SPECTRUM OF RENAL DISEASES IN OLDER POPULATION IN A TERTIARY CARE HOSPITAL SETTING

摘要

Introduction: Older population is increasing worldwide due to increased life expectancy. Therefore the present study was conducted to see the spectrum of renal diseases in them. Materials and Method: This retrospective study included 848 patients above the age of 60 years, at Kidney and Dialysis clinic, PGIMS, Rohtak (India) from Jan’2005 to Dec’2009. Patients were analysed based on clinical presentation, biochemical, and sonographic parameters and classified under different categories of renal diseases. Results: The mean age of patients was 68.72±5.44 years. There were 65% males and 35% females. Chronic kidney disease was the commonest presentation, seen in 72.64% of patients. Acute kidney injury accounted for 16.03% whereas 8.49% of the patients had nephrotic syndrome. Chronic glomerulonephritis (27.27%) and diabetic nephropathy (23.37%) were the leading causes for chronic kidney disease. In patients presenting with acute kidney injury, 58.82% and 41.18% had an underlying medical and surgical cause respectively. Infectious diseases and dehydration were the most common medical causes. Membranous glomerulopathy was the most common cause (33.33%) of primary nephrotic syndrome. Conclusion: Only very few studies are available on the spectrum of renal disease in older age group. So a more detailed assessment is necessary for better resource management, especially in developing countries