THREE YEARS RETROSPECTIVE STUDY ON PREVALENCE OF CHRONIC KIDNEY DISEASE AMONG DIABETIC PATIENTS AT WOLKITE UNIVERSTY SPECIALIZED HOSPITAL, GURAGE ZONE ,SNNPR, ETHIOPIA

Abstract

Background: Chronic kidney disease is now recognized as a global public health problem. Diabetes is the leading cause of chronic kidney disease in developed countries and is becoming the leading cause of death in developing countries as well. The increasing prevalence of diabetes worldwide, especially type-2, virtually assures that the proportion of CKD attributable to diabetes will continue to rise. Therefore the aim of this study is to assess the severity of renal function by eGFR (using CKD EPI equation) for early detection of CKD among DM patients which is used for intervention of the problem attending at Wolkite University specialized Hospital. Objective: The objective of this study to be assessed the prevalence of CKD among DM patient over the last three years at Wolkite University Specialized Hospital, Gurage zone, SNNPR, Ethiopia. Method: Institutional-based retrospective descriptive study was conducted on total of 238 DM patients to be assessed the prevalence of a three year chronic kidney disease among DM patient by reviewing registration Clinical chemistry laboratory logbook at wolkite university specialized hospital from May 2-June 20 2023 GC. Then the data obtained was entered to EPI info version 3.5.3 and then transferred to SPSS version 20 statistical package for analysis. Descriptive statistics results presented with tables and graphs. Results: Among 238 subjects, 48 were suffering from CKD giving an overall estimated prevalence of CKD 20.2 %. From all the CKD patients, 33 (13.9 %) were stage 3 a (eGFR of 46 -60 ml/min/1.73m2, 13 (5.5%) were stage 3 b (eGFR of 31-45 ml/min/1.73m2) and 2(0.8%) were stage four (eGFR of 15-30 ml/min/1.73m2). Older age (P=0.001) and sex patients (P=0.001) were significant associated with CKD in DM patients but not with residence. Conclusion and Recommendation; The finding of this study, the overall prevalence of CKD among diabetic adult patients at WKUSH was high. Older age and sex were significantly associated with CKD. The renal insufficiency corresponding to stage 3 CKD was also higher in DM patients despite normal Scr level. Everybody who responsible should be screen CKD in DM patients, soon after diagnosis of diabetes because CKD can appear independent of the duration of DM -post-diagnosis