Prevalence and Associated Factors of Chronic Kidney Diseases Among Hypertensive Patients in Selected Public Hospitals
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Date
2025-05-21
Authors
Mitiku Minksew
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Publisher
Addis Ababa University
Abstract
Background: Chronic kidney disease is a progressive decline in kidney function,
characterized by structural or functional abnormalities lasting over three months, often
detected through reduced glomerular filtration rate, abnormal blood or urine tests, or imaging.
Chronic kidney diseases progresses through five stages based on glomerular filtration rate,
ranging from normal function to kidney failure. Hypertension is a major risk factor for chronic
kidney diseases, which if untreated, can lead to kidney failure.
Objectives: To assess the prevalence and factors associated with chronic kidney disease
among hypertensive patients on follow-up in a selected public hospital in Addis Ababa,
Ethiopia, 2025.
Methods: 233 hypertensive patients were recruited for follow-up in specific public hospitals
between December 21 and January 21, 2025, using a cross-sectional study design. A basic
random sampling technique was used to choose the participants, and questionnaires for in
person interviews, reviews of medical charts, and laboratory forms were used to gather data.
For analysis, every piece of data was exported from Excel into SPSS version 27. The results
were displayed using tables and charts after descriptive statistics were calculated to
characterize the frequency, percentages, and distributions of the sample. Bivariate and
multivariable variables were included in a binary logistic regression analysis; variables with a
p-value < 0.05 were deemed linked to chronic kidney diseases.
Result: Chronic kidney disease was present in 22.3% (95% CI: 22.5%, 33.8%) of patients
with hypertensive follow-up at specific public hospitals. Factors including residence
(AOR=11.50, 95% CI: 3.24-40.77), hypertension stage (AOR=7.25, 95% CI: 1.60-32.86), and
duration of hypertension (AOR=16.14, 95% CI: 4.40-59.21) were significantly linked to
chronic kidney disease in multivariate logistic analysis.
Conclusion: According to this study, 22.3% of hypertensive patients had chronic kidney
disease. In terms of contributing factors, the incidence of chronic kidney disease in
hypertensive patients is correlated with living in a rural area, having advanced hypertension,
and having had hypertension for more than ten years.
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Keywords
Hypertension, Chronic kidney disease, prevalence, Ethiopia