Linical Features of Patients with Chronic Kidney Diseases- A Single Center Study

Abstract

Background: Chronic kidney disease (CKD) is defined as abnormalities of kidney structure or function, present for more than 3 months, with health implications. Preconceptions regarding the clinical features of chronic kidney diseases (CKD) may be helpful for physicians as well as suspected patients, may help manage CKD patients. But in Bangladesh, we have very limited data regarding this issue. Aim of the study: This study aimed to acquire a clear concept of the clinical features of chronic kidney diseases. Methods: This descriptive cross-sectional study was conducted in the Department of Medicine and Nephrology, Dhaka Medical College & Hospital (DMCH), Dhaka, Bangladesh, from March 2018 to September 2020. In total, 150 diagnosed cases of chronic kidney disease (CKD) were enrolled in this study as the study subjects. Properly written consent was taken from all the patients before data collection. All data were processed, analyzed, and disseminated by using the MS Excel program. Results: The mean age of the patients was 53.31±10.28 years; 64% were male and 36% were female. In this study, 34% of patients had CKD stage 5, 28% had CKD stage 4, 25.3% had CKD stage 3, 9.3% had CKD stage 2 and only 3.3% had CKD stage 1. Among our patients, 80% patients had nausea, 74.7% had fatigue and weakness, 65.3% had oliguria, 50.7% had oedema, 28% had fever and 18% had confusion. In 69.3% of cases, hypertension and in 40.7% of cases, diabetes was found as comorbidities. Conclusion: Middle aged male people may be major prone to chronic kidney diseases (CKD). The frequency of hospital admission among stage 1 and 2 are very lower. Nausea, fatigue, weakness, oliguria, and oedema are very common symptoms, whereas hypertension and diabetes are very common comorbidities for patients with CKD.