Background: Kidney diseases especially chronic kidney disease is becoming a great problem in the sub-region contributing significantly to both morbidity and mortality.

Methodology: This is a retrospective study of patients that died in the medical wards of John F. Kennedy Memorial hospital from February 2022 to July 2022. Admission and discharge registers, as well as death records of patients within this period were examined and relevant data extracted and analyzed.

Results: Two hundred and sixty four (264) patients died within this period of time. Out of these, 52 died of kidney problems giving a crude mortality of 19.7%. Of the 52 patients that died from kidney problem, 27(59.1%) were females. Overall mean age at death was 45.2±17.9 years. Mean age of females 49±16.8 years was significantly higher than that of males 41±18.3 years, p < 0.001. The commonest kidney  problem at death was chronic kidney disease (42%), followed by uremic encephalopathy (32%), which could be from acute or chronic kidney diseases. Acute kidney injury accounted for 25% of deaths.

Conclusion: Kidney diseases are important causes of death in the medical wards. This shows the importance of preventive measures and adequate management of non-communicable diseases that are responsible for the increasing occurrence of kidney diseases in our environment.