Prevalence And Associated Factors Of Chronic Kidney Disease Among Diabetic Patients That Attend Public Hospitals Of Addis Ababa

Background: Chronic Kidney Disease (CKD) is a global public health problem with highrnmortality and morbidity. It is becoming more prevalent in Ethiopia, but there are very limitedrnresearches regarding the prevalence and associated factors of the disease in general andrnparticularly among diabetic patients. Understanding the situation in Addis Ababa would helprnto excel the effort on the prevention of further expansion of the disease in the city and will bernused as an input for the country level efforts.rnObjective: The aim of this study was to assess the prevalence and associated factors of CKDrnamong diabetic patients that attend the public hospitals of Addis Ababa.rnMethods and Materials: A hospital based quantitative cross sectional study was conducted inrn3 public hospitals; the hospitals were Tikur Anbessa Specialized Hospital, Zewditu MemorialrnHospital and St. Paul Hospital. Among 355 systematically selected diabetic patients.rnProportion to population size was applied to determine the proportion of participants from thernstudy areas based on the number of diabetic patients that attended the hospitals in the firstrnquarter of 2008 Ethiopian fiscal year. Accordingly, 51 % of participants were from TikurrnAnbessa Specialized Hospital while 31 % were from St Paul Hospital and 18 % were fromrnZewditu Memorial Hospital. The research is conducted from September 2015 to May 2016.rnRelevant demographic and clinical data was collected using Semi-structured questionnaire,rninterview and document analysis from April 20 – May 12/2016. As the aim of the researchrnwas to find the period prevalence of CKD, five years data from April 2011 to April 2016 wasrnused. Estimated Glomerular Filtration Rate (eGFR) of participants was calculated usingrnCockcroft Gault and MDRD (Modification of Diet in Renal Disease) equation.The collectedrndata was analyzed using SPSS software: version 20. For the purpose of this study, CKD isrndefined as K/DOQI CKD stages 3–5 (eGFR< 60 ml/min/1.73 m2): with eGFR 30–59, 15–29rnand < 15 ml/min/1.73 m2, respectively.rnResult: The overall prevalence of CKD among the diabetic patients was 68 (19.1 %)) and 37rn(10.4 %) by Cockcroft Gault and MDRD equations respectively. Stage (3-5) prevalence ofrnCKD was 79.4 %, 16.2 % and 4.4 % by Cockcroft Gault equation while it is 73%, 21.6 % andrn5.4 % by MDRD equation respectively. No association was found between the analyzedrnfactors.rnConclusion: The prevalence of CKD in the study population was 19.1 % by Cockcroft Gaultrnand10.4 % by MDRD equations.

Get Full Work

Report copyright infringement or plagiarism