Assessment of serum biochemical derangements and associated risk factors of chronic kidney disease
أهداف البحث: مرض الكلى المزمن و / أو الاضطراب في وظيفة الإخراج الكلوي قد يؤدي إلى تراكم النفايات النيتروجينية بالإضافة إلى اختلالات العديد من المواد البيوكيميائية في مصل الدم. لا توجد دراسة سابقة من باكستان تكشف عن اختلالات في كهارل مصل الدم لدى مرضى الكلى المزمن المؤكد والمواد البيوكيميائية الأخرى...
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Published in | Journal of Taibah University Medical Sciences Vol. 17; no. 3; pp. 376 - 383 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
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Saudi Arabia
Elsevier B.V
01.06.2022
Taibah University Elsevier |
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Abstract | أهداف البحث: مرض الكلى المزمن و / أو الاضطراب في وظيفة الإخراج الكلوي قد يؤدي إلى تراكم النفايات النيتروجينية بالإضافة إلى اختلالات العديد من المواد البيوكيميائية في مصل الدم. لا توجد دراسة سابقة من باكستان تكشف عن اختلالات في كهارل مصل الدم لدى مرضى الكلى المزمن المؤكد والمواد البيوكيميائية الأخرى المرتبطة بأمراض الكلى المزمنة. تهدف هذه الدراسة إلى تقييم اختلالات المواد البيوكيميائية في مصل الدم والارتباط بين العديد من عوامل الخطر مع مرض الكلى المزمن.
ضمت الدراسة 612 مريضا مؤكدا بمرض الكلى المزمن مع معدل ترشيح كبيبي أقل من 15 مل / دقيقة تم علاجهم كجزء من برنامج الرعاية المتكاملة في مستشفى مايو في لاهور (أحد أكبر المستشفيات في باكستان). تم تقدير المواد البيوكيميائية في المصل على 680 وحدة بتقنية القياس الطيفي.
كان جميع مرضى الكلى المزمن يعانون من ارتفاع مستويات الكرياتينين واليوريا ولكن 63.4٪ فقط كانوا يعانون من فرط حمض يوريك الدم. كانت نسبة الإصابة بمرض السكري وسوء التغذية المقيّمة بألبومين المصل (نقص ألبومين الدم) 27.4٪ و 72٪ على التوالي. من بين اضطرابات الكهارل، وجد أن فرط فوسفات الدم (71.8٪) ونقص كالسيوم الدم (61.9٪) الأكثر انتشاراً. علاوة على ذلك، تم العثور على عوامل خطر ذات دلالة إحصائية للإصابة بمرض الكلى المزمن وهي جنس المريض وسوء التغذية، والسكري، وفرط حمض يوريك الدم، واختلالات الفوسفور والمغنيسيوم، بينما ارتبط سوء التغذية واضطراب المغنيسيوم بفرط حمض يوريك الدم.
من الضروري تحسين النظام الغذائي للبروتين ومراقبة تركيز الكهارل في الدم لدى مرضى الخلل الكلوي لإبطاء تطوّر مرض الكلى المزمن إلى مرض الكلى بمراحله الأخيرة وغيرها من المضاعفات الخطيرة.
Chronic kidney disease and/or disturbance in renal excretory function may lead to nitrogenous waste collection beyond the term as well as derangements of several serum biochemicals. There is no previous study from Pakistan that reveals serum electrolyte derangements in confirmed chronic kidney disease (CKD) patients and other biochemicals associated with CKD. This study aims to examine the derangements of serum biochemicals and the association of several risk factors with CKD.
The study enrolled 612 confirmed CKD patients with a glomerular filtration rate (GFR) < 15 ml/min that were treated as a part of the integrated care programme at Mayo Hospital Lahore (one of the largest hospitals in Pakistan). Serum biochemicals were estimated on AU 680 (Beckman Coulter) using the spectrophotometric technique.
All the CKD patients had elevated creatinine and urea levels, but only 63.4% were suffering from hyperuricemia. The incidence of diabetes and malnutrition assessed by serum albumin (hypoalbuminemia) was 27.4% and 72%, respectively. Among electrolyte disorders, hyperphosphatemia (71.8%) and hypocalcaemia (61.9%) were found to be more prevalent. Furthermore, gender, malnutrition, diabetes, hyperuricemia, and phosphorus and magnesium derangements were found to be statistically significant risk factors for CKD, whereas malnutrition and magnesium derangement were associated with hyperuricemia.
It is imperative to improve dietary protein and monitor serum electrolyte concentration in renal dysfunction patients to slow the progression of CKD to end-stage renal disease (ESRD) and other serious complications. |
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AbstractList | الملخص: أهداف البحث: مرض الكلى المزمن و / أو الاضطراب في وظيفة الإخراج الكلوي قد يؤدي إلى تراكم النفايات النيتروجينية بالإضافة إلى اختلالات العديد من المواد البيوكيميائية في مصل الدم. لا توجد دراسة سابقة من باكستان تكشف عن اختلالات في كهارل مصل الدم لدى مرضى الكلى المزمن المؤكد والمواد البيوكيميائية الأخرى المرتبطة بأمراض الكلى المزمنة. تهدف هذه الدراسة إلى تقييم اختلالات المواد البيوكيميائية في مصل الدم والارتباط بين العديد من عوامل الخطر مع مرض الكلى المزمن. طرق البحث: ضمت الدراسة 612 مريضا مؤكدا بمرض الكلى المزمن مع معدل ترشيح كبيبي أقل من 15 مل / دقيقة تم علاجهم كجزء من برنامج الرعاية المتكاملة في مستشفى مايو في لاهور (أحد أكبر المستشفيات في باكستان). تم تقدير المواد البيوكيميائية في المصل على 680 وحدة بتقنية القياس الطيفي. النتائج: كان جميع مرضى الكلى المزمن يعانون من ارتفاع مستويات الكرياتينين واليوريا ولكن 63.4٪ فقط كانوا يعانون من فرط حمض يوريك الدم. كانت نسبة الإصابة بمرض السكري وسوء التغذية المقيّمة بألبومين المصل (نقص ألبومين الدم) 27.4٪ و 72٪ على التوالي. من بين اضطرابات الكهارل، وجد أن فرط فوسفات الدم (71.8٪) ونقص كالسيوم الدم (61.9٪) الأكثر انتشاراً. علاوة على ذلك، تم العثور على عوامل خطر ذات دلالة إحصائية للإصابة بمرض الكلى المزمن وهي جنس المريض وسوء التغذية، والسكري، وفرط حمض يوريك الدم، واختلالات الفوسفور والمغنيسيوم، بينما ارتبط سوء التغذية واضطراب المغنيسيوم بفرط حمض يوريك الدم. الاستنتاجات: من الضروري تحسين النظام الغذائي للبروتين ومراقبة تركيز الكهارل في الدم لدى مرضى الخلل الكلوي لإبطاء تطوّر مرض الكلى المزمن إلى مرض الكلى بمراحله الأخيرة وغيرها من المضاعفات الخطيرة. Abstract: Objective: Chronic kidney disease and/or disturbance in renal excretory function may lead to nitrogenous waste collection beyond the term as well as derangements of several serum biochemicals. There is no previous study from Pakistan that reveals serum electrolyte derangements in confirmed chronic kidney disease (CKD) patients and other biochemicals associated with CKD. This study aims to examine the derangements of serum biochemicals and the association of several risk factors with CKD. Methods: The study enrolled 612 confirmed CKD patients with a glomerular filtration rate (GFR) < 15 ml/min that were treated as a part of the integrated care programme at Mayo Hospital Lahore (one of the largest hospitals in Pakistan). Serum biochemicals were estimated on AU 680 (Beckman Coulter) using the spectrophotometric technique. Results: All the CKD patients had elevated creatinine and urea levels, but only 63.4% were suffering from hyperuricemia. The incidence of diabetes and malnutrition assessed by serum albumin (hypoalbuminemia) was 27.4% and 72%, respectively. Among electrolyte disorders, hyperphosphatemia (71.8%) and hypocalcaemia (61.9%) were found to be more prevalent. Furthermore, gender, malnutrition, diabetes, hyperuricemia, and phosphorus and magnesium derangements were found to be statistically significant risk factors for CKD, whereas malnutrition and magnesium derangement were associated with hyperuricemia. Conclusion: It is imperative to improve dietary protein and monitor serum electrolyte concentration in renal dysfunction patients to slow the progression of CKD to end-stage renal disease (ESRD) and other serious complications. Chronic kidney disease and/or disturbance in renal excretory function may lead to nitrogenous waste collection beyond the term as well as derangements of several serum biochemicals. There is no previous study from Pakistan that reveals serum electrolyte derangements in confirmed chronic kidney disease (CKD) patients and other biochemicals associated with CKD. This study aims to examine the derangements of serum biochemicals and the association of several risk factors with CKD. The study enrolled 612 confirmed CKD patients with a glomerular filtration rate (GFR) < 15 ml/min that were treated as a part of the integrated care programme at Mayo Hospital Lahore (one of the largest hospitals in Pakistan). Serum biochemicals were estimated on AU 680 (Beckman Coulter) using the spectrophotometric technique. All the CKD patients had elevated creatinine and urea levels, but only 63.4% were suffering from hyperuricemia. The incidence of diabetes and malnutrition assessed by serum albumin (hypoalbuminemia) was 27.4% and 72%, respectively. Among electrolyte disorders, hyperphosphatemia (71.8%) and hypocalcaemia (61.9%) were found to be more prevalent. Furthermore, gender, malnutrition, diabetes, hyperuricemia, and phosphorus and magnesium derangements were found to be statistically significant risk factors for CKD, whereas malnutrition and magnesium derangement were associated with hyperuricemia. It is imperative to improve dietary protein and monitor serum electrolyte concentration in renal dysfunction patients to slow the progression of CKD to end-stage renal disease (ESRD) and other serious complications. أهداف البحث: مرض الكلى المزمن و / أو الاضطراب في وظيفة الإخراج الكلوي قد يؤدي إلى تراكم النفايات النيتروجينية بالإضافة إلى اختلالات العديد من المواد البيوكيميائية في مصل الدم. لا توجد دراسة سابقة من باكستان تكشف عن اختلالات في كهارل مصل الدم لدى مرضى الكلى المزمن المؤكد والمواد البيوكيميائية الأخرى المرتبطة بأمراض الكلى المزمنة. تهدف هذه الدراسة إلى تقييم اختلالات المواد البيوكيميائية في مصل الدم والارتباط بين العديد من عوامل الخطر مع مرض الكلى المزمن. ضمت الدراسة 612 مريضا مؤكدا بمرض الكلى المزمن مع معدل ترشيح كبيبي أقل من 15 مل / دقيقة تم علاجهم كجزء من برنامج الرعاية المتكاملة في مستشفى مايو في لاهور (أحد أكبر المستشفيات في باكستان). تم تقدير المواد البيوكيميائية في المصل على 680 وحدة بتقنية القياس الطيفي. كان جميع مرضى الكلى المزمن يعانون من ارتفاع مستويات الكرياتينين واليوريا ولكن 63.4٪ فقط كانوا يعانون من فرط حمض يوريك الدم. كانت نسبة الإصابة بمرض السكري وسوء التغذية المقيّمة بألبومين المصل (نقص ألبومين الدم) 27.4٪ و 72٪ على التوالي. من بين اضطرابات الكهارل، وجد أن فرط فوسفات الدم (71.8٪) ونقص كالسيوم الدم (61.9٪) الأكثر انتشاراً. علاوة على ذلك، تم العثور على عوامل خطر ذات دلالة إحصائية للإصابة بمرض الكلى المزمن وهي جنس المريض وسوء التغذية، والسكري، وفرط حمض يوريك الدم، واختلالات الفوسفور والمغنيسيوم، بينما ارتبط سوء التغذية واضطراب المغنيسيوم بفرط حمض يوريك الدم. من الضروري تحسين النظام الغذائي للبروتين ومراقبة تركيز الكهارل في الدم لدى مرضى الخلل الكلوي لإبطاء تطوّر مرض الكلى المزمن إلى مرض الكلى بمراحله الأخيرة وغيرها من المضاعفات الخطيرة. Chronic kidney disease and/or disturbance in renal excretory function may lead to nitrogenous waste collection beyond the term as well as derangements of several serum biochemicals. There is no previous study from Pakistan that reveals serum electrolyte derangements in confirmed chronic kidney disease (CKD) patients and other biochemicals associated with CKD. This study aims to examine the derangements of serum biochemicals and the association of several risk factors with CKD. The study enrolled 612 confirmed CKD patients with a glomerular filtration rate (GFR) < 15 ml/min that were treated as a part of the integrated care programme at Mayo Hospital Lahore (one of the largest hospitals in Pakistan). Serum biochemicals were estimated on AU 680 (Beckman Coulter) using the spectrophotometric technique. All the CKD patients had elevated creatinine and urea levels, but only 63.4% were suffering from hyperuricemia. The incidence of diabetes and malnutrition assessed by serum albumin (hypoalbuminemia) was 27.4% and 72%, respectively. Among electrolyte disorders, hyperphosphatemia (71.8%) and hypocalcaemia (61.9%) were found to be more prevalent. Furthermore, gender, malnutrition, diabetes, hyperuricemia, and phosphorus and magnesium derangements were found to be statistically significant risk factors for CKD, whereas malnutrition and magnesium derangement were associated with hyperuricemia. It is imperative to improve dietary protein and monitor serum electrolyte concentration in renal dysfunction patients to slow the progression of CKD to end-stage renal disease (ESRD) and other serious complications. Chronic kidney disease and/or disturbance in renal excretory function may lead to nitrogenous waste collection beyond the term as well as derangements of several serum biochemicals. There is no previous study from Pakistan that reveals serum electrolyte derangements in confirmed chronic kidney disease (CKD) patients and other biochemicals associated with CKD. This study aims to examine the derangements of serum biochemicals and the association of several risk factors with CKD.ObjectiveChronic kidney disease and/or disturbance in renal excretory function may lead to nitrogenous waste collection beyond the term as well as derangements of several serum biochemicals. There is no previous study from Pakistan that reveals serum electrolyte derangements in confirmed chronic kidney disease (CKD) patients and other biochemicals associated with CKD. This study aims to examine the derangements of serum biochemicals and the association of several risk factors with CKD.The study enrolled 612 confirmed CKD patients with a glomerular filtration rate (GFR) < 15 ml/min that were treated as a part of the integrated care programme at Mayo Hospital Lahore (one of the largest hospitals in Pakistan). Serum biochemicals were estimated on AU 680 (Beckman Coulter) using the spectrophotometric technique.MethodsThe study enrolled 612 confirmed CKD patients with a glomerular filtration rate (GFR) < 15 ml/min that were treated as a part of the integrated care programme at Mayo Hospital Lahore (one of the largest hospitals in Pakistan). Serum biochemicals were estimated on AU 680 (Beckman Coulter) using the spectrophotometric technique.All the CKD patients had elevated creatinine and urea levels, but only 63.4% were suffering from hyperuricemia. The incidence of diabetes and malnutrition assessed by serum albumin (hypoalbuminemia) was 27.4% and 72%, respectively. Among electrolyte disorders, hyperphosphatemia (71.8%) and hypocalcaemia (61.9%) were found to be more prevalent. Furthermore, gender, malnutrition, diabetes, hyperuricemia, and phosphorus and magnesium derangements were found to be statistically significant risk factors for CKD, whereas malnutrition and magnesium derangement were associated with hyperuricemia.ResultsAll the CKD patients had elevated creatinine and urea levels, but only 63.4% were suffering from hyperuricemia. The incidence of diabetes and malnutrition assessed by serum albumin (hypoalbuminemia) was 27.4% and 72%, respectively. Among electrolyte disorders, hyperphosphatemia (71.8%) and hypocalcaemia (61.9%) were found to be more prevalent. Furthermore, gender, malnutrition, diabetes, hyperuricemia, and phosphorus and magnesium derangements were found to be statistically significant risk factors for CKD, whereas malnutrition and magnesium derangement were associated with hyperuricemia.It is imperative to improve dietary protein and monitor serum electrolyte concentration in renal dysfunction patients to slow the progression of CKD to end-stage renal disease (ESRD) and other serious complications.ConclusionIt is imperative to improve dietary protein and monitor serum electrolyte concentration in renal dysfunction patients to slow the progression of CKD to end-stage renal disease (ESRD) and other serious complications. |
Author | Askari, Syed Muhammad Hassan Mehmood, Hafiz Rehman Khan, Zaman Hussain, Abid Elahi, Amina Jahangir, Hafiz Muhammad Sajid |
Author_xml | – sequence: 1 givenname: Hafiz Rehman surname: Mehmood fullname: Mehmood, Hafiz Rehman organization: University Institute of Medical Laboratory Technology, Faculty of Allied Health Sciences, The University of Lahore, Lahore, Pakistan – sequence: 2 givenname: Zaman orcidid: 0000-0001-5880-1095 surname: Khan fullname: Khan, Zaman email: hmzamankhan@gmail.com organization: University Institute of Medical Laboratory Technology, Faculty of Allied Health Sciences, The University of Lahore, Lahore, Pakistan – sequence: 3 givenname: Hafiz Muhammad Sajid surname: Jahangir fullname: Jahangir, Hafiz Muhammad Sajid organization: Department of Medicine, Mayo Hospital, Lahore, Pakistan – sequence: 4 givenname: Abid surname: Hussain fullname: Hussain, Abid organization: Department of Medical Lab Technology, Faculty of Rehabilitation and Allied Health Sciences, Riphah International University Islamabad, QIE Campus Lahore, Pakistan – sequence: 5 givenname: Amina surname: Elahi fullname: Elahi, Amina organization: University Institute of Medical Laboratory Technology, Faculty of Allied Health Sciences, The University of Lahore, Lahore, Pakistan – sequence: 6 givenname: Syed Muhammad Hassan surname: Askari fullname: Askari, Syed Muhammad Hassan organization: College of Agriculture and Biotechnology, Provincial Resources, Zhejiang University, Hangzhou, China |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/35722231$$D View this record in MEDLINE/PubMed |
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Keywords | Electrolyte derangements Hyperuricemia السكري سوء التغذية أمراض الكلى المزمنة فرط حمض يوريك الدم اضطرابات الكهارل Chronic kidney disease Diabetes Malnutrition |
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Snippet | أهداف البحث: مرض الكلى المزمن و / أو الاضطراب في وظيفة الإخراج الكلوي قد يؤدي إلى تراكم النفايات النيتروجينية بالإضافة إلى اختلالات العديد من المواد... Chronic kidney disease and/or disturbance in renal excretory function may lead to nitrogenous waste collection beyond the term as well as derangements of... الملخص: أهداف البحث: مرض الكلى المزمن و / أو الاضطراب في وظيفة الإخراج الكلوي قد يؤدي إلى تراكم النفايات النيتروجينية بالإضافة إلى اختلالات العديد من المواد... |
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SubjectTerms | Chronic kidney disease Diabetes Electrolyte derangements Hyperuricemia Malnutrition Original أمراض الكلى المزمنة اضطرابات الكهارل السكري سوء التغذية فرط حمض يوريك الدم |
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Title | Assessment of serum biochemical derangements and associated risk factors of chronic kidney disease |
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