A hospital survey of the clinical features of XXXX in Congo.

@entity1 @entity101 @entity6 @entity204 @entity413
The occurrence of @entity6 is increasing throughout the world, both in industrialised nations and in developing countries. While this disease is not a leading cause of @entity204 in developing country populations, it must nevertheless be considered for its social and economic impact. This study examines the clinical and epidemiological situation of @entity6 in the city of Kinshasa, Democratic Republic of Congo, as based on data from two city hospitals: Saint Joseph's Hospital (SJH) and the Centre Hospitalier Monkole (CHM), two urban health facilities typical of those developing countries. The results show that @entity6 is a real public health problem in Congo. Average blood @entity413 levels were above 300 mg/dl in 44.4% of @entity1 at SJH and 41.5% at CHM, and @entity101 (> or = 140/90 mmHg) was reported in 35.8% of @entity1 at SJH and 20% at CHM. The management of @entity6 and, in particular, its complications is suffering because of some cultural influences but mainly economic ones. In fact, incidence of disease complications is closely linked to the financial status of @entity1 and facilities. SJH, which serves mainly the low-income community, has a greater incidence of severe @entity6 -associated complications than CHM, which treats @entity1 with a higher mean income level. SJH hospitalised @entity1 had a 24.7% incidence of @entity6 foot with 3 amputations as compared to only a 10% incidence and no amputations for CHM hospitalised @entity1 . At SJH, 17.3% of @entity1 died during the study, while at CHM none died. Overall, differences in the prevalence of complications between SJH and CHM @entity1 were found not to be significant. For the large majority of Congo population, education on @entity6 is not available, and due to the failure of the national health system, access to treatment is impossible. Furthermore, because most @entity6 @entity1 in Congo go untreated, the mortality rate for the disease is high. Congo would greatly benefit from a national @entity6 program in order to give all @entity6 @entity1 in Congo access to good and consistent medical care.
