Scenario of Chronic Kidney Disease in A Developing Country: A Single Central Experience

Md. Nazmul Islam¹, Md. Salman²

1.  Professor and Head, Department of Nephrology, North East Medical College and Hospital, Sylhet
2.  Registrar, Department of Nephrology, North East Medical College and Hospital Sylhet

Abstract
Diabetes Mellitus and Hypertension appear to be the global risk factors of chronic kidney disease. Our studies focus on the association of these risk factors with different variables such as age group and sex. Here a retrospective study of 142 patients aging from 20 to 90⁺ years and above were taken into account. These data were collected from patients admitted to North East Medical College situated in Sylhet, Bangladesh. The study included 142 respondents, with the majority aged 61-70 years, followed by 51-60 years. The male-to-female ratio was approximately 1.25:1, with males accounting for 55.63% and females 44.37%. Regarding co-morbidities, 44.37% of participants had both diabetes mellitus (DM) and hypertension (HTN), while 34.51% had HTN alone, 4.22% had DM alone, and 16.90% had glomerulonephritis (GN). GN was more frequent among younger age groups, while DM and HTN were predominantly observed in older participants, particularly in the 51-70-year range. Outcome analysis revealed that 61.27% of patients experienced disease progression, Mortality was highest among participants aged 71-90 years. The highest rate of progression occurred in the 61-70-year age group, and stability was most common in the 51-60-year age group. This study underscores the critical need for early identification and management of HTN and DM to mitigate CKD progression.

Key Words: Kidney disease, Developing country, Central

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