Department of Nephrology, College of Medical Sciences Teaching Hospital, Bharatpur, Nepal.
Department of Community Medicine, College of Medical Sciences Teaching Hospital, Bharatpur, Nepal.
JNMA J Nepal Med Assoc. 2020 Jul 31;58(227):459-464. doi: 10.31729/jnma.4972.
Spectrum of kidney diseases differs significantly in developing and developed countries. However, there is no central registry regarding the nature of such diseases in Nepal and our center either. The study aims to know the clinicodemographic spectrum of kidney disease patients admitted to our hospital.
This study was a descriptive cross sectional study done in the department of Nephrology, College of Medical Sciences Teaching Hospital from May 2018 to April 219. Convenient sampling was done and all the consecutive kidney disease patients irrespective of their age, sex, and renal diagnosis were included in the study. Ethical approval was taken from the Institutional Review Committee of the college (reference number. 2016/COMSTH/IRC/049). Clinicodemographic profile of kidney diseases were studied using statistical package for the social sciences version 20 and were represented as mean, standard deviation, number, percentage and ratio.
Out of a total of 829 patients, the commonest clinical syndrome and the histological patterns were end-stage renal disease 248 (29.9%) and IgA nephropathy 18 (20.7%) respectively. The mean age was 51.4±18.6 years. The commonest reason for hospitalization was sepsis 372 (44.8%). Males were 486 (58.6%) and females were 343 (41.4%).
The commonest clinical presentation and the reason for admissions were end-stage renal disease and sepsis syndrome respectively.
发展中国家和发达国家的肾脏疾病谱有很大的不同。然而，尼泊尔和我们中心都没有关于此类疾病性质的中央登记处。本研究旨在了解我院收治的肾脏疾病患者的临床病理谱。
这是一项在 2018 年 5 月至 2019 年 4 月期间在医学科学教学医院肾病科进行的描述性横断面研究。采用便利抽样法，纳入所有连续肾脏疾病患者，无论其年龄、性别和肾脏诊断如何。本研究已获得学院伦理审查委员会的批准（参考编号：2016/COMSTH/IRC/049）。使用社会科学统计软件包 20 版研究肾脏疾病的临床病理特征，并以平均值、标准差、数量、百分比和比值表示。
在总共 829 名患者中，最常见的临床综合征和组织学模式分别为终末期肾病 248 例（29.9%）和 IgA 肾病 18 例（20.7%）。平均年龄为 51.4±18.6 岁。最常见的住院原因是败血症 372 例（44.8%）。男性 486 例（58.6%），女性 343 例（41.4%）。
最常见的临床表现和入院原因分别为终末期肾病和败血症综合征。
