Newly diagnosed end stage kidney disease in a single centre in Sabah
- Author:
Koh Wei Wong
;
Sharon Lojikip
;
Fei Sia Chan
;
Kheng Wee Goh
;
Hoong Chee Pang
- Publication Type:Original Article
- Keywords:
end-stage renal disease;
kidney disease;
Sabah
- From:
The Medical Journal of Malaysia
2017;72(3):179-185
- CountryMalaysia
- Language:English
-
Abstract:
Aim: To study the epidemiology, clinical characteristics,
vascular access, and the short term survival of ESRD
patients initiated on dialysis from Hospital Queen Elizabeth
(HQE).
Background: The number of patients with ESRD is
increasing in Sabah, Malaysia. Most patients present late
and some live in remote areas with difficult access to
healthcare services. Many therefore present with potentially
fatal complications.
Methods: All the newly confirmed ESRD patients who were
initiated on renal replacement therapy (RRT) from 1 January
to 31 December 2014 were included. The basic
epidemiological and clinical data were collected. They were
divided into three groups: Group 1 - those known to the
medical service and had been prepared properly for the
initiation of RRT; Group 2 - those known to the medical
service, but were not prepared for the RRT; Group 3 - those
with undiagnosed CKD. Outcome is mainly survival at 3rd,
6th, 9th and 12th month.
Results: There were 249 ESRD patients. 153 (61.4%) were
male. The average age was 53.3 (range 12 - 83). The main
cause of ESRD was diabetic nephropathy (128 patients,
51.4%). Most patients were started on RRT with a catheter
(74.3%), 47 patients (18.9%) with a fistula, and 17 patients
(6.8%) with a Tenckhoff catheter. 185 (74.3%) patients were
not prepared properly (Group 2 – 66.3%, and Group 3 –
8.0%). The survival for 249 patients were 86.3% at 6 months,
77.9% at 12 months. Group 2 has the worst survival (81.9%
at 6 months, 71.1% at 12 months).
Conclusions: Our data showed that most patients (74.3%)
were started on dialysis in an unplanned manner with poor
survival. A comprehensive and well-supported predialysis
programme is needed.
