Department of Medicine, The Indus Hospital Health Network, Civil Hospital, Badin, Pakistan.
Department of Hemodialysis, The Indus Hospital Health Network, Civil Hospital, Badin, Pakistan.
J Pak Med Assoc. 2023 Jul;73(7):1399-1402. doi: 10.47391/JPMA.6764.
To evaluate the epidemiology of chronic kidney disease in a rural setting.
The retrospective study was conducted at Indus Hospital, Badin, Sindh, Pakistan, and comprised data of patients of either gender regardless of age who visited the nephrology clinic between July 2019 and July 2020. Data was retrieved from the institutional health management information system. Data was analysed using SPSS 21.
Of the 348 patients, 184(52.9%) were males and 164(47.1%) were females. The overall mean age was 40.4±19 years. Obstructive nephropathy was the most frequent cause of chronic kidney disease 108(31%), followed by chronic kidney disease of unknown aetiology 79(22.7%). The most prevalent comorbid was hypertension in 106(30.5%) patients, while 56(16.1%) were diabetic. The stone disease was found in 90(24.6%) patients. Age was strongly associated with chronic kidney disease (p<0.001). Among those with chronic kidney disease of unknown aetiology, 35(44.3%) patients were aged 31-50 years 35. The expected glomerular filtration rate in such patients was significantly associated with the cause of chronic kidney disease (p<0.001).
Unknown aetiology and kidney stones were the leading causes of chronic kidney disease among the rural population studied.
评估农村地区慢性肾脏病的流行病学情况。
本回顾性研究在巴基斯坦信德省巴丁的因迪斯医院进行，纳入 2019 年 7 月至 2020 年 7 月期间在肾病科诊所就诊的无论性别和年龄的患者。数据来自机构健康管理信息系统。使用 SPSS 21 对数据进行分析。
在 348 名患者中，184 名（52.9%）为男性，164 名（47.1%）为女性。患者的总体平均年龄为 40.4±19 岁。梗阻性肾病是慢性肾脏病的最常见病因，有 108 例（31%），其次是病因不明的慢性肾脏病 79 例（22.7%）。最常见的合并症是高血压，有 106 例（30.5%），其次是糖尿病，有 56 例（16.1%）。90 例（24.6%）患者患有结石病。年龄与慢性肾脏病密切相关（p<0.001）。在病因不明的慢性肾脏病患者中，35 例（44.3%）年龄在 31-50 岁之间。这些患者的预计肾小球滤过率与慢性肾脏病的病因显著相关（p<0.001）。
在研究的农村人群中，病因不明和肾结石是导致慢性肾脏病的主要原因。
