Prevalence and Risk Factors of Chronic Kidney Disease among Non-clinical Healthcare Providers at the Rivers State University Teaching Hospital Port-Harcourt, Nigeria
Published: 2023-03-08
Page: 20-30
Issue: 2023 - Volume 6 [Issue 1]
D. C. Briggs *
Paediatric Nephrology Unit, Department of Paediatrics, Rivers State University Teaching Hospital, Nigeria.
B. J. Eleki
Nephrology Unit, Department of Internal Medicine, Rivers State University Teaching Hospital, Nigeria.
W. E. Okachi
Nephrology Unit, Department of Internal Medicine, Rivers State University Teaching Hospital, Nigeria.
T. I. Nonju
Nephrology Unit, Department of Internal Medicine, Rivers State University Teaching Hospital, Nigeria.
I. Membere
Nephrology Unit, Department of Internal Medicine, Rivers State University Teaching Hospital, Nigeria.
M. D. Peterside
Nephrology Unit, Department of Internal Medicine, Rivers State University Teaching Hospital, Nigeria.
*Author to whom correspondence should be addressed.
Abstract
Background: Chronic kidney disease (CKD) oftentimes remains undiagnosed until it progresses to end-stage renal disease. To tackle this silent killer, awareness and screening are essential. Limited information is available regarding the prevalence of CKD among non-clinical healthcare providers (HCPs) who work in healthcare settings.
Aim: To determine the prevalence and associated CKD risk factors among non-clinical HCPs working at the Rivers State University Teaching Hospital Port Harcourt, Nigeria.
Study design: This was a cross-sectional study
Place and Duration of Study: Rivers State University Teaching Hospital, Port Harcourt, Rivers State, Nigeria March 10th 2022.
Methods: 165 non-clinical HCPs were screened for CKD. A self-administered questionnaire was used to obtain data including; past medical history, blood pressure and BMI. Blood and urine samples were obtained to determine the estimated Glomerular filtration rate (eGFR) and proteinuria. Associations of risk factors for CKD were determined by multivariate logistic regression and p-value significance <0.05.
Results: The prevalence of CKD was 12.7%. Most non-clinical HCPs were in stages 1-3. CKD was not significantly associated with any sociodemographic variable. Of all the participants, 20.6% were hypertensive, 7.3% were diabetic, 53.3% were either overweight or obese and 8.5% were proteinuric. CKD prevalence increased with age; <45 years (9.2%); >45 years (16.7%). The risk factors associated with CKD were diabetes (OR:5.9; CI:2.2-15.9), previously screened for kidney disease (OR:4.3; CI:1.6-13.4), pre-existing kidney disease (OR:8.2; CI:1.8-35.9) and on anti-hypertensives (OR:4.6; CI:1.8-12).
Conclusion: The prevalence of CKD among non-clinical HCPs in Rivers State is high. Diabetes, Hypertension and having a pre-existing kidney disease were the identified predictors for CKD. This study underscores the need for regular CKD screening and increased awareness among non-clinical healthcare providers.
Keywords: Chronic kidney disease, diabetes, hypertension, health care providers, risk factors