognosis is engaged. Death remains the main fear of those patients who are admitted to intensive care. The main objective of our study was to identify the causes of death in the intensive care unit at the Analakininina teaching hospital, Toamasina, madagascar. Methods: This was a descriptive, retrospective study carried out from January 1, 2019 to June 30, 2019. Results: We had identified 110 cases of death with a high male prevalence and a sex ratio of 1.75. The average age was 48.73 +/- 17.60 years. The main reason for admission was disturbance of consciousness in 63.64% of cases with 24.45% of severe coma. Regarding the causes of death, a total of 25 diagnosis were made. The shock states represented 30% of the causes of death of which 69% were septic, 18% cardiogenic and 15.15% hypovolemic. Next, stroke accounted for 28%, cerebral malaria 7.27% and diabetic coma accounted for 5.45% of causes of death. The average length of hospital stay was 1.91 days. Conclusion: Our study provides a better understanding of the causes of death of patients in the intensive care unit. These data can point towards initiatives to improve the quality of care

Complications du diabète sucré: expérience des Cliniques Universitaires de Kisangani

Une etude a la fois prospective et retrospective a ete menee aux Cliniques Universitaires de Kisangani pour degager les complications evolutives associees au diabete sucre de l'adulte. Quatre-vingt-deux pour cent des malades ont des complications evolutives. Elles sont dominees par les infections(39;6 pour cent); l'HTA (24;2 pour cent) et les neuropathies (22 pour cent). Le coma acido-cetosique (13;3 pour cent) est la plus frequente des complications metaboliques. Presque toutes les complications sont retrouvees au debut de la maladie quelque soit le type de diabete sucre