Factors Associated with Chronic Kidney Disease Stage 5 in Chronic Kidney Disease, Khok sung Hospital, Sakaeo Province

Abstract

Background: Chronic kidney disease (CKD) is a major public health problem worldwide and increases health system costs especially for the treatment of chronic kidney disease stage 5. Khok Sung Hospital is a small community hospital but the number of patients with chronic kidney disease are increasing every year. This objective of this study is to determine the factors associated with chronic kidney disease stage 5 in Khok Sung Hospital during the years 2022-2024. Methods: Retrospective cohort study was performed to identify possible risk factors relevant to chronic kidney disease stage 5. Univariate and multiple logistic regression were used to estimate risk ratio and adjusted odds ratio with 95% confidence interval. Result: patients with chronic kidney disease are enrolled in this study was 111 and chronic kidney disease stage 5 (CKD stage 5) were 73 (65.76%). Significant risk factors in univariate analysis were hypertension (RR = 2.48, 95% CI = 1.07, 5.75), anemia (RR = 1.68, 95% CI = 1.13, 2.51) and dyslipidemia (DLP) (RR = 1.48, 95% CI = 1.07, 2.05). In multiple logistic regression only anemia (adjusted OR = 4.25, 95% CI = 1.35-13.40) was Significant factor. Recommendation: the chronic kidney disease stage 3-4 with anemia (Hct<30%) should be closely monitored for regression to chronic kidney disease stage 5. Most patients are elderly and choose treatment according to supportive. Hospitals should develop palliative care and alternative medical treatments to support this group of people who will increase in the future.