scholarly journals Potentially Avoidable Hospitalizations at Grand Yoff General Hospital, Senegal

2017 ◽  
Vol 9 (10) ◽  
pp. 137
Author(s):  
Abdoul Aziz Ndiaye ◽  
Alioune Badara Tall ◽  
Ndeye Fatou Ngom-Gueye ◽  
Ousseynou Ka ◽  
Birahim Thiam ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
General Hospital ◽  
Pulmonary Disease ◽  
High Blood Pressure ◽  
School Level ◽  
P Value ◽  
Similar Frequency ◽  
Avoidable Hospitalizations

BACKGROUND: PAHs are necessary hospitalizations that could be prevented by appropriate primary care. They are mainly attributable to non-communicable diseases (NCDs), which are increasing, especially in developing countries. The objective of this research was to evaluate the epidemiological burden of the PAHs at Grand Yoff General Hospital.METHODOLOGY: A cross-sectional study was carried out in 2015. The population consisted of all patients hospitalized from April to August 2015, except those who were admitted to surgery, maternity or neonatology departments. This was a comprehensive study; the cases were represented by patients admitted for diabetes, high blood pressure, pulmonary disease, chronic kidney disease or stroke.RESULTS: A total of 739 hospitalizations were recorded in the targeted services, including 110 cases of PAHs (14.88%). Pulmonary disease was slightly more frequent (4.74%), followed by diabetes (4.08%), stroke (3.65%), then chronic kidney disease (1.35%) and high blood pressure (1.08%). The average age of cases was 57 ±17.49 years and 54.5% of patients were 60 years of age or older, the sex ratio was 0.96, the married 68.2%, and the widowed 20%. About 34% of the patients were uneducated and 24% had just a primary school level. Only 8.2% were employed, while 43% were housewives and 23% were retired. 70% got a monthly income less than 100 USD. The median length of stay was 5 days. The level of awareness of the severity of the disease had improved significantly, from 37.3% at entry to 71.8% at the end of the stay (p <0.01). That was the same for the level of information about the means of preventing disease prevention, from 32.7% to 64.5% with a p value <0.01.A similar frequency of PAHs was reported in another study carried out in a regional hospital in northern Senegal (15%) with a predominance of the elderly.CONCLUSION: PAHs are a heavy burden at Grand Yoff General Hospital. Strengthening primary health care through promotion and prevention is an alternative, especially for poor populations.

scholarly journals EFFECT OF SUBCUTANEOUS RECOMBINANT HUMAN ERYTHROPOIETIN ON BLOOD PRESSURE IN PRE-DIALYSIS CHRONIC KIDNEY DISEASE (CKD) PATIENTS

2021 ◽  
Vol 71 (1) ◽  
pp. 261-65
Author(s):  
Muhammad Sajid Hussain ◽  
Qasim Raza ◽  
Muhammad Omer Aamir ◽  
Nadia Murtaza ◽  
Sadia Naureen ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Chronic Kidney Disease ◽  
Body Weight ◽  
Kidney Disease ◽  
Recombinant Human Erythropoietin ◽  
Case Series ◽  
Military Hospital ◽  
P Value ◽  
Human Erythropoietin ◽  
Age Range

Objective: To determine the effect of subcutaneous recombinant human erythropoietin on blood pressure in predialysis chronic kidney disease (CKD) patients. Study Design: Case-series descriptive study. Place and Duration of Study: Combined Military Hospital Peshawar, from Mar 2016 to Sep 2016. Methodology: A total of 100 cases were enrolled. Inclusion criteria was patients of 18 to 60 years of both gender & estimated glomerular filtration rate (eGFR) below 30 mL/min/1.73 m2 having Hb <10g/dL and pre-dialysis while Exclusion Criteria was pregnancy or lactation, BP more than 140/90 mmHg, patients on Haemodialysis and worsening renal function. Baseline BP, body weight and eGFR of anaemic chronic kidney disease patients were recorded prior to EPO Alpha therapy. Erythropoiesis-stimulating agents (ESAs) i.e. EPO Alpha (50-100 Units/kg thrice or once weekly) was administered subcutaneously. Subsequent blood pressure, body weight and eGFR monitoring was done after 2 and 4 weeks post EPO Alpha injection. Results: Mean age range was 46.71 years with range of 20-60 years, 73 (73%) were male while 27 (27%) werefemales. Mean ± SD for other quantitative variables like eGFR was 23.12 ± 5.28, Hb levels (g/dL) was 8.62 ± 0.85,Weight (kg) was 56.66 ± 6.62 and duration of CKD was 9.87 ± 4.02. Frequency of Hypertension (post EPO) was 2(2%) and p-value was 0.453. Conclusion: We concluded that the frequency of hypertension in pre-dialysis patients with chronic kidney disease (CKD) receiving recombinant human erythropoietin (rhEPo) subcutaneously (SC) in low doses, is very low, so rhEPo can be used subcutaneously......................

Treatment of High Blood Pressure in Patients with Chronic Renal Disease

2019 ◽  
Vol 70 (3) ◽  
pp. 993-995
Author(s):  
Adina Mandita ◽  
Delia Timofte ◽  
Andra-Elena Balcangiu-Stroescu ◽  
Daniela Balan ◽  
Laura Raducu ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Renal Disease ◽  
High Blood Pressure ◽  
Chronic Renal Disease ◽  
Renal Functions

The treatment of HTA plays a central part in the management of Chronic Kidney Disease (CKD) in all its stages, especially in patients following a substitute treatment of renal functions. HBP can be both the cause and the consequence of CKD. The HBP control in CKD patients represents one of the most important concerns of clinicians. HBP treatment is non pharmacological as well as pharmacological.

MO1042SCREENING FOR CHRONIC KIDNEY DISEASE IN PATIENTS WITH HIGH BLOOD PRESSURE: A SURVEY OF TRAINEES’ ATTITUDES AND PRACTICES IN MOROCCO

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Salma Naouaoui ◽  
Meriem Chettati ◽  
Wafaa Fadili ◽  
Inass Laouad
Keyword(s):  
Blood Pressure ◽  
Chronic Kidney Disease ◽  
Renal Function ◽  
Kidney Disease ◽  
High Blood Pressure ◽  
Low Income ◽  
University Hospital ◽  
Hypertensive Patients ◽  
Attitudes And Practices ◽  
Interns And Residents

Abstract Background and Aims High blood pressure is a leading cause of end stage renal disease (ESRD). However; early detection of chronic kidney disease (CKD) delays progression of kidney failure and reduces the risk of cardiovascular complications. Therefore, the aim of our study was to assess the attitudes and practices of interns and residents regarding screening for chronic kidney disease in patients with high blood pressure at a Moroccan University hospital. Methods A cross-sectional survey was conducted among 100 medical interns and residents at Mohammed VI university hospital of Marrakesh. Results Overall, 82% of the trainees who responded (response rate 89%) stated that they were sensitized to screening for chronic kidney disease in patients with high blood pressure, mainly during their medical studies. However, trainees who systematically monitor renal function in their hypertensive patients did not exceed 13%. While 34% of respondents preferred to refer them to a cardiologist or a nephrologist, and 35% looked for renal impairment only in special situations, dominated by the presence of diabetes or severe hypertension. The main tests used by the participants for monitoring kidney function were represented by blood renal function (100%) and 24h urine protein (61%). Microalbuminuria was mentioned by only 23% of the trainees. The major limits reported by the surveyed physicians were the lack of experience and the non- compliance of patients. Conclusion Our findings revealed inappropriate practices among our training doctors concerning the screening of CKD in hypertensive patients. Therefore, more educational workshops and courses are recommended, especially in low-income countries where access to dialysis is not always affordable.

scholarly journals Dietary Patterns and Risk of Chronic Kidney Disease Among Tehranian Adults with High Blood Pressure

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Niloofar Naderinejad ◽  
Hanieh-Sadat Ejtahed ◽  
Golaleh Asghari ◽  
Parvin Mirmiran ◽  
Fereidoun Azizi
Keyword(s):  
Blood Pressure ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
High Blood Pressure ◽  
Dietary Patterns

Preeclampsia and the Ten-Year Risk of Incident Chronic Kidney Disease

2020 ◽  
Vol 10 (3) ◽  
pp. 188-197
Author(s):  
Samira Behboudi-Gandevani ◽  
Mina Amiri ◽  
Maryam Rahmati ◽  
Saber Amanollahi Soudmand ◽  
Fereidoun Azizi ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Chronic Kidney Disease ◽  
Logistic Regression ◽  
Kidney Disease ◽  
Population Based ◽  
Incidence Rates ◽  
Prior History ◽  
P Value

Background: Although preeclampsia (PE), as an endothelial disorder can lead to renal dysfunction during pregnancy, results of studies focusing on the potential long-term potential effects of PE on renal function are insufficient and those available are controversial. This study investigated the incidence rate and risk of chronic kidney disease (CKD) among women with prior history of PE compared with healthy controls in a long-term population-based study. Methods: This was a prospective population-based cohort study. Subjects were 1,851 eligible women, aged 20–50 years, with at least 1 pregnancy (177 women with prior-PE and 1,674 non-PE controls) selected from among the Tehran-Lipid and Glucose-Study-participants. A pooled-logistic-regression-model and Cox’s-proportional-hazards-models were utilized to estimate the risk of CKD in women of both PE and without PE groups, after further adjustment for confounders. Results: Median and interquartile ranges for follow-up durations of the PE and non-PE groups were 7.78 (5.19–10.40) and 7.32 (4.73–11.00) years, respectively. Total cumulative incidence rates of CKD at the median follow-up time of each group were 35/100,000 (95% CI 25/100,000–50/100,000) and 36/100,000 (95% CI 32/100,000–39/100,000) in PE and non-PE women, respectively (p value = 0.90). Based on pooled-logistic-regression-analysis, OR of CKD progression (adjusted for age, body mass index [BMI], systolic blood pressure [SBP], and diastolic blood pressure [DBP]) for the PE group did not differ, compared to their non-PE counterparts (OR 1.04; p value = 0.80; 95% CI 0.77–1.40). Compared to non-PE women, women with prior PE did not have higher hazard ratios (HRs) of developing CKD in the unadjusted model (unadjusted HR 1.1, 95% CI 0.83–1.69, p = 0.35), results which remained unchanged after adjustment for age, BMI, baseline SBP, and DBP. Conclusion: PE was not found to be a risk factor for CKD. More studies using a prospective cohort design with long-term follow-ups are needed to investigate the relationship between preeclamsia and CKD.

scholarly journals Chronic Kidney diseases: Role of Vitamin-K and Vitamin-D

2021 ◽  
Vol 4 (03) ◽  
Author(s):  
Vinod Kumar Varapete ◽  
Ravindra B N ◽  
Jerin S Shaji ◽  
Yaseen Mulla ◽  
Jiss P Jose ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Chronic Kidney Disease ◽  
Vitamin D ◽  
Kidney Disease ◽  
High Blood Pressure ◽  
Vitamin K ◽  
Kidney Diseases ◽  
Elevated Serum

Chronic kidney disease is the most common form of kidney disease and high blood pressure is the most common cause the pressure on the glomeruli increases due to high blood pressure which can prove to be very dangerous. Lack in VITAMIN D isn't restricted to the dynamic chemical, calcitriol (25-hydroxycholecalciferol) is likewise insufficient in many patients with constant kidney sickness (CKD), free of their fundamental renal capacity. Diminishes in calcitriol happen generally right off the bat in the movement of kidney illness and may originate before the increment in PTH. These progressions in calcitriol and PTH add to the upkeep of moderately ordinary serum and calcium fixations until the glomerular filtration rate (GFR) diminishes to <20–25%; nonetheless, the outcome is the potential advancement of bone and vascular sickness. Vitamin K intake and long-term vitamin K status are expressed by a high percentage of undercarboxylated OC (uOC). Vitamin D, which is needed for uOC development, and parathyroid hormone (PTH), which is often elevated in patients with CKD, are also affected by osteocalcin levels. Therefore, elevated serum uOC is present in patients with chronic kidney disease (CKD) with hyperparathyroidism, but this does not generally mean that they are deficient in vitamin K.

scholarly journals Prevalence and predisposing factors of chronic kidney disease in Yazd city; a population-based study

2021 ◽  
Vol 11 (1) ◽  
pp. e1-e1
Author(s):  
Masoud Mirzaei ◽  
Nader Nourimajalan ◽  
Hamidreza Morovati ◽  
Mohsen Askarishahi ◽  
Roya Hemayati
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
High Blood Pressure ◽  
Predisposing Factors ◽  
Health Study ◽  
Cross Sectional ◽  
Major Health Problem ◽  
Yazd City

Introduction: Chronic kidney disease (CKD) is a major health problem and one of the public health threats with an increasing prevalence and burden. However, early diagnosis of this disease is challenging in Iran due to insufficient information. Objectives: In the present study, we aimed to determine the prevalence of CKD and its predisposing factors in Yazd city, Iran. Patients and Methods: We conducted this cross-sectional study using the recruitment phase data of Yazd Health Study (YaHS) collected during 2013-2014. Data of 3649 individuals, age 20-69 years were analyzed. Glomerular filtration rate (GFR) was calculated using the modification of diet in renal disease (MDRD) formula and values less than 60 mL/min/1.73 m2 were defined as CKD. Logistic regression was employed to determine the risk factors of CKD. Results: The mean age of participants was 46.0 ± 13.8 years and the overall prevalence of CKD was 6.6 percent (7.6% for women and 5.4% for men). The disease prevalence was 21.5% in the age group of 60-69 years. The prevalence of CKD had a significant relationship with older age, obesity, female gender, diabetes, high blood pressure and history of heart disease. Conclusion: CKD has a high prevalence in the population of this region of Iran. The most important modifiable risk factors for CKD included diabetes and high blood pressure. Therefore, the health system should strive for early detection of CKD in order to prevent morbidity and mortality of this disease.

scholarly journals Pengaruh Relaksasi Lima Jari Terhadap Tekanan Darah Penderita Chronic Kidney Disease

2021 ◽  
Vol 8 (1) ◽  
pp. 34
Author(s):  
Shindi Hapsari ◽  
Dewi Puspitasari
Keyword(s):  
Blood Pressure ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Random Sampling ◽  
Kidney Diseases ◽  
T Test ◽  
P Value ◽  
Test Design ◽  
Relaxation Therapy ◽  
Post Test

Penyakit Cronic Kidney Diseases (CKD) merupakan kondisi kegangguan fungsi ginjal yang progresif dan irreversible. Penanganan pasien CKD dilakukan hemodialisa, menimbulkan masalah tekanan darah tinggi. Perlakuan relaksasi terbimbing lima jari efektif dalam mengatasi hipertensi. Tujuan penelitian ini untuk mengetahui pengaruh terapi relaksasi metode lima jari terhadap tekanan darah pada pasien CKD di Ruang Hemodialisa Rumah Sakit Ken Saras. Metode penelitian quasi experiment dengan one group pre and post test design without control group.Sampel 20 pasien dengan hemodialisa, dengan teknik random sampling dengan minimal size experiment. Perlakukan terapi relaksasi genggam lima jari diberikan selama 15 menit kemudian menggunakan Sphygmomanometer untuk mengukur tekanan darah responden. Analisis statistic yang digunakan yaitu uji dependen t-test pada taraf signifikansi 0.05. Hasil menunjukkan nilai p-value 0,00, ada pengaruh yang signifikan. Kesimpulan Ada pengaruh terapi relaksasi metode lima jari terhadap tekanan darah pada penderita CKD. Kata Kunci: relaksasi metode lima jari; tekanan darah; CKDTHE EFFECT OF FIVE FINGER RELAXATION ON BLOOD PRESSURE OF CHRONIC KIDNEY DISEASE PATIENTS ABSTRACT  Chronic Kidney Diseases (CKD) is a progressive and irreversible condition of kidney function impairment. CKD patients are treated with hemodialysis, which causes high blood pressure problems. The five-finger guided relaxation treatment is effective in overcoming hypertension. The purpose of this study was to determine the effect of the five-finger method of relaxation therapy on blood pressure in CKD patients in the Hemodialysis Room of Ken Saras Hospital. The research method was quasi-experimental with one group pre and post-test design without a control group. A sample of 20 patients is on hemodialysis, using a random sampling technique with a minimum experiment size. The five-finger handheld relaxation therapy was given for 15 minutes and then used a sphygmomanometer to measure the respondent's blood pressure. The statistical analysis used is the t-test dependent test at a significance level of 0.05. The results of the statistical test dependent t-test p-value 0.00 (p-value <0.05) there is a significant effect. There is an effect of five finger relaxation therapy on systolic and diastolic blood pressure in patients with CKD. Keywords: five finger relaxation method; blood pressure; chronic kidney disease

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