埃塞俄比亚亚的斯亚贝巴部分公立医院慢性肾脏病患者贫血患病率及其相关因素:基于机构的横断面研究
Prevalence of Anemia and Its Associated Factors Among Chronic Kidney Disease Patients Attending Selected Public Hospitals of Addis Ababa, Ethiopia: Institutional-Based Cross-Sectional Study.
作者信息
Alemu Birhie, Techane Tesfaye, Dinegde Negalign Getahun, Tsige Yosief
机构信息
Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
出版信息
Int J Nephrol Renovasc Dis. 2021 Mar 5;14:67-75. doi: 10.2147/IJNRD.S296995. eCollection 2021.
BACKGROUND
Anemia is a global public health problem with high mortality and morbidity. It is becoming more prevalent in Ethiopia. Therefore, this study aimed to estimate the prevalence of anemia and its associated factors among chronic kidney disease patients at selected public hospitals of Addis Ababa, Ethiopia.
METHODS
An institutional-based cross-sectional study was conducted on selected public hospitals in Addis Ababa for studies on anemia in CKD patients. Data was entered into EPI Info version 4.4.1 and exported to SPSS version 24 for analysis. Both bivariate and multivariate logistic regression analyses were used to identify independently associated factors of anemia in CKD patients. Multivariate analysis was used to control the possible effect of confounders.
RESULTS
A total of 387 participants were included to estimate the prevalence of anemia among chronic kidney disease patients. The prevalence of anemia was 53.5% (95% CI). Being females were 2 times more likely to develop anemia as compared to their counterparts (AOR=2.04, 95%:1.18, 2.46) and hemodialysis history had two times higher odds for anemia (AOR=2.754, 95% CI: 1.218-6.229, P=0.015) compared to patients without hemodialysis history.
CONCLUSION
The overall prevalence of anemia across all stages of CKD is 53.5%. From the stage of CKD, stage 5 CKD has a higher (90.9%) anemia prevalence compared to others, and females showed a higher frequency of anemia when compared with males. Therefore, situation-based interventions and country context-specific preventive strategies should be developed to reduce the prevalence of anemia in this patient group.
背景
贫血是一个全球性的公共卫生问题,具有较高的死亡率和发病率。在埃塞俄比亚,贫血正变得越来越普遍。因此,本研究旨在估计埃塞俄比亚亚的斯亚贝巴选定公立医院中慢性肾脏病患者贫血的患病率及其相关因素。
方法
在亚的斯亚贝巴选定的公立医院开展了一项基于机构的横断面研究,以研究慢性肾脏病患者的贫血情况。数据录入EPI Info 4.4.1版本,并导出到SPSS 24版本进行分析。采用双变量和多变量逻辑回归分析来确定慢性肾脏病患者贫血的独立相关因素。多变量分析用于控制混杂因素的可能影响。
结果
共纳入387名参与者以估计慢性肾脏病患者贫血的患病率。贫血患病率为53.5%(95%置信区间)。女性患贫血的可能性是男性的2倍(调整后比值比[AOR]=2.04,95%:1.18,2.46),与无血液透析史的患者相比,有血液透析史的患者患贫血的几率高出2倍(AOR=2.754,95%置信区间:1.218 - 6.229,P = 0.015)。
结论
慢性肾脏病各阶段贫血的总体患病率为53.5%。在慢性肾脏病阶段中,5期慢性肾脏病的贫血患病率(90.9%)高于其他阶段,女性贫血的发生率高于男性。因此,应制定基于具体情况的干预措施和针对该国情况的预防策略,以降低该患者群体的贫血患病率。
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Nefrologia (Engl Ed). 2018
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