| Article Details : |
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| | | Article Name : | | | Socio-demographic and clinical characteristics of
CKD patients of northern part of Bangladesh | | Author Name : | | | ABM MOBASHER ALAM
NUSRAT JAHAN
SYED ANISUZZAMAN, RATINDRA NATH MONDAL1
MONI RANI | | Publisher : | | | Bridge Center | | Article URL : |  | | | Abstract : | | | Background: Like other developing countries, in our country
major causes of mortality is shifted from communicable to noncommunicable diseases. CKD is one of the important NCDS that cause
huge mortality and morbidity. If CKD can be diagnosed early
progression can be halt or delayed but in developing countries CKD
patients usually presented in advanced stage.
Subjects and methods: This was a case study carried out
among the CKD patients of Dialysis unit of Rangpur Medical College
Hospital. Random sampling procedure was used to select the study
subjects. On an average about 10 CKD patients newly registered here
and a total of 35 CKD patients daily visited the unit for dialysis.
Assuming unknown prevalence of CKD in a sample size of 384 was
calculated. From the newly registered patient every third patient was
taken to generate the sample size of 384.
Results: In this study, we have studied a total of 304 CKD
patients of both sexes. Male were more than female (66.8% vs 33.2%).
Mean age of the study population was 45.37 years. 51% of the CKD patients were smoker but all gave up smoking after diagnosis of CKD.
Mean BMI of the CKD patients were 22.23 kg/m2, 2% were obese and
17.1% were overweight. Among the CKD patients 63.12% patients had
hypertension, DM and hypertension co-exist in 15.78%. During this
study mean duration of CKD was 2.33 years. At the time of diagnosis
of CKD mean creatinine was 6.91 mg/dl (range 2-19 mg/dl) and
eGFR was 12.86 mL/min (range 2.01-46.18 mL/min). Majority
65.79% of the patients were in stage 5 during diagnosis. First dialysis
was initiated on an average 1.36 years (minimum 0-15 years) after
diagnosis of CKD. At the time of onset of dialysis serum creatinine was
12 mg/dl (range 6-28.40 mg/dl). After dialysis serum creatinine was
5.98 mg/dl (range 2-17 mg/dl). Majority (77%) of the patient
undergone dialysis 2 times/week. Main indication of start of dialysis
was high creatinine (12 mg or more) in 97.7% and uremic
encephalopathy in 2.3%. In our study 10.52% patient had stroke,
among them 4.9% developed stroke after CKD, on the other hand
25.3% patient had IHD and maximum of them 15.8% developed after
CKD.
Conclusion: Majority of the CKD patients were male and from
rural area. They presented to the health care facilities in advanced
stage. Awareness generation can motivate the CKD patients to seek
health care support for early and effective intervention. | | Keywords : | | | Organic Manures, Sunflower Cultivar, Seed yield,
Nitrogen Uptake |
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