Abstract

A PROSPECTIVE OBSERVATIONAL STUDY TO ASSESS CHRONIC KIDNEY DISEASES ALONG WITH IT’S CO-MORBIDITIES IN A TERTIARY CARE TEACHING HOSPITAL

Veerendra Gowda A. E., Spurthy Y., Vikram M., Vijayakumar A., Prathibha Bharathi K. and Dr. Nagarjuna D.*

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Abstract

Chronic Kidney Disease (CKD) is a condition characterized by gradual loss of kidney function over time, manifested by abnormal albumin excreation or decreased Kidney function, Quantified by measured or estimated glomerular filtration rate (GFR). That persists for more than three months, CKD is a world wide public health problem. Objective: The study aims to evaluate and carry out the prospective observational study to assess the Chronic Kidney Disease (CKD) along with it’s Comorbidities. Methodology: A prospective observational study was carried out for three months in Department of General Medicine, VIMS, Ballari. A total of 70 case records of patients with CKD were reviewed and details such as demographics, Co-morbidities, clinical manifestations, diagnostic tests and medical procedures are recorded. The collected data were analyzed in MS Excel and statistically analyzing the results of the study. Results: As a result of 70 patients who met the inclusion criteria were studied, comprising 36 (51.4%) males and 34 (48.57%) females. The majority of patients were in the age group of 46 – 60 (41.4%). Most of the patients according to Co-morbidities were seen in hypertension (39.25%). The majority of patients based on clinical manifestations were found with Breathlessness 34 patients (23.6%) followed by edema were 19 patients (13.19%). Out of 70 patients based on medical procedures were seen in 40 patients (57.14%) with Dialysis and 30 (42.85%) with Non- Dialysis. Most of the patients according to diagnostic test based on Serum creatinine values are 5.0 – 10 mg/dl are 34 (48.57%) and based on Blood urea values are Above 100 mg/dl are 48 (68.57%) patients. Conclusion: In our study found that prevalence of CKD was most affected in the age group 46 – 60 and common Co-morbidities observed in the study were Hypertension and Diabetes mellitus. Pharmacist plays a major role in hospital by providing services such as patient education, disease counseling, assessment of risk factors and detection of CKD in early stages, creating awareness in the public and health care workers therefore improve quality of life among the CKD patients.

Keywords: Chronic Kidney Disease, Glomerular filtration rate(GFR), C0-morbidity, Hypertension, Dialysis, Disease counselling, Awareness, Quality of life.