Risk factors of chronic kidney disease in Maeramard population ; Tak province

Abstract

Chronic Kidney disease (CKD) is an important public Health problem in Thailand. Most patients are

unawareness, due to asymptomatic nature in early stage of disease. Effective screening program will be the most important step to control the problem. Objectives: To determine relationship of risk factors in Modified Kidney Disease Self-screening questionnaires (MKIDs) and Chronic Kidney diseases. Methods: The study was conducted with cross-sectional descriptive study design . Collected data from Screening CKD project in Thai citizen age over 40 years old. The project was carried out from February to April 2016, in Maeramard city, Tak province. Factors associated with CKD were assessed using chi-square test. Then included into the multivariate logistic model. Adjusted odds ratios (OR) and 95% CI were estimated. Results: Total of 1,523 subjects were enrolled to screening urine protein dip-stick test and serum Creatinine (Enzymatic Method). Two hundred eighty subjects were identified as having CKD (18.4% of overall screening). About 73.6% of patients were in stage 3. Risk factors associated with CKD were male gender, age >60 years old, underlying disease of diabetes mellitus, hypertension and co underlying diabetes mellitus with hypertension. Level of relationship (Adjusted odds ratio) was 1.34, 4.47, 2.28, 3.35 and 4.3, respectively. Conclusion: Risk factors in MKIDs questionnaires that associated to CKD patients detection are male gender, age >60 years old, underlying disease of diabetes mellitus, hypertension and co underlying diabetes mellitus with hypertension