Associated Factors Of Chronic Renal Failure Among Patients Admitted To Babylon Teaching Hospitals

Abstract

Background: Chronic kidney disease is not uncommon condition in which there is a loss of kidney function over time. End-stage renal disease is characterized by a decline in kidney function that necessitates the use of renal replacement therapies such as hemodialysis. Renal failure was more common and had a higher incidence rate in Iraq.

Methodology: Adescriptive cross-sectional study among adult's patients with end- stagerenaldisease (eGFR<15 mL/min/1.73m²) was conducted. A convenient sample of patients diagnosed with end-stage renal disease who were  receiving hemodialysis treatment in Kidney dialysis Centers at Marjan Medical City and Imam-Alsadiq Teaching  Hospital were enrolled in this study. Each participant was interviewed using a pretested questionnaire that included three categories of questions: the first category was related to socio-demographiccharacteristics, clinicalmanifestations, and life style; the second was about medical history and complications of the disease.The data collection continued for the period that starting on 1^st January 2021 through 1^stMarch 2021.

Results: A convenience sample of (96) patients were studied with a mean age of 52.62 (SD = 14.98) years and more than half (53.1%%) were males. Most of the participants (30.2%) were with primary school, followed by (28.1%) were illiterate, while only (11.5%) had a college level of education orhigher.The majority (86.5%) were unemployed and the highest percentage (36.5%) of the participants were with insufficient monthly income, (29.2%) of them were tobacco smokers. Their mean (±SD) duration of smoking (years) was (16.32±10.8.The most common statistically and positive associated factors for renal failure werehypertension (50%), diabetes mellitus (44.8%), nephritis (32.3%) and agingp<0.05.

Conclusion: More than half of patients were above fifty years old, and males were slightly higher than females. The majority of patients were with low education, and the highest percentage were unemployed with insufficient monthly income. The three most common conditions associated with renal failure were hypertension, diabetes, nephritis.