Hémodialyse chronique et dépression au Centre Hospitalier Universitaire Sylvanus Olympio de Lomé (Togo)

Abstract

Introduction: The aim of our study was to estimate the prevalence of depression and to investigate its associated risk factors in patients with chronic renal failure on hemodialysis. Methods: We conducted a descriptive cross-sectional study in the hemodialysis unit of the Division of Nephrology at the University Hospital of Sylvanus Olympio Lomé (Togo) from 1 January 2014 to 31 December 2014. Self-evaluation Scale as calibrated using the Beck Depression Inventory in his simplified version was our screening tool. Results: During the study period, 88 patients were enrolled of whom 61.4% were men with a sex ratio of 1.6. The average age was 38.80 ± 13.24 years ranging from 12 to 66 years. The majority of patients (90.9%) were workers. Arterial hypertension was the most common somatic comorbidity (45.4%) recorded. Forty-six patients (52.3%) had hemodialysis duration between 1-4 years; 68.2% of patients had depression; 47.7% of depressed patients had severe depression. The occurrence of the depression is significantly related to the hemodialysis length (p=0,008). Conclusion: The management of chronic hemodialysis patient should be multidisciplinary including nephrologist and psychiatrist.