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East African Medical Journal

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Correlates and management of anaemia of chronic kidney disease in a Kenyan Tertiary Hospital

C.K. Maina, P.N. Kirimi, K. Mariita, D.G Nyamu, G.A Mugendi, S.A Opanga

Abstract


Background: Anaemia is a common complication of chronic kidney disease. There is paucity of published local and regional data regarding its associated factors and management.
Objective: To assess the correlates and management of anaemia in chronic kidney disease.
Design: Cross sectional descriptive study
Setting: Kenyatta National Hospital, Nairobi County, Kenya.
Subjects: Two hundred and twelve (212) chronic kidney disease patients attending the renal clinic from March 2015 to June 2015 were recruited consecutively.
Results: The prevalence of anaemia was high at 67.0%. There was a positive correlation between anaemia and stage of renal disease (p<0.0001), diabetes (p=0.015), glomerulonephritis (p=0.028) and systemic lupus erythematosus (p=0.002). Although correction of anaemia was done in less than half of the patients presenting with it, treatment using erythropoietin, iron sucrose and blood transfusion correlated positively with the severity (p<0.05).
Conclusion: Anaemia of the chronic kidney disease is prevalent, and the severity increases with the degree of renal damage, but it is sub-optimally managed. Screening and management of anaemia for patients with renal failure should focus more on patients with diabetes, glomerulonephritis and systemic lupus erythematosus.



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