DURGAKRISHNA DISSERTATION REVIEW

THESIS : 

TITLE : Predictors of outcomes in patients of Chronic kidney disease. 

PROBLEM STATEMENT :

INTRODUCTION : 

AIM:  

To identify the outcomes  in patients admitted to rural hospital with Chronic kidney disease .

OBJECTIVES: 

1) To analyze the etilogy and comorbidities..
2) To look into the presence of Smoking and alcohol consumption. 
3) Nutritional assessment of the patients.
4) To analyze the presence of various acute and Chronic complications.
5) To analyze the abnormalities in Urinalysis and presence of Viral markers and special investigation ( if done) 
6) To Observe and follow up if these patients admitted to the rural hospital. 

PATIENTS AND METHODS:

PLACE OF STUDY: Department of General medicine , Kamineni Institute of Medical Sciences, Narketpally.

STUDY PERIOD: October 2020-September2022

STUDY DESIGN : Observational Study 

SAMPLING: Convenient Sampling(30 patients) 

INCLUSION CRITERIA:

1. Patients of any gender above or equal to 18yrs of age at the time of presentation.

2. Patients with Chronic kidney disease as defined by the KDIGO( kidney disease improving global outcome) 2012 clinical practice guidelines. 

EXCLUSION CRITERIA:

1.Patients below 18 yrs of age (minors)

2.Patients not capable of giving consent (mentally-ill patients)

3.Patients not willing to participate in study (non-consenting patients)


INVESTIGATIONS:
  • Hemogram
  • ECG
  • CUE
  • RBS
  • LFT
  • RFT
  • USG 
  • 2D Echo ( if clinically required.. Done and noted) 
  • Viral markers
  • Chest X ray PA view

PROFORMA:
  • Serial No: 
  • Name: 
  • Age: 
  • Sex: 
  • Occupation: 
  • Address: 
  • IP / OP No: 
  • D.O.A: 
  • D.O.D/D.O.E: 
  • Heart rate on admission:   
  • blood pressure on admission: 
  • Smoking: 
  • Alcohol:
  • DM: 
  • HTN
  • Other substance abuse 
  • Duration of CKD
  • BMI:
  • Anthropometry
  • CKD stage
  • Blood Urea  in  mg/dl:   
  • Sr. Creatinine  in  mg/dl:   
  • Sr. Sodium in  mEq/L: 
  • Sr. Potassium in MEq/L
  • Hemoglobin in  g/dl:
  • Mean corpuscular volume
  • Ejection Fraction(if required) :   
  • eGFR: ( Using cockroft gault formula. or MDRD formula) 
  • Complications: 
  • Viral markers :
  • Length of hospital stay in days:   
  • Outcome:
MASTER CHART: 
https://in.docworkspace.com/d/sIBjetvNe0M2NkwY
         
       PATIENT INFORMATION SHEET

English:

https://drive.google.com/file/d/12LLDgFBVfnTxDdNv5K715uSyLYPUEgrY/view?usp=drivesdk

Telugu:

https://drive.google.com/file/d/13Df9wCu9zhjECpPxcHEULSAphv6-tDHl/view?usp=drivesdk


Template of this "patient information sheet" is borrowed from this website:

https://www.ncbi.nlm.nih.gov/books/NBK261334/

And modified accordingly to my thesis topic.

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