Two years follow-up study of CKD patients in PHO Clinical Hospital Bitola Macedonia

Ilkovska, Biljana and Kotevska, Bisera (2021) Two years follow-up study of CKD patients in PHO Clinical Hospital Bitola Macedonia. International Journal of Medical and Health Research, 7 (9). pp. 43-46. ISSN 2454-9142

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Abstract

Abstract
Background: Chronic kidney disease (CKD) is a growing health problem worldwide with prevalence estimates ranging from 23.4–35.8% in persons aged 64 years or older [1]. CKD is characterized by progressive and irreversible loss of renal function. It is a major health issue worldwide, which leads to end-stage renal failure (ESRD).
Findings: We analyzed patients with non-progressive CKD at the baseline and at the follow up visit after two years, and we concluded that they have higher potassium and lower HDL cholesterol at the fist visit compared to the last vis. Patients with progressive CKD at the baseline and at the follow up after two years, have lower levels of urea, creatinine and GFR at the first visit of the examination compared to the last visit – two years later. We compared the progression group to non-proggresive at the first visit and we discovered that they had significantly lower cholesterol and Albumin Creatinine Ratio (mg/mmol) level and significant higher HDL cholesterol (mmol/l) levels in the baseline visit.
Conclusion: We concluded that ACR is very important marker for CKD and its progression. We can use ACR as a predictive marker for CKD. Haemoglobin as biomarkers of anaemia, were reduced in progressive CKD patients. We have to use erythropoietin for stimulation the erythropoiesis in all CKD patienst to prevent serious anaemia in CKD patients.
Keywords: chronic kidney disease (CKD), albumin-creatinine ratio (ACR), estimated glomerular filtration rate (EGFR)

Item Type: Article
Subjects: Scientific Fields (Frascati) > Medical and Health Sciences > Clinical medicine
Divisions: UKLO Network
Depositing User: UKLO Mrezha
Date Deposited: 30 Jan 2024 08:03
Last Modified: 30 Jan 2024 08:03
URI: https://eprints.uklo.edu.mk/id/eprint/9343

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