Screening of Chronic Kidney Disease in Adults: A 10 years' Experience in North Indian City on World Kidney Day.

Pradeep Kumar Rai, Punam Rai, Sonam Bedi, Anubhav Bansal, Yashwin Rai
Author Information
  1. Pradeep Kumar Rai: Department of Nephrology, Opal Hospital, Varanasi, Uttar Pradesh, India.
  2. Punam Rai: Department of Physiology, Opal Hospital, Varanasi, Uttar Pradesh, India.
  3. Sonam Bedi: Department of Community Medicine, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India.
  4. Anubhav Bansal: Department of Cardiothoracic and Vascular Surgery, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India.
  5. Yashwin Rai: Department of Medicine, SRM Medical College, Chennai, Tamil Nadu, India.

Abstract

Chronic kidney disease (CKD) is a complex disease that is asymptomatic in its early stages. Its delayed recognition may predispose patients to adverse outcomes. Early detection and management of kidney disease through screening programs is widely recommended. In the present study, we conducted a screening program at a hospital set up on World Kidney Day for 10 years to detect patients with CKD. The current study constituted 1324 apparently healthy adults, aged >18 years. Information on age, sex, height, weight, history of diabetes mellitus (DM) and hypertension (HTN), and familial history of kidney disease was recorded. Systolic and diastolic blood pressure, random blood sugar; urinalysis, and serum creatinine (Cr) levels were measured. The study outcome was the presence of CKD. Binary logistic regression analysis was applied to find the predictors of CKD. The median age of the study subjects was 40 years. CKD was found in 35.6% of subjects. Age, DM, HTN, and abnormal Cr levels were associated with increasing risk of CKD. The main objective of the present study was to identify the extent of risk relative to the co-factors of CKD and thereby target those who are potentially modifiable, like DM, to intervene at the earliest possible stage to treat the current disease condition and prevent the future health impairment.

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MeSH Term

Adult
Humans
Kidney
Renal Insufficiency, Chronic
Diabetes Mellitus
Hypertension
Blood Pressure
Risk Factors

Word Cloud

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