Renal Function in Adults at AL-Sadder Teaching Hospital Outpatient Baghdad: A Comparison between Normal and Abnormal Cases

Abstract

Objective: the aim of this paper is to assess the glomerular filtration rate (eGFR) and the prevalence of kidney insufficiency in adult outpatients with normal S. Cr.

Results: The study involved a total of 200 participants with standard S. Cr. By utilizing the MDRD equation, the average glomerular filtration rate (ml/min/1.73 m2) was found to be 118 ± 43.0, whereas the C-G formula yielded an average of 92 ± 31.1. According to the MDRD formula, 10.3% of the patients exhibited mild kidney insufficiency (eGFR 60-89.9 ml/min/1.73 m2), while 3.6% had moderate kidney insufficiency (eGFR 30-59.9 ml/min/1.73 m2). The Cockcroft-Gault (C-G) formula indicated that among individuals with normal S. Cr, 18.3% had mild kidney insufficiency and 8.1% had substantial kidney insufficiency. Multivariate analysis based on the employed GFR determination method revealed a correlation between prevalent renal insufficiency and factors such as advanced age, female gender, high systolic blood pressure, and a family history of kidney disease or other chronic conditions.

Conclusion: This study demonstrates that poor kidney function is more prevalent among adult patients with normal S. Cr. The inclusion of estimated GFR in routine laboratory reporting can facilitate the identification of individuals with renal insufficiency and enable them to receive optimal care.