Publication: Detection and co-ordinated care management of chronic kidney disease at Kathmandu Medical College Teaching Hospital
| creativeworkseries.issn | 1812-2027 | |
| dc.contributor.author | L, Adhikary | |
| dc.contributor.author | R, Simkhada | |
| dc.date.accessioned | 2025-07-20T07:36:44Z | |
| dc.date.available | 2025-07-20T07:36:44Z | |
| dc.date.issued | 2005 | |
| dc.description.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 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/409 | |
| dc.language.iso | en_US | |
| dc.publisher | Kathmandu University | |
| dc.title | Detection and co-ordinated care management of chronic kidney disease at Kathmandu Medical College Teaching Hospital | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| local.article.type | Original Article | |
| oaire.citation.endPage | 364 | |
| oaire.citation.startPage | 360 | |
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