THE CLINICAL STATUS OF CHRONIC KIDNEY DISEASE (CKD) PATIENTS

Dr. Shah Newaz Dewan*, Dr. Masud Iqbal, Dr. M. Mahibur Rahman, Dr. Md. Abdullahel Kafee and Dr. Hasina Momtaz

ABSTRACT

Objective: In this study our main goal is to evaluate the clinical status of chronic kidney disease (CKD) patients. Method: This cross-sectional study was carried out in the outpatient department of nephrology, Sir Salimullah Medical College and Mitford hospital; Bangabandhu Sheikh Mujib Medical University and National institute of nuclear medicine and allied sciences (NINMAS), BSMMU, Dhaka from June 2016 to May 2017. A total of 120 Chronic kidney disease patients attending outpatient departments in above institutions were included in the study. Results: during the study, HTN was found as highest (88.9%) and CVD as least (3.7%) co-morbid condition among the study subject. Majority were found in CKD stage 3 (n=63). CKD stage 4 was found (n=44). The least number was found CKD stage 5 (n=5).Best correlation and substantial agreement was found between m-GFR and e-GFR Hoek’s method (Kappa=0.740, p<0.001). Fair agreement was found between m-GFR and MDRD method (Kappa=0.347, p<0.001). Moderate agreement was found between m-GFR, CKD-EPI and CG method. Conclusion: from our study we can conclude that, Patients with CKD present several complex management issues to health care providers. With early identification and quick staging policy is necessary for management of CKD.

Keywords: glomerular filtration rate (GFR), cystatin C, chronic kidney disease.