COMPARATIVE STUDY ON THE OCCURRENCE OF RENAL FAILURE AMONG SUDANESE PEOPLE (original) (raw)
Related papers
2016
Background: Chronic renal failure is currently recognized as an important global population health problem. The study aims to evaluate the effect of environmental and social factors on adult patients with chronic renal failure in Gaza governorates. Methodology: Retrospective study was conducted during the period from April to August 2015; in all hospitals in Gaza governorates. Study sample are a systematic random sample, which include 235 patients; all participants were subjected to questionnaire; response rate is 100%. Results: The study findings showed that male participant (56.6%) higher than female participant (43.4%); the highest age group is more than 50 years, which represent 46%; about 65% of patients are treated in Al Shifa hospital; about 74% of subjects are married, and 49.2% are considered relative to his wife or her husband; 68.5% of subjects their education level is less than Tawjihi (12 th stage); 71% of participants are suffering from chronic disease other than CRF; 46% of participants were used medications without prescribe; the highest type of medications that the patients used it is anti-inflammatory medications; the highest age group when sustained CRF is 51 years and more; 86.4% of participants don't have history of CRF among parents; 91.5% of subjects are unemployed now; while 47.2% were had jobs before sustaining CRF; the highest jobs is governmental jobs and buildings jobs; about 60% of subjects, their monthly income is less than 1000 NIS. Regarding to pesticides, 45.1% of participants were used pesticides inside their home; also 92.8% of subjects don't expose to environmental poisons. The study shows that 58% of subjects, are eating fast ready meals, sweets and soft drinks. As well as 57% are taking too much coffee and tea. And 45.5% are eating canned foods. Also 51.1% eating too much foods that contain carbohydrates; 70.6% eating too much food which contain proteins; 78.3% eating too much food that contain vitamins; 84.3% eating a red meat; 91.1% eating a white meat; 85.1% eating a sea foods; 74.9% don't practice an exercise or sports. About 70% of subjects, were non-smokers before CRF. In other hand 54% of participants are considered passive smokers. About half of subjects were used a municipality water as a source of drinking and cocking water before CRF. As well as 63% were drinking 2 litters and less per day. Finally the results reveals that 74% of participants have low knowledge about CRF before having it. Also 85.5% of patients didn't attended to health education programs. Conclusion: There is no statistically significant variations between gender and (governorate, residency, living in a crowded area, lived beside industrial area, using pesticides, lived in agricultural area, and knowledge about CRF). Also the results showed that there is statistically significant differences between gender and [exposure to chemicals during work, amount of drinking water, (Consumption of ready meals, sweets, and soft drinks), drinking much coffee and tea, consumption of canned food, and consumption of much salted food].
Epidemiological Characteristics of Chronic Renal Failure Patients of Hodeidah, Yemen in 2023
2024
Chronic renal failure (CRF) is an emergent worldwide public health problem. The increasing incidence of CRF warrants a need for an epidemiological approach to better understand the disease and its prevention. Therefore, the study aims to describe the epidemiological characteristics of chronic renal failure patients in Hodeidah, Yemen. The study included 560 patients with CRF in retrospective study (a case series based on medical files) in Center of Dialysis and Renal Diseases of Hodeidah, Yemen from 1 st January 2023 to 31 st December 2023. The patients were diagnosed based on evidencebased clinical practice guideline of all stages of CRF that was extracted from the National Kidney Foundation Kidney Disease Outcomes Quality Initiative (NKFKDOQI). Epidemiological data were reported with ethical approval consideration, data obtained were analyzed. 560 cases were diagnosed with renal failure, 555 patients (99.107 %) of them were diagnosed with CRF and 5 patients (0.89 %) were diagnosed with acute renal failure (ARF). CRF patients was founded 61.81 % in the males while 38.11 % in the females. However, this difference was statistically significant (X 2 = 30.921; p < 0.00001). The age range of patients was from 5 to 95 years, where 54.64% of cases occurred more than 50 years then 39.28 % between 18 to 49 years and the lower frequency was in children less than 18 years (5.22%) with different significant (X 2 = 226.314 ; p < 0.00001). In addition, 81.98 % of patients in rural and 18.02 % in urban. The maximum cases were reported in summer session namely 13.21 % in July and 11.25 % in August. On the other hand , the major causes were chronic diseases 406 case (73.14 %) that diagnosed and recorded , 161 case (29 %) of hypertension ,132 case (23.78 %) of diabetes , 113 (20.36 %) of inflammation nephrolithiasis obstructive uropathy , 8 cases (1.44 %) of genetic polycystic renal disease , and 4 cases (0.72 %) of sedative narcotic addiction and 137 case (24.68%) of unknown causes with different significant (X 2 = 119.00 ; p < 0.00001). The chronic diseases namely diabetes and hypertension were the major causes reported to develop the CRF, therefore, to prevent the development of CRF based on center for control diseases and control (CDC), managing risk factors.
Yemeni Journal for Medical Sciences
Objective: To estimate the underlying primary diseases of chronic renal failure (CRF) among patients attending Al-Thawra General Hospital, Sana'a, and Yemen. Methods: This was a cross-sectional, hospital-based study of 566 patients diagnosed with chronic kidney diseases (CKD). It studied the cases attending Al-Thawra General Hospital over a three-year period from January 2013 to December 2015. Results: Out of 566 patients, 339 (59.9%) were males. The mean age of the patients at diagnosis of CKD was 39.51 years, most of whom (36.6%) were of the age group of 21-35 years. Hypertension was the most frequent cause (43.2%) of CRF, followed by different infectious diseases such as malaria, schistosomiasis and bacterial infections (19%) and obstructive nephropathy (17.9%). On the other hand, CRF of unknown etiology represented 15.2% of cases. Other causes of CRF diabetic nephropathy (9.7%), effect of antibiotics and analgesics (7.0%), ischemic heart disease (4.8%, polycystic kidney disease (3.5%) and congenital anomalies (3.4%). The least common causes were autoimmune diseases, bleeding, traumatic accidents and chronic diarrhea, being responsible for 2.2%, 1.8%, 0.9% and 0.4% of CRF cases, respectively. Conclusions: The majority of CKD cases in our study were males aged between 21 and 35 years old. In addition, most cases of CKD are due to hypertension, followed by infections and obstructive nephropathy. Application of future prevention and control measures are highly recommended to reduce the burden of CRF in Yemen for early detection and proper management of its underlying primary conditions/diseases.
Chronic kidney disease and associated factors among adult population in Southwest Ethiopia
PLOS ONE, 2022
In Ethiopia, data on the burden and determinants of chronic kidney disease (CKD) in the general population is limited. This community-based study was conducted to assess the burden and associated factors of CKD among adults in Southwest Ethiopia. The study was conducted from August 23, 2018-October 16, 2018. Study participants were selected using a random sampling method. A structured questionnaire was used to collect relevant data. Blood pressure and anthropometric indices were measured following standard procedures. About 5 ml of urine sample was collected and the dipstick test was performed immediately. A blood sample of 3-5ml was collected for serum creatinine and blood glucose level determination. The three commonest estimators of glomerular filtration rate and the National Kidney Foundation Kidney Disease Outcomes Quality Initiative were used to define and stage CKD. Data were analyzed using SPSS 21. Multivariable logistic regression was employed and p-value <0.05 was used to indicate statistically significant results. A total of 326 participants with a mean age of 39.9(SD±11.2) years were enrolled in the study. The proportions of female participants (59.8%) were relatively higher than male participants (40.2%). The mean eGFR using CKD-EPI, CG and MDRD was 124.34 (SD±23.8) mL/min/1.73m 2 , 110.67(SD±33.0) mL/min/1.73m 2 and 131.29 (SD±32.5) mL/min/1.73m 2 respectively. The prevalence of CKD was 7.4% using CKD-EPI & MDRD and 8% using CG. Similar finding using CKD-EPI & MDRD may indicate that either CKD-EPI or MDRD can be used to estimate GFR in this study area. In the age and sex-adjusted logistic regression model, hypertension was significantly associated with CKD using CKD-EPI & MDRD and age �40 years old was significantly associated with CKD using CG. Behavioral characteristics and other traditional risk factors were not significantly associated with CKD in the current study. The prevalence of CKD was high in the study area. Only hypertension and age �40 years old were significantly associated with CKD. More of the increased prevalence of CKD in the current study remained unexplained and deserves further study.
Turkish Journal of Physiotherapy and Rehabilitation, 2021
Background: Chronic kidney disease (CKD) is common and serious, yet recognition and limited responses public health. It is one of the leading causes of mortality worldwide and is increasingly recognized as a global public healthcare challenge, especially in developing countries. Many people don't know they have a renal disease because up to 90% of renal function can be lost asymptomatic. StudyObjective: To describe clinical features and risk factors for developing chronic kidney disease among patients treated in Al-Sadder Medical Hospital in Al-Najaf City. Methodology: A descriptive design (cross-sectional)study was conducted on parsons selected from the Dialysis Kidney Unit at Al-Sadder Medical Hospital in Al-Najaf City in order to achieve the aim of the study. The study was conducted in Al-Najaf province / Al-Najaf Health Directorate/ Al-Sadder Medical Hospital. A Non-Probability (Accidental Sample)technique was used consisting of (128) patients with chronic kidney disease, which are included in the present study. The data were collected using a questionnaire consisting of three parts, including socio-demographic, clinical data form, and risk factors of CKD form. Results: Diabetes mellitus (DM) has a (71.9%) risk and had a significant role in CKD development. Hypertension (HT) had (62.5%). Cardiovascular disease (CVD) had (53.1%)risk for CKD and has more than one CVD type such as ischemic heart disease, heart failure. Family history of renal diseases had (62.5) times risk for CKD. Conclusion: There are many risk factors that play a major role in contributing to the progress and development of chronic kidney disease in Al-Najaf City, especially diabetes mellitus, hypertension, cardiovascular disease, family history of kidney disease, family history of chronic diseases.
Prevalence of chronic renal failure in adults in Delhi, India
Background. Chronic renal failure (CRF) is a debilitating condition responsible for high morbidity and mortality and is a financial burden on government and society. Because of its costs and the complexity of its treatment, proper care is available to very few patients in India. A community-based study has not been done to determine the prevalence of CRF in India. Methods. We used a multi-stage cluster sampling method in the South Zones of Delhi. In each area, we first contacted the local social leader and explained the study and the medical information pamphlets. On pre-scheduled days, the study team canvassed the study zone. The individuals contacted responded to a detailed questionnaire, and had a physical examination, a dipstick urine test for albumin and sugar and a blood test for serum creatinine. A serum creatinine >1.8 mg% defined renal failure. A repeat test for serum creatinine was done after 8-12 weeks to confirm chronicity of renal failure. If it was >1.8 mg% after 3 months in the absence of reversible factors, CRF was diagnosed. The person found to have CRF was asked to attend a hospital renal clinic for further investigations and individualized management. Results. A total of 4972 persons were contacted for the study. Their mean age was 42±13 years; 56% were males. Out of the 4972 who were initially approached, 4712 agreed to give the blood sample, and thus were included for the evaluation of CRF. CRF was found in 37 of them. Thus, the prevalence of CRF in that adult population was 0.785% or 7852/million. Conclusions. The prevalence of CRF in India makes it a serious problem in need of urgent efforts to contain it.
Chronic Kidney Disease in Libya, Cross-sectional Single Center Study
Epidemiology: Open Access, 2016
Background: Chronic kidney disease (CKD) is a common problem globally and has heavy burden on patients and health authorities. Knowing the risk factors of CKD will reduce the prevalence of CKD and its socioeconomic effects. Aim of study: To determine the risk factors that lead to CKD in Libyan patients. Method: Cross-sectional study based on single-center experience. Two-hundreds and four out-patient's notes were reviewed. All were adults aged >18 years. Result: Records of 204 CKD patients were reviewed, 55.4% female and 91 (44.6%) patients were male. Patient's mean age was 51.9 ± 15.7 years, and there was not significant difference between the mean ages of both sexes. Patient's distribution at presentation according to CKD stages was stage-I (15.7%), stage-II (16.7%), stage-III (34.8%), stage-IV (19.6%) and stage-V (13.2%). Diabetes mellitus (DM) as a cause of CKD reported in (49%), glomerulonephritis (GN) in (17.6%) and hypertension (HTN) in (9.3%) of patients. More than 50% of the patients had strong family history of CKD. Unidentifiable cause of CKD recorded in 4.9%. Conclusions: Stage-III is the commonest stage of CKD at presentation. DM, GN and HTN respectively are the common cause of CKD. Good control of DM and HTN reduces risk of CKD and renal failure significantly.
2015
Abstract: Background: A number of risk factors are associated with increasing prevalence of chronic kidney disease (CKD) with disease progression in many patients. Therefore, this study aimed at providing epidemiological data on the prevalence of risk factors for CKD in Hail, Kingdom of Saudi Arabia (KSA). Methodology: Data were collected during cross sectional survey included 5000 Saudi selected from 30 primary health care centers (PHCs) in Hail Region. Results: The overall prevalence of risk factors for CKD in Hail was 75%. The prevalence rates of cardiovascular diseases (CVD), continuous use of non-steroidal anti-inflammatory drugs (NSAIDs), herbal preparations and cigarette smoking were 5.3%, 10.7 % and 13.5%, and31%, respectively. The correlation of high creatinine levels (>1.4mg/dl) have shown statistically significant differences with hypertension (p=0.0000, diabetes (p=0.000), obesity (P = 0.013), CVD (P< 0.05) and smoking (P=0.02). Conclusion: There are many risk fact...
Survey for Potential Risk Factors for Susceptibility to Chronic Kidney Disease in Hail Region, Ksa
BACKGROUND: Chronic kidney disease (CKD) is a worldwide health alarm that is rising for the most part of the world as the result of increasing incidences of diabetes, hypertension and other cardiovascular diseases. Therefore, the aim of this pilot study was to provide data about risk factors for CKD in Hail region, KSA to plan for a comprehensive survey in the area. METHODS: A survey was performed, employing household visits, covered 300 individuals, selected from two areas in Hail region to fulfill the planned sample for this pilot setting. A questionnaire was used to obtained information about CKD risk factors. Results: High percentages of risk factors were indicated in a family history (FH) of DM representing 72%, followed by family history of hypertension, recurrent urinary tract infection, DM, family history of renal disease, hypertension, and analgesic abuse, constituting 65%, 59%, 26%,26%, 25%, and 22%, respectively. Conclusion: This study shows increased risk factors for CKD...
Prevalence of risk factors for chronic kidney disease among civil servants in Kano
Nigerian Journal of Basic and Clinical Sciences, 2012
Background: Data on the epidemiology of chronic kidney disease (CKD) from sub-Saharan Africa are still sparse. Preventive strategy through early detection and treatment has been advocated for CKD, especially in our environment where majority of patients present late and cannot afford the cost of renal replacement therapy which is not widely available. We investigated the prevalence of risk factors for CKD among the civil servants who volunteered after a public enlightenment campaign in Kano, northern Nigeria. Materials and Methods: We studied 225 apparently healthy civil servants who availed themselves of the opportunity to be screened for risk factors for CKD during the 2011 World Kidney Day activities. Relevant demographic and clinical data were obtained using a questionnaire. Weight, height, Body Mass Index (BMI), and blood pressure were measured. Spot urine samples were collected and tested for protein, sugar, and other parameters using a dipstick. Random blood sugar was measured with a glucometer. Results: The mean age of the study participants was 41.5 ± 9.68 years. Males constituted 83.6% of the respondents. Majority had a positive history of use of traditional medications, followed by the use of analgesic drugs, while very few (less than 5% each) admitted to alcohol ingestion or use of bleaching creams. While there was a significant family history of hypertension and diabetes, only about 3% had positive family history of kidney disease. Proteinuria was found to be present in 19.4%. Other risk factors found include hypertension (29.8%), obesity (11%), and diabetes mellitus (3.6%). Conclusion: Risk factors for CKD are common among civil servants in Kano. The most frequent CKD risk factors found among the study subjects were use of traditional medication, cigarette smoking, obesity, hypertension, and proteinuria.