Risk Factors Associated with Stage 3 Renal Failure in Diabetic Patients, Surin Hospital

Abstract

Background: The leading cause of chronic renal failure in patients is diabetes.
Objective: This study aimed to determine the risk factors of diabetic patients in developing stage III chronic renal failure in Surin Hospital
Methods: Collecting data from January 1st., 2001 to December 31st., 2019. Collecting data back to 2001 and collecting annual blood test data. Once a year from January 1st., 2009, to December 31st., 2021, a retrospective evaluation was conducted to determine which risk factors contributed to the progression of chronic renal failure stage3 and analyzed in subgroups by assessing patients in the first year of diabetes. How much did patients with diabetes in the first year have renal failure or proteinuria.
Results: A total of 626 patients, 179 males, 447 females, received 3027 blood tests. The indicator was patients with stage III chronic renal failure. Kidney function is 30 to 59 units per year, an important factor that causes patients to develop renal failure. Patients over 60 years of age had a 7.67-fold risk of developing chronic renal failure (p-value <0.001). Patients with diabetes longer than 10 years had a 2.03-fold risk. If diabetes is more than 20 years, the risk is 6.2 times. Patients with proteinuria had 3.01 times. Which was statistically significant for all 3 variables (p-value <0.001). When subgroup analysis among patients with diabetes in the first year of diagnosis. It was found that 34.4% of patients with proteinuria from the first year of diabetes diagnosis
Conclusion: Factors associated with stage 3 renal failure in diabetic patients, Surin Hospital is age over 60 years, duration of diabetes and proteinuria.