TITLE:
Direct Financial Cost of Acute Kidney Injury Management in the Nephrology-Hemodialysis Department of CHU-B, Burkina Faso
AUTHORS:
Saïdou Ouedraogo, Pegdebamba Francois Kissou, Patrice Zohinga, Yeremade Juste Bonzi, Judicael Dah, Siebou Hien, Gerard Coulibaly
KEYWORDS:
Cost, AKI, Bogodogo
JOURNAL NAME:
Open Journal of Nephrology,
Vol.16 No.4,
October
30,
2026
ABSTRACT: Objective: To examine the direct financial costs incurred by patients with acute kidney injury who were hospitalized in the Nephrology-Hemodialysis Unit at CHU-B in Burkina Faso from January 1, 2023, to January 31, 2024. Methodology: This was a descriptive cross-sectional study with retrospective data collection conducted from January 1, 2023, to January 31, 2024, in the Nephrology-Hemodialysis Department of CHU-B in Ouagadougou, Burkina Faso. Results: Of the 116 patients included, 66.4% were male, with a mean age of 41.6 ± 14.8. Seventy-one point six percent (71.6%) of the patients resided in urban areas, and 81.9% were of low socioeconomic status. Acute kidney injury (AKI) was organic in 72.4% of cases. The mean length of stay was 7.5 ± 3.6 days. In financial terms, the average total cost was 154,600 ± 134,502 FCFA for patients not on dialysis—with medication costs accounting for the largest share (45.8%)—and 513,086 ± 199,802 FCFA for patients on dialysis—with dialysis costs accounting for the largest share (32.5%). The average cost of hemodialysis was 71,982 ± 82,669 CFA francs. One patient admitted for obstructive acute kidney injury underwent surgical treatment at a total cost of 258,000 CFA francs. Conclusion: Despite the government’s efforts, the direct financial cost of inpatient care for acute kidney injury remains beyond the reach of most people.