STUDY ON SPECTRUM OF RENAL DISEASES IN ELDERLY PATIENTS ATTENDING A TERTIARY CARE HOSPITAL

*Dr. Veerapandian and Dr. Vinoj

ABSTRACT

Background: The aim of the study is to study the pattern of renal diseases in elderly subjects and the etiology causing them in patients attending Stanley medical college, Chennai. Materials and Methods: Elderly patients above 65 years (n=75) attending nephrology outpatient department from June 2014 to September 2014, with raised urea, creatinine values, abnormal urinalysis reports and electrolyte imbalance were analysed. Results: The study population included 48 males and 27 female patients. CKD was seen in 49.33% patients. AKI reported in 36% patients. Sepsis contributed to large part of AKI (44.4%). dehydration due to gastroenteritis contributed to AKI in 29.62% patients. Other causes are BPH in 14.81% and Carcinoma cervix in 3.7% patients. Glomerular diseases were seen in 6 patients (8%). This includes membranous nephropathy (2 patients), acute glomerulonephritis (2 patients) and myeloma kidney seen in 2 patients. Other diseases seen in 6.66% of study population. This includes polycystic kidney seen in 3 patients, simple cysts in 2 patients. Conclusion: Good control of diabetes and hypertension in younger age may prevent the occurrence of CKD as they grow older. Elderly patients should avoid taking over the counter drugs.

Keywords: India, Elderly patients, renal diseases, spectrum.