Journal article
Prevalence and risk factors for chronic kidney disease in a rural region of Haiti.
- Burkhalter F Clinic for Transplant Immunology and Nephrology, University Hospital Basel, Switzerland.
- Sannon H Clinic for Internal Medicine, Hôpital Albert Schweitzer Deschappelles, Haiti.
- Mayr M Clinic for Transplant Immunology and Nephrology, University Hospital Basel, Switzerland, and Medical Outpatient Department, University Hospital Basel, Switzerland.
- Dickenmann M Clinic for Transplant Immunology and Nephrology, University Hospital Basel, Switzerland.
- Ernst S Clinic for Internal Medicine, Hôpital Albert Schweitzer Deschappelles, Haiti.
- 2014-12-24
Published in:
- Swiss medical weekly. - 2014
Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Cross-Sectional Studies
Diabetes Mellitus
Female
HIV Infections
Haiti
Humans
Hypertension
Male
Middle Aged
Prevalence
Prospective Studies
Proteinuria
Renal Insufficiency, Chronic
Risk Factors
Rural Population
Young Adult
English
BACKGROUND
In the Caribbean region chronic kidney disease (CKD) is an increasing challenge. High rates of non-communicable and infectious diseases and the rise in people suffering from diabetes and hypertension explain the observed and further expected increase of CKD. However, data about the magnitude of the problem are rare and in some countries such as Haiti completely lacking. The aim of our study was to generate data about the prevalence and risk factors for CKD in a rural region in Haiti.
METHODS
In this prospective cross-sectional study, adult patients visiting the medical outpatient clinic of the Hôpital Albert Schweitzer (HAS) in Deschapelles Haiti were included. CKD was assessed by estimated glomerular filtration rate (eGFR) and measurement of proteinuria by dipstick test. Risk factors for CKD were assessed by clinical examinations and questionnaires.
RESULTS
Overall 608 patients were screened for CKD, of whom 27% had CKD. CKD stages 1 to 2 were found in 15.3% and stages 3 to 5 in 11.7%. The prevalence of hypertension and diabetes mellitus was 49.2% and 36.3%, respectively. Risk factors independently associated with CKD were hypertension (p = 0.0002) and HIV infection (p = 0.019) and age >60 years (p = 0.0052), whereas diabetes mellitus was not independently associated (p = 0.72).
CONCLUSION
Our data show a high prevalence of CKD and traditional risk factors, and their association with CKD in Haiti. These findings have now to be confirmed in other regions in longitudinal analyses as a basic step to build up screening and prevention programmes for CKD.
In the Caribbean region chronic kidney disease (CKD) is an increasing challenge. High rates of non-communicable and infectious diseases and the rise in people suffering from diabetes and hypertension explain the observed and further expected increase of CKD. However, data about the magnitude of the problem are rare and in some countries such as Haiti completely lacking. The aim of our study was to generate data about the prevalence and risk factors for CKD in a rural region in Haiti.
METHODS
In this prospective cross-sectional study, adult patients visiting the medical outpatient clinic of the Hôpital Albert Schweitzer (HAS) in Deschapelles Haiti were included. CKD was assessed by estimated glomerular filtration rate (eGFR) and measurement of proteinuria by dipstick test. Risk factors for CKD were assessed by clinical examinations and questionnaires.
RESULTS
Overall 608 patients were screened for CKD, of whom 27% had CKD. CKD stages 1 to 2 were found in 15.3% and stages 3 to 5 in 11.7%. The prevalence of hypertension and diabetes mellitus was 49.2% and 36.3%, respectively. Risk factors independently associated with CKD were hypertension (p = 0.0002) and HIV infection (p = 0.019) and age >60 years (p = 0.0052), whereas diabetes mellitus was not independently associated (p = 0.72).
CONCLUSION
Our data show a high prevalence of CKD and traditional risk factors, and their association with CKD in Haiti. These findings have now to be confirmed in other regions in longitudinal analyses as a basic step to build up screening and prevention programmes for CKD.
- Language
-
- English
- Open access status
- gold
- Identifiers
-
- DOI 10.4414/smw.2014.14067
- PMID 25535765
- Persistent URL
- https://sonar.ch/global/documents/232098
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