Risk Assessment of Pre-dialysis Chronic Kidney Disease (CKD) Patients for Cardiovascular Disease (CVD) in a Tertiary Hospital in Nigeria: A Case-Controlled Cross-Sectional Study.

Autor:	Ovwasa H; Family Physician, Milk River Health Center, Milk River Alberta, CAN., Aiwuyo HO; Internal Medicine, Brookdale University Hospital Medical Center, Brooklyn, USA., Okoye OA; Internal Medicine, Delta State University Teaching Hospital (DELSUTH), Oghara, NGA., Umuerri EM; Medicine, Delta State University, Abraka, NGA.; Internal Medicine/Cardiology, Delta State University Teaching Hospital, Oghara, NGA., Obasohan A; Medicine, College of Medical Sciences, University of Benin, Benin City, NGA., Unuigbe E; Internal Medicine, University of Benin Teaching Hospital, Benin City, NGA., Rajora N; Internal Medicine, University of Southwestern Medical Center, Dallas, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2023 Mar 27; Vol. 15 (3), pp. e36725. Date of Electronic Publication: 2023 Mar 27 (Print Publication: 2023).
DOI:	10.7759/cureus.36725
Abstrakt:	Introduction: Cardiovascular disease (CVD) is the leading cause of morbidity and mortality in the chronic kidney disease (CKD) population. CKD patients are more likely to die from CVD before ever reaching end-stage renal disease (ESRD). The study, therefore, seeks to identify the prevalence of risk factors of CVD in CKD patients such as systemic hypertension, anemia, dyslipidemia, hypoalbuminemia, albuminuria, and abnormal calcium/phosphate products. Methods: The study was a case-control cross-sectional study where one hundred fifty hypertensive CKD patients and age- and sex-matched hypertensive non-CKD subjects were consecutively enrolled at the renal unit of Delta State University Teaching Hospital (DELSUTH), Oghara. Results: The findings of the study revealed the mean ages of cases and controls to be 48.91±11.93 years and 51.0±15.45 years respectively (p-value 0.182). There was an equal number of males and females among the study group and controls (92 males and 58 females) making a male-to-female ratio of 3:2. The prevalence of CVD risk factors such as diabetes mellitus, hypercholesterolemia, hypertriglyceridemia, elevated low-density lipoprotein, anemia, hypocalcemia, hyperphosphatemia, albuminuria, and hypoalbuminemia was significantly higher among the CKD group compared to controls. Similarly, the prevalence of reduced high-density lipoprotein (HDL) was higher among cases than controls, the difference was however not statistically significant. Conclusion: The study has shown that systemic hypertension, diabetes, anemia, dyslipidemia, hypoalbuminemia, albuminuria, and abnormal calcium/phosphate products increases the risk for CVD in the general population but is more expressed and significant in CKD patients. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Ovwasa et al.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu