Authors
Rafiu M. O., Akerele N. N., Ahmed S. D., Dada S. A., Durojaiye O. C, Erohubie C. E, Adetunji A. E , Azubike C. O.
Abstract
Introduction: Renal diseases are a major global health issue affecting all ages and races. This research aimed to
investigate the clinical and socio-demographic characteristics of patients attending a Nephrology clinic in the SouthSouth geopolitical zone of Nigeria. The study identified referral patterns, determined the prevalence and causes of chronic kidney disease (CKD) among these patients, and analyzed the outcomes. Method: A non-randomized sampling technique was used to select patients at a Nephrology clinic between 1st June 2023 and 31stDecember 2023. Patient data, clinical evaluations, and investigation results were recorded electronically. Data analysis was done using STATA v.18. Result: During the research period, 208 patients were recruited from the Nephrology clinic. Their mean age was 53.0 ± 17.4 years. The majority were male (67.8%) and employed (70.2%). The median BMI was 25.0 (IQR, 22.0 – 29.0) kg/m2. The mean systolic blood pressure was 140.8 ± 24.2mmHg. The median random blood glucose was 110 (IQR, 96.0 – 121.0) mg/dl. Most referrals were from hospital outpatient clinics (68.2%), on account of elevated urea and creatinine levels (70.7%). The major diagnosis was CKD (87.5%) in stage 5 (45.1%). Diabetic nephropathy was the leading cause of CKD. About half underwent haemodialysis (50.5%), mostly once per week (33.2%). There were 23 recorded deaths (11.1%), and 5.8% of the patients were referred for renal ansplantation. Conclusion: Chronic kidney disease is the main diagnosis in our Outpatient Nephrology care, mainly due to diabetic nephropathy. Many patients had advanced CKD and could not sustain the recommended dialysis frequency.
investigate the clinical and socio-demographic characteristics of patients attending a Nephrology clinic in the SouthSouth geopolitical zone of Nigeria. The study identified referral patterns, determined the prevalence and causes of chronic kidney disease (CKD) among these patients, and analyzed the outcomes. Method: A non-randomized sampling technique was used to select patients at a Nephrology clinic between 1st June 2023 and 31stDecember 2023. Patient data, clinical evaluations, and investigation results were recorded electronically. Data analysis was done using STATA v.18. Result: During the research period, 208 patients were recruited from the Nephrology clinic. Their mean age was 53.0 ± 17.4 years. The majority were male (67.8%) and employed (70.2%). The median BMI was 25.0 (IQR, 22.0 – 29.0) kg/m2. The mean systolic blood pressure was 140.8 ± 24.2mmHg. The median random blood glucose was 110 (IQR, 96.0 – 121.0) mg/dl. Most referrals were from hospital outpatient clinics (68.2%), on account of elevated urea and creatinine levels (70.7%). The major diagnosis was CKD (87.5%) in stage 5 (45.1%). Diabetic nephropathy was the leading cause of CKD. About half underwent haemodialysis (50.5%), mostly once per week (33.2%). There were 23 recorded deaths (11.1%), and 5.8% of the patients were referred for renal ansplantation. Conclusion: Chronic kidney disease is the main diagnosis in our Outpatient Nephrology care, mainly due to diabetic nephropathy. Many patients had advanced CKD and could not sustain the recommended dialysis frequency.
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