MAGNITUDE OF CHRONIC KIDNEY DISEASE AND ASSOCIATED FACTORS AMONG ADULT DIABETIC PATIENTS AT ST. PAUL’S HOSPITAL MILLENNIUM MEDICAL COLLEGE, ADDIS ABABA, ETHIOPIA 2021

Abstract

ABSTRACT Background: According to the 2015 Global Burden of Disease Study, Chronic Kidney Disease was the 12th common cause of mortality, accounting for about 1.1 million deaths worldwide. However, there is limited evidence on the magnitude of chronic kidney disease the prevalence of chronic kidney disease in Ethiopia is rising due to different associated risk factors. This study aims to assess the magnitude of chronic kidney disease and associated factors among Adult Diabetic patients at Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia. Methods: A Hospital-based Cross-sectional study was conducted at St. Paul Hospital and Millennium Medical College among 240 systematically selected adult diabetic patients from June 2021 to August 2021. Informed written consent was obtained from each participant and data were collected by means of a structured face-to-face interviewer administered questionnaire and patient chart review. The collected data were checked and entered into Epi data 4.1 versions. Finally, the data was exported to SPSS version 25 for analysis. Bivariable and multivariable logistic regression analyses were used to identify factors associated with chronic kidney disease. Odds ratio along with 95%confidence interval (CI) were estimated to measure the strength of the association. Level of statistical significance was declared at p-value less than 0.05. Result: The overall magnitude of chronic kidney disease among medical outpatient department patients was 15.0% (CI: 95% 15 - 23.2). Multivariable logistic regression revealed Participants in the study who were permanent residents of urban areas (AOR=9.549, 95%CI: 2.581-35.333), Employed (AOR: 0.057, 95% CI: 0.005-0.627), who earn average monthly income 1000-5000 birr ( AOR: 2.174, 95% CI: 0.284-16.636), who agreed with kidney function test was necessary (AOR: 11.200, 95% CI: 1.521-82.475) and Participants who had follow-up for chronic renal failure (AOR: 0.010, 95% CI: 0.001-0.180) were significantly associated with chronic kidney disease. Conclusion: This study demonstrated that though there is good knowledge and attitude response towards chronic kidney disease among patients attending Saint Paul’s hospital Millennium Medical College outpatient department, the magnitude of chronic kidney disease needs more attention by all concerned body. More diagnostic strategies for chronic kidney disease screening among diabetic adults and primary care education on the impact of detecting chronic kidney disease in the early stage are needed to prevent adverse outcomes and improve diabetes care. Recommendation: The Saint Paul’s hospital millennium medical college must take on the task of raising patient and provider awareness about chronic kidney disease and its many consequences. Key words: Chronic kidney disease, Adult patients, Patient knowledge