{Reference Type}: Journal Article
{Title}: Clinical Characteristics of Patients with Ckd Crash Landing and Initiating Dialysis…… Is it Time for Mandatory Screening Programme for Detection of CKD?
{Author}: Meena RK;Gupta V;Malhotra V;Agrawal D;Beniwal P;Sharma S;Meena RK;Gupta V;Malhotra V;Agrawal D;Beniwal P;Sharma S;
{Journal}: J Assoc Physicians India
{Volume}: 70
{Issue}: 4
{Year}: Apr 2022
暂无{Abstract}: The present study was undertaken to study clinical, biochemical and echocardiographic characteristics of patients with Chronic Kidney Disease crash- landing and initiating hemodialysis at first presentation in our centre.<BR><B>METHODS: </B>Ours was a cross-sectional study of one hundred and seventy patients with chronic kidney disease starting hemodialysis. Detailed history and examination were done. Apart from routine biochemical tests and CKD-MBD profile, all patient underwent ultrasonography, urine examination and echocardiography. Efforts were made to delineate etiology in each patient.<BR><B>METHODS: </B>Out of 170 patients 64% were males, 36% were females. Mean age at presentation in our study was 41.27 (±16.47) yrs. Chronic glomerulonephritis was the most common etiology accounting for 54% of cases followed by Diabetes (20%). Mean eGFR at presentation was &lt;5 ml/min/1.73 m². Hypocalcemia was present in 87.1%, hyperphosphatemia in 84.2% and elevated PTH levels in 98% with mean PTH levels being 588.07±309.58 ng/ml. LVH on echocardiogram was present in 58.4 % of patient with diastolic dysfunction being reported in 31 % of patients. DCM was present in 28% of patients and 21% of patients had frank left ventricular failure at presentation.<BR><B>CONCLUSIONS: </B>Chronic Kidney Disease patients referred late have clinical and lab characteristics which are worse as compared to routine CKD patients .This calls for a mandatory CKD screening programme for increasing awareness and early identification of CKD patients.