Spectrum of Ankle-Brachial Index in Chronic Kidney Disease in Rural Teaching Hospital

Organ damages, which contribute to the overall cardiovascular risk of hypertensive patients, should be early detected, prevented and treated. The study evaluated organ damage in a hypertensive study group with chronic kidney disease (CKD), compared with a study group of hypertension without CKD. Albuminuria was present in 41.2% and reduced estimated glomerular filtration rate [60 ml/min/m2 was present in 72.5% of hypertensive with CKD. The comparison of organ damage revealed in the CKD group a statistical significant higher prevalence of organ damage as follows: intima-media thickness ]0.9 mm in 39.9% vs 10.5%, carotid plaques in 28.2% vs 12.6%, left ventricular hypertrophy in 39.9% vs 31%, ankle brachial index in 6.2% vs 3.5%. Early detection and treatment of additional cardiovascular risk factors as dyslipidaemia and hyperglycaemia, that have significant role in the pathogenesis of organ damage, contribute to the better prevention of cardiovascular and renal complications in hypertension with CKD.

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SAT-041 QUALITY OF LIFE OF CHRONIC KIDNEY DISEASE PATIENTS AT UNIVERSITY OF NIGERIA TEACHING HOSPITAL (UNTH), ENUGU, NIGERIA

Kidney International Reports ◽

10.1016/j.ekir.2020.02.046 ◽

2020 ◽

Vol 5 (3) ◽

pp. S19

Author(s):

J. Ezeanowi ◽

U. Onu Chika ◽

C. Eke ◽

J. Okoye ◽

I. Onu ◽

...

Keyword(s):

Quality Of Life ◽

Chronic Kidney Disease ◽

Kidney Disease ◽

Teaching Hospital ◽

Nigeria Teaching Hospital

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Relationship between Ankle-Brachial Index and Chronic Kidney Disease in Hypertensive Patients with No Known Cardiovascular Disease

Journal of the American Society of Nephrology ◽

10.1681/asn.2006080915 ◽

2006 ◽

Vol 17 (12 suppl 3) ◽

pp. S201-S205 ◽

Cited By ~ 22

Author(s):

Jose M. Mostaza ◽

Carmen Suarez ◽

Luis Manzano ◽

Marc Cairols ◽

Francisca García-Iglesias ◽

...

Keyword(s):

Cardiovascular Disease ◽

Chronic Kidney Disease ◽

Kidney Disease ◽

Ankle Brachial Index ◽

Hypertensive Patients

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Frequency and associations of chronic kidney disease among gout patients from a University Teaching Hospital in Nigeria

Reumatologia/Rheumatology ◽

10.5114/reum.2018.74744 ◽

2018 ◽

Vol 56 (1) ◽

pp. 17-23

Author(s):

Akpabio Akanimo Akpabio ◽

Pam Stephen Dung-gwom ◽

Babatunde Hakeem Olaosebikan ◽

Olufemi Oladipo Adelowo

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Teaching Hospital ◽

University Teaching

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Clinical Presentations of Chronic Kidney Disease Patients on Regular Haemodialysis Attending in Tribhuvan University Teaching Hospital Emergency Services

Journal of Karnali Academy of Health Sciences ◽

10.3126/jkahs.v2i2.25167 ◽

2019 ◽

Vol 2 (2) ◽

pp. 138-143

Author(s):

Tirtha Man Shrestha ◽

Pratap Narayan Prasad ◽

Laxman Bhusal ◽

Ram Prasad Neupane ◽

Rajan Ghimire

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Serum Creatinine ◽

Teaching Hospital ◽

Emergency Services ◽

University Teaching ◽

Receiver Operating Curve ◽

Maintenance Hemodialysis ◽

Institute Of Medicine ◽

Emergency Visit

Background: Chronic kidney disease is increasing day by day and so is condition of renal replacement therapy mainly hemodialysis. Emergency visit of the patients under maintenance hemodialysis is frequent. The objective of the study is to study clinical parameters of these patients so that in future these deranged parameters can be focused during patient management and decrease their emergency visit. Methods: A prospective cross sectional study was conducted in emergency services of Tribhuvan University Teaching Hospital from 1st May 2018 to 31st October 2018 among the adult chronic kidney disease patients under maintenance hemodialysis. Ethical approval was taken from Institutional review board, Institute of Medicine, Tribhuvan University. Non-probability sampling method was used. Total of 300 patients were enrolled in the study. Patients’ age, sex, causes, laboratory parameter during emergency visit, need of emergency hemodialysis, and need of blood transfusion were studied. Results: Out of total 300 patients, mean age was 45.64 years (S.D =17.15). 190 (63.3 %) were male and 110(36.70%) were female. 152(50.70%) of patients had hypertension.Diabetes and Glomerulonephritis both had equal prevalence of 63(21%). Mean hemoglobin was 6.52gm% (S.D = 1.93). Mean pH was 7.17 (S.D =0.154). Mean serum potassium and creatinine level were 5.77 mEq/L (S.D =0.76) and 1076.03 mmol/l (S.D =367.25) respectively. Area under the Receiver Operating Curve was 0.660 for potassium and 0.598 for serum creatinine. Conclusion: Causes of chronic kidney disease, decreased hemoglobin level, increased serum creatinine and potassium level and metabolic acidosis are reasons of frequent emergency room visit among CKD patients. So these conditions need to be addressed to decrease emergency visit of these patients

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The Enormity of Chronic Kidney Disease in Nigeria: The Situation in a Teaching Hospital in South-East Nigeria

Journal of Tropical Medicine ◽

10.1155/2010/501957 ◽

2010 ◽

Vol 2010 ◽

pp. 1-6 ◽

Cited By ~ 23

Author(s):

Ifeoma I. Ulasi ◽

Chinwuba K. Ijoma

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Renal Disease ◽

Teaching Hospital ◽

Dialysis Unit ◽

Female Patients ◽

Prohibitive Cost ◽

Stage Renal Disease ◽

The Impact ◽

Esrd Patients

Background. The magnitude of the problem of chronic kidney disease (CKD) is enormous, and the prevalence keeps rising. To highlight the burden of CKD in developing countries, the authors looked at end-stage renal disease (ESRD) patients seen at the University of Nigeria Teaching Hospital (UNTH), Enugu, South-East Nigeria.Method. ESRD patients seen from 01/05/1990 to 31/12/2003 were recruited. Records from A&E Department, medical-out-patients, wards and dialysis unit were used.Results. A total of 1001 male versus 537 female patients were reviewed. About 593 male versus 315 female patients had haemodialysis. The mean age was years and 86.5% were <60 years. Primary renal disease could not be determined in 51.6% while hypertension and glomerulonephritis accounted for −17.2% and 14.6%, respectively. Death from renal causes constituted 22.03% of medical deaths.Conclusion. The prognosis for CKD patients in Nigeria is abysmal. Only few patients had renal-replacement-therapy (RRT). The prohibitive cost precludes many patients. This underscores the need for preventive measures to reduce the impact of CKD in the society.

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A prospective study of peripheral arterial diseases in chronic kidney disease patient attending tertiary care hospital Andhra Pradesh

International Journal of Advances in Medicine ◽

10.18203/2349-3933.ijam20212410 ◽

2021 ◽

Vol 8 (7) ◽

pp. 974

Author(s):

Ramswarup K. Jawaharlal ◽

Vamsi Krishna Mootha

Keyword(s):

Chronic Kidney Disease ◽

Risk Factor ◽

Kidney Disease ◽

Tertiary Care ◽

Ankle Brachial Index ◽

Disease Patient ◽

Care Hospital ◽

Male Predominance ◽

Peripheral Arterial Diseases ◽

History Of

Background: Around 10% populations worldwide develop chronic kidney disease and two million people require frequent dialysis due to it1. Cardiovascular diseases related complications are more common in chronic kidney patients and responsible for greater morbidity and mortality. This study is designed to determine the peripheral artery disease in patients with chronic kidney disease in our clinical setup and risk factor associated with them.Methods: In present study 140 patients with chronic kidney disease were enrolled for this study. Demographic profile of each patient was recorded. Detailed history of patients regarding claudication was taken. Ankle-brachial index was calculated in each patient with CKD for diagnosis of PAD based on American heart association guideline.Results: There was male predominance. History of smocking was present in 80 (57.14%) patients and absent in 60 (42.85%) patients. Symptom of PAD was present in 28 (20%) patients and absent in 114(80%) patients. Ankle-Brachial Index was positive in 38(27.14%) patients and absent in 102 (72.85%) patients. 80 (57.14%) patients were in stage 3 and 24 (17.14%) patients were in stage 4. Diabetes mellitus was present in 26 (18.57%) patients, Hypertension was present in 64 (45.71%), IHD was present in 22 (15.71%) remaining have no risk factor.Conclusions: From present study we can conclude that PAD was common in CKD patients more than 50 years of age and here is male predominance. It is more common in smoker and in most of the patients it was asymptomatic. Prevalence of PAD was 27.14% in CKD patients. In our study PAD was more common in stage 3 CKD and least common in stage 2, and cardiovascular risk factor was more common in PAD patients then CKD in general.

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MO762RELATIONSHIP BETWEEN INFLAMMATION AND PERIPHERAL ARTERIAL DISEASE MEASURED BY ANKLE-BRACHIAL INDEX IN CHRONIC HEMODIALYSIS PATIENTS

Nephrology Dialysis Transplantation ◽

10.1093/ndt/gfab097.0042 ◽

2021 ◽

Vol 36 (Supplement_1) ◽

Author(s):

Yanet Parodis ◽

Tania Monzon ◽

Francisco Valga ◽

Gloria Anton-Perez

Keyword(s):

Chronic Kidney Disease ◽

Kidney Disease ◽

Peripheral Arterial Disease ◽

Point Group ◽

Ankle Brachial Index ◽

Arterial Disease ◽

Chronic Hemodialysis ◽

Lymphocyte Ratio ◽

Markers Of Inflammation ◽

Peripheral Arterial

Abstract Background and Aims Peripheral arterial disease (PAD) is very common in patients with chronic kidney disease. There are predisposing factors such as high blood pressure, diabetes mellitus, and dyslipidemia that are highly prevalent in this population. The ankle-brachial index (ABI) is a widely validated diagnostic method for the diagnosis of PAD. A value below 0.9 is suggestive of this pathology. On the other hand, inflammation is a phenomenon that favors development of atherosclerosis and therefore could be another predisposing factor for PAD. There are emerging markers of inflammation such as the neutrophil-lymphocyte ratio (NLR), platelet-lymphocyte ratio (PLR) and systemic immune-inflammation index (SII) that have an excellent correlation with classic markers such as C-reactive protein (CRP). The objective of our study was to determine whether there is a relationship between ABI values and the degree of inflammation in patients. Method A retrospective observational cross-sectional study was conducted in our prevalent hemodialysis population between April-May 2019. ABI was measured through the Microlife WatchBP Office ABI™ device. The sample was divided into two groups using 0.9 as a cut-off point: group 1 (ABI <0.9) and group 2 (ABI> 0.9). Inflammatory ratios (NLR, PLR and SII) and other parameters of bone kidney disease such as serum calcium, bicarbonate, phosphorus, parathyroid hormone (PTH), magnesium and vitamin D were determined. Results 100 patients with chronic kidney disease on chronic hemodialysis belonging to our Avericum Negrin center were analyzed. 42% (N = 42) of the sample were women and 42% (N = 42) were diabetic. The etiology of kidney disease was: 12% (N = 12) renal nephroangiosclerosis, 35% (N = 35) diabetic nephropathy, 14% (N = 14) chronic glomerulonephritis, 8% (N = 8) polycystic kidney disease, 17% (N = 17) unknow and 14% (N = 14) others. 19% (N = 19) had a central venous catheter as vascular access. The mean values of inflammatory and renal bone disease parameters are described in Table 1. The values of PLR and SII index were significantly higher in patients with ABI <0.9. (Figures 1 and 2). Conclusion Patients with peripheral arterial disease (ABI <0.9) had higher PLR and SII values

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