CO-MORBIDITIES AND THEIR MANAGEMENT IN PATIENTS WITH CHRONIC KIDNEY DISEASE IN A TERTIARY HOSPITAL OF KERALA
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 27
Abstract
BACKGROUND To manage patients with Chronic Kidney Disease (CKD) optimally, it requires appropriate knowledge of markers and stages of CKD and early disease recognition. Replacing the terms such as Chronic Kidney Disease (CKD), chronic renal insufficiency, chronic renal disease, chronic renal failure, the National Kidney Foundation, Kidney Disease Outcomes Quality Initiative has defined the all-encompassing term, CKD. An understanding of Estimated Glomerular Filtration (eGFR) is required as it is still considered the best overall index of kidney function in stable, non-hospitalised patients. There are multiple risk factors and comorbid diseases, which modify the natural course and prognosis of CKD and alter the necessity to change the management. The present study is conducted to study the co-morbidities in patients with CKD. The aim of the study is to study the co-morbidities in patients with chronic kidney disease. MATERIALS AND METHODS This study was a retrospective observational study on consecutive new patients with CKD who attended the dialysis unit of a tertiary teaching hospital in northern part of Kerala. 89 consecutive new patients with CKD who attended the dialysis unit of a tertiary teaching hospital were included. Co-morbid diseases, demographic data and eGFR were recorded. RESULTS Out of 89 patients, 63 were males and the remaining 26 were females. Patients belonged to the age group ranging from 35 to 80 years with a mean age of 54.42 ± 6.30. Among the various causes of primary kidney diseases, diabetic nephropathy was found in 47/89 (52.80%) of the patients, chronic glomerulonephritis in 19/89 (21.34%), hypertensive nephropathy in 8/89 (8.98%). CONCLUSION Among the various causes of primary kidney diseases, diabetic nephropathy was found to be the commonest followed by chronic glomerulonephritis in this study. Among the co-morbid conditions, co-morbid diabetes mellitus was observed the commonest, hypertension presenting the form of myocardial infarction, CVA, chronic pulmonary disease, congestive heart failure and peripheral vascular disease.
Authors and Affiliations
Muhammed Musthaque, Kunhi Kannan
Keywords
Related Articles
- EP ID EP217733
- DOI 10.18410/jebmh/2017/311
- Views 88
- Downloads 0
GIANT PROSTHETIC VALVE THROMBUS
Mechanical prosthetic valves are predisposed to bleeding, thrombosis & thromboembolic complications. Overall incidence of thromboembolic complications is 1% per year who are on oral anticoagulants, whereas bleeding compl...
A STUDY ON HEPATIC DYSFUNCTION IN DENGUE FEVER
BACKGROUND Dengue fever is a public health problem in India like many other countries. It causes epidemics almost each year in different parts of India causing a burden to our healthcare system. Apart from the classical...
MEDICOLEGAL ASPECTS OF ASPHYXIA WITH REFERENCE TO HANGING
The asphyxia in legal aspect can be caused by a number of events i.e. hanging, strangulation, suffocation, smothering, choking, electricity shock, etc. Hanging is a form of ligature strangulation in which the force appli...
A CROSS SECTIONAL STUDY OF NEUROPATHY IN PATIENTS ON ART WITH COMPARISON TO PATIENTS ON BOTH ART WITH ATT
BACKGROUND It is estimated that there are 35.5 million PLHA worldwide and 1.6 million have received ART. ART is freely available in designated ART centers. The main challenge in prescribing HAART along with ATT is ADRs a...
A COMPARATIVE STUDY OF RETINAL NERVE FIBER LAYER THICKNESS IN NORMAL AND GLAUCOMATOUS EYES USING SPECTRAL DOMAIN OPTICAL COHERENCE TOMOGRAPHY
BACKGROUND Glaucoma is the leading cause of irreversible blindness in the world. The peripapillary Retinal Nerve Fiber Layer (RNFL) thickness evaluation is a useful method to detect the early structural damage of glaucom...