Publication: Detection and co-ordinated care management of chronic kidney disease at Kathmandu Medical College Teaching Hospital
Date
2005
Authors
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Journal ISSN
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Publisher
Kathmandu University
Abstract
Objective: The objective of our study was to analyze the detection parameters, categorization and co-ordinated
management of Chronic Kidney Disease (CKD). The presenting clinical features, common lab investigations,
applied treatment protocols and noticed complications were recorded.
Methodology: A total of 40 patients of various stages of CKD on the basis of National Kidney Foundation (NKF),
Kidney Disease Outcome Quality Initiative (K/DOQI) guideline were included in the study.
Result: Out of them 24(60%) were males and 16(40%) were females. Constitutional symptoms like anorexia,
nausea and generalized weakness were common presenting complaints present in 37(92.5%) patients and were
associated with features of anaemia, metabolic acidosis and fluid overload in stage 5 CKD patients. The average
age of presentation was 51.3 years. Among 40 patients 21(52.5%) were managed conservatively, 17((42.5%) were
advised for Renal Replacement Therapy (RRT) through dialysis.2 (5%) patient expired during the treatment. The
average duration of hospital stay was 5.6 days. Diabetes Mellitus was the most common cause18 (45%), followed by
Hypertension 14 (35%) and Chronic Glomerulonephritis (CGN) 5 (12.5%) leading to CKD. The patients were
advised for regular follow up at Nephrology clinic.
Keywords: Chronic Kidney Disease, NKF, K/DOQI guideline, Diabetes Mellitus, Hypertension, Renal
Replacement Therapy