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Indian Journal of Forensic and Community Medicine


Burden of Renal failure among adults in Rural Kerala: A community based study


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Author Details: Sheela P. Haveri, Sebastian NM, Jesha MM, Arya S. Nath

Volume : 3

Issue : 4

Online ISSN : 2394-6776

Print ISSN : 2394-6768

Article First Page : 288

Article End Page : 291


Abstract

Background: Renal failure is becoming a major health problem among adults in Kerala where there is high prevalence of diabetes and hypertension. Exact prevalence of this health problem in Kerala is not available.
Objectives: Study is done to estimate the burden of diagnosed cases renal failure among adult population.
Materials and Methods: Houses were selected by systematic random sampling in Vettathoor Panchayat to obtain an estimated sample of 735 adults above the age of 20 assuming the prevalence of renal failure as 2%. Data was collected from all adults in the selected houses by trained interns. Renal failure was identified on the basis of history and health records available with the household. Only already diagnosed cases could be identified and hence will not include early stages which are not diagnosed.
Results: The prevalence of any stage of chronic renal failure was 4.8% and renal failure was 3.6% of adult population. Hypertension and diabetes which increases the risk for chronic renal disease are present in most of the cases and the risk was many times more when both were present (adjusted odds ratio = 22.3).
Conclusion: The burden of renal failure is high in the rural community studied and diabetes and hypertension are associated with renal disease in most of the cases.