13383例住院患者慢性肾脏病患病情况调查.pdfVIP

Investigation ofthe prevalence of chronic kidney disease 。。3383in 1 Chinese hospitalized adult patients Abstract oblIxql}VO*There is all increasing prevalence ofchronic kidney disease(CKD)worldwide． However,the exact incidence of CKD in China is still uncertain．The aim of this eress-,sectionul study was to retrospectively inv∞figute the prevalence and distribution of CKD in hospitalized Chinese adult patients． Methods：Totally 13383 adult patients who were hospitalized at our hospital from September 2004 to AUgBSI 2005 were included in tIlis study．They included 6215 males and 7168 females．P砒ient’s gender,age．blood pressure,serum crentinine,hemoglobin,proteinuria and risk factors were investigated．CKD WSS defmed and classified according to K厄’oOI guideline．GFR WaS estimated by using of the abbreviated MDRD equation(e6FR=186．3．(serum ereatinine)1．154,age-O．203,0．742(for wombl)m1．nlin-1．(1．73m2)-1)． Results：11碡prevalence rate of CKD was 14．82％in our group．which was respectively distributed from stage l to 5缸the following percentage，3．33％(stage 1)，2．49％(stage 2)，7．07％ (stage 3)，1．08％(stage 4)and 0．86％(stage 5)．Elderly patients(age65 years)accounted for 53．07％，which had a higher CKD prevalence(29．47％)than middle and young-aged patients (9．49％)．9．01％hospitalized patients’eGFR were below 60 ml·min-j．(1．73mz)．I．11砖prevalence ofproteinuria was 8．87％．It Was noted that 39．06％patients at stage 1 to 3 were undiaguesed with CKD during their hospitalization．11埒most common etiology forCKD WaS hypertension(29．49％) and diabetes(11．“％)and primary glomerulonephritis(4．39％)．Hypertension,diabetes and the elderly were nlaln risk factors for CKD．The proportion of CKD patients accompanied with left ventricular hypertrophy(LVH)was 46．39％， Conclusion：CKD is a very common disease among the hospitalized patients in China． With the increasing of aging population,elderly people vail be the highest risk group for CKD． More strategies have to beⅡlade for its early de4ection and prevention． [key word