Prevalence of Chronic Kidney Disease among Hypertensive non-Diabetic
Patients Attending Primary Healthcare Centers in Cairo, Egypt
Abstract
Background: Although chronic kidney disease (CKD) is considered the
major cause of morbidity and mortality in hypertension, the recognition
and prevention of CKD remain deficient. Chronic Kidney Disease (CKD) is
one of the major health challenges in Egypt. Chronic kidney disease
(CKD) affects approximately 13% of the adult population, resulting in
significant morbidity, mortality and health care costs. Patients with
more progressive stage 3 or stage 4 CKD experience a high rate of
cardiovascular events and death compared to earlier stages of CKD. Aim:
This study was performed to determine the prevalence of chronic kidney
disease among hypertensive non-diabetics patients attending Primary
health care (PHC) Centers in Cairo. Methodology: The study type is a
cross sectional study, Study setting: Two Primary Health Care centers
(PHCs):Saraya El-kobba and El-Sharabya. Sampling method: Recruitment of
participants was done in one day weekly. Any known essential
hypertensive patients aged 18 or more registered in the two PHC Centers
in Cairo. Results: The prevalence of CKD was 33% among the hypertensive
non-diabetic patients. Among CKD participants, the prevalence is more
common in females (59.7%) than males (40.3%),in those who completed
primary education and the illiterates and low socioeconomic class.
Surprisingly, it is more common in patients with positive family history
of CKD and patients with ischemic heart disease and the antihypertensive
drugs used. Conclusion: CKD has a high prevalence among hypertensive
non-diabetic patients, and it has a significant morbidity and mortality
among those patients.