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Prevalence of Advanced Stages of Chronic Kidney Disease 3, 4 and 5 in Diabetic Foot Patients admitted at Corazon Locsin Montelibano Memorial Regional Hospital.


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Dept. of Internal Medicine - Corazon Locsin Montelibano Memorial Regional Hospital

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BACKGROUND: Chronic kidney disease is a major health problem for the underdeveloped countries of Southeast Asia, home to more than 2 billion people. The burden of end-stage renal disease (ESRD) is increasing across the world, propelled by the rising prevalence of two major risk factors: diabetes and hypertension. Foot infections are a common and serious problem in people with diabetes. Locally, there are limited studies showing an association of diabetic foot infections and diabetic nephropathy.

OBJECTIVE: To determine the prevalence of advanced stages of chronic kidney disease 3, 4 and 5 among patients with diabetic foot infections admitted in Corazon Locsin Montelibano Memorial Regional Hospital (CLMMRH) from January 2014 to January 2016.


METHODOLOGY: A retrospective-correlational chart review study of patients admitted with diabetic foot infections from January 2014 to January 2016 was conducted and total of three hundred twelve (312) participants were included in the study. Both of the patients' demographic and clinical profile were encoded and correlated statistically.


RESULTS: Among the 312 patients included in this study, the demographic profile were predominantly males, non-smokers, no family history of diabetes, only a few were diagnosed with a co-existing co-morbidity which is hypertension and cerebrovascular disease and only one was diagnosed with retinopathy; mostly are unemployed; most patients have proteinuria in random urine collection.  Most patients are DM foot Wagner IV and most are CKD Stage 3.

CONCLUSION: Out of 312 patients, 258 had proteinuria in a random urine collection. Microalbuminuria is a non-invasive, early indicator of renal failure. The prevalence of advanced stages of CKD in patients with DM foot infections is 97.29%.


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