Comorbidities and their Management in Patients with Chronic Kidney Disease in a Tertiary Hospital of Kerala
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 1
Abstract
Introduction: 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 renal insufficiency, chronic renal disease, chronic renal failure the, the National kidney foundation kidney disease outcomes quality initiative, has defined the all encompassing term as CKD. An understanding of estimated glomerular filtration (e GFR) is required as it is still considered the best overall index of kidney function in stable, non-hospitalized 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 comorbidities in patients with CKD. Aim of the Study: The aim of the study was to study the comorbidities in patients with CKD. 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 the northern part of Kerala. 89 consecutive new patients with CKD, who attended the dialysis unit of a tertiary teaching hospital, were included. Comorbid diseases, demographic data, and e GFR, were recorded. Observations and 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%), and hypertensive nephropathy in 8/89 (8.98%). Conclusions: Among the various causes of primary kidney diseases diabetic nephropathy was found to be the most common followed by chronic glomerulonephritis in this study. Among the comorbid conditions, comorbid diabetes mellitus was observed the most common, hypertension presenting the form of myocardial infarction, Cerebro Vascular Accident (CVA), chronic pulmonary disease, congestive heart failure, and peripheral vascular disease.
Authors and Affiliations
C H Moideen Kutty Gurukkal, B K Bithun
Keywords
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