Open AccessPREVALENCE AND ASSOCIATED FACTORS IN THE DECLINE OF RENAL FUNCTION AMONG OUTPATIENTS ATTENDING A COMMUNITY HOSPITAL, CENTRAL THAILAND
Author(s) -
Chatchaya Chamnanmont,
Napat Chaiyakham,
Sittirat Kaensingh,
Wisit Kaewput,
Ram Rangsin,
Boonsub Sakboonyarat
Publication year - 2021
Publication title -
journal of southeast asian medical research
Language(s) - English
Resource type - Journals
ISSN - 2697-5424
DOI - 10.55374/jseamed.v5i2.90
Subject(s) - medicine , renal function , odds ratio , confidence interval , kidney disease , logistic regression , cross sectional study , demography , pathology , sociology
Chronic kidney disease (CKD) is recognized as global public health issue especially affecting developing countries including Thailand. The epidemiologic data in the decline of renal function and the risk factors among Thai patients especially in community hospital settings were limited.
Methods: A cross-sectional study was conducted to identify the prevalence and associated risk factors in the decline of renal function among outpatients in Thaluang Community Hospital, Lop Buri Province, central Thailand, between November 1, 2018 and October 31, 2019. The decline in renal function was defined by glomerular filtration rate (GFR) <60 mL/min/1.73m2. Multivariate logistic regression analysis was performed to obtain the adjusted odds ratios (AOR) and 95% confidence interval (CI) of the factors related to the decline of renal function.
Results: A total of 874 outpatients participated in the study. The overall prevalence in the decline of renal function (eGFR 75th percentile (AOR 1.64; 95% CI=1.07-2.53)
Conclusion: We reported the prevalence in the decline of renal function among outpatients in a Thai community hospital which was comparable with the national level. Advanced age, history of NSAIDs used and PP were related to reduced kidney function. Therefore, effective health interventions should be conducted especially, appropriate NSAIDs used among outpatients.