Clinical and etiological profile of Chronic kidney disease patients on hemodialysis in a tertiary care hospital in northern part of Bangladesh
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 8
Abstract
Background: Chronic Kidney Disease (CKD) is emerging as an important public health problem, not only in developed countries, but also in developing countries including Bangladesh.Objective: To study the clinical and etiological background of patients with CKD on maintenance hemodialysis Method: This cross sectional study was conducted in the Department of Nephrology, Rangpur Medical College Hospital a tertiary level hospital from January 2017 to December 2017 over a period of one year. Ninety six CKD patients above 18 years of age on renal dialysis, and willing to participate in the study were enrolled in this study. Those who did not give informed consent, or had severe cognitive, speech or hearing defect were excluded from this study. Results: In this study, majority of the patients were in age groups 40-59 years. Males () were predominant (59.4% vs 40.6%). Hypertensive nephropathy (60.4%), CGN (36.5%), diabetic nephropathy (24.0%) were the most common etiologies found in this study. Cigarette smoking was prevalent in 18.8%, tobacco chewing 14.6%, NSAID use in 5.2% and alcohol consumption in 1.0% cases. Majority of the patients had Oliguria (72.9%), followed by 61.5% had GI symptoms 40.6% had dyspnea, 38.5% had prurius, 28.1% had volume overload and 12.5% had neuromuscular. Mean hemoglobin was 8.55 ± 2.12g/dl varying within a range of 3.80 g/dl to 12.9 g/dl. Anemia was present in 90.6% and 15.6% had a hemoglobin less than 7g/dl.Conclusions: The most common etiologies of CKD are hypertensive nephropathy, CGN and diabetic nephropathy. Common manifestations are oliguria, GI symptoms, dyspnea and prurius. Smoking is one of the risk factors of CKD.
Authors and Affiliations
ABM Mobasher Alam, Syed Anissuzzaman, Nusrat Jahan, Md. Shakhawat Hossain
Keywords
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- DOI 10.9790/0853-1708084245.
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