Correlates and management of anaemia of chronic kidney disease in a Kenyan Tertiary Hospital
AbstractBackground: 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.
Copyright for articles published in this journal is retained by the journal.