Abstract
Background of study: Chronic renal failure (CRF) is a devastating medical, social, and economic problem for patients and their families. There is no data on the true incidence and prevalence of chronic renal failure in the developing world. Delayed diagnosis and failure of institution of measures to slow progression of renal failure result in a predominantly young end-stage renal disease (ESRD) population. Chronic diseases have become a major cause of global morbidity and mortality even in developing countries. The burden of chronic kidney disease (CKD) in India cannot be assessed accurately. The approximate prevalence of CKD is 800 per million population (pmp), and the incidence of ESRD is 150-200 pmp. CRF is a significant public health concern in many countries, including India, with a rising prevalence and increasing burden on healthcare systems. Understanding the clinical characteristics of CRF patients admitted to hospitals can provide valuable insights into the severity of the disease and the specific challenges faced by this subgroup. Hospitalized CRF patients often require acute medical interventions, dialysis, or other specialized treatments, indicating the need for a comprehensive understanding of their treatment outcomes.
Objectives: To assess the clinical profile and treatment outcome of patients with Chronic Renal Failure. To compare treatment outcome of patients of Chronic Renal Failure with selected socio-demographic variables.
Material and methods: A descriptive study with cross sectional approach was used to assess clinical profile and treatment outcome of patients with chronic renal failure admitted at DRVVPPRH, Loni. The sample consisted of 60 patients diagnosed with chronic renal failure. Sampling techniques used for the present study was non-probability method, purposive sampling technique. A proforma was prepared to collect the data. Descriptive and inferential statistics were used to analyze the data according to objectives.
Results: The demographic data showed that (40%) of the study subjects were in the age group of above 65 years, (70%) were male, (30%) study subjects were in the group of primary educated, (50%) of the study subjects were farmer by occupation and (60%) of the study subjects were in the category of 3-5 years of duration of illness. General weakness was noted to be the most widespread symptom, present in (90%) of subjects, Puffiness of face (80%) was the most common specific symptom seen. Dysuria, sleep disturbances and weight loss, in that order, were the least commonly seen, noticed only in (7%), (9%) and (10%) of the subjects, respectively. Signs of chronic Renal Failure were tabulated, Pallor was seen inevitably in (92%) of the subjects followed by pedal edema was noted in (68%) and hypertension in (58%) of subjects, nail changes was the least common sign observed. Majority of the subjects studied fell in the GFR bracket of 15-29.9 ml/min, it classifies them into CKD stage 4 (35%) which was followed by a close second being CKD stage 5 (33%), Stage 0 and stage 2 saw the least number of subjects, being approximately 4% each. The findings depicts that all patients 60(100%) had good recovery and discharge/transfer.