BI108&–&AIR&POLLUTION&LAB
Laboratory Project 1
Diabetes and Hypertension in Patients with CKF
Abstract
From previously working with dialysis patients, I wanted to know how many people with Chronic Kidney Failure (CKF) had diabetes and/or hypertension (high blood pressure). With my hypothesis I intended to prove that patients with CKF were more likely to have either disease. I started my project by contacting two dialysis clinics that I previously worked for to gather information and establish a control group. I wanted to know how many patients assigned to the clinics had diabetes alone, how many had hypertension alone, and how many had both. After receiving the numbers, I was able to conclude that Clinic 1 had a total of 62.5% of patients with diabetes, and 55% of patients with hypertension (this is combining the number of patients with diseases alone and diseases combined), and Clinic 2 had 66% of patients with diabetes and 57% with hypertension. The results were relatively close to each other and correlated well with the results I gathered from the National Kidney Foundation’s website, which stated that diabetes and hypertension are responsible for up to two-‐thirds (66%) of cases of Chronic Kidney Failure (CKF). I feel that my findings were somewhat accurate and could be better with more research and statistics from other clinics.
I. Statement of problem: It seems that most people on dialysis require blood glucose monitoring and all require monitoring of blood pressure. How many people suffering from CKF have diabetes and/or hypertension?
II. Statement of working hypothesis: If people are diagnosed with CKF then they are most likely to be diabetic or hypertensive.
III. Experimental designs and methods: I contacted a two dialysis clinics in two separate states from which I was previously employed to obtain information from a controlled group. This allowed me to collect data only from patients diagnosed with CKF. The nurses from each location pulled the patients charts and tallied patients with diabetes alone, hypertension alone and those with both and reported the results to me. I was able to conclude that the remaining patients had neither disease.
Once the data was collected from the clinics, I compared my findings to the statistics found from the National Kidney Foundation website.
IV. Results:
From clinic 1, 7/40 (17.5%) of patients were diabetic alone, 4/40 (10%) were hypertensive alone, 18/40 (45%) had both diabetes and hypertension, and 11/40 (27.5%) were not affected by either disease.
In clinic 2, out of 56 total patients, 16/56 (28.6%) had diabetes alone, 11/56 (19.6%) had hypertension alone, 21/56 (37.5%) were both hypertensive and diabetic, and 8/56 (14.3%) were unaffected by either disease.
17%
10%
45%
28%
Clinic 1 CKF PaNents
Diabetes Alone
Hypertension Alone
Diabetes and Hypertension
Unaffected
29%
20% 37%
14%
Clinic 2 CKF PaNents
Diabetes Alone
Hypertension Alone
Diabetes and Hypertension
Unaffected
According to the National Kidney Foundation, diabetes and hypertension are responsible for up to two-‐thirds (66%) of cases in CKF, which correlates to my study from the two clinics. Clinic 1 had 62.5% (combined) diabetic patients and 55% (combined) hypertensive patients, and Clinic 2 had 66% (combined) diabetic patients and 57% (combined) hypertensive patients.
V. Conclusion/future directions: It appears that my findings from the two clinics fall within the two-‐ thirds category and presents my hypothesis to be plausible. I feel that with more extensive research and statistics from other clinics, I could gain a much more accurate result.
VI. References:
"About Chronic Kidney Disease." The National Kidney Foundation: Kidney Disease. National Kidney Foundation, Inc., 2013. Web. 02 Feb. 2013.
• Statistical analysis collected from Carolina Dialysis LLC, Spartanburg, SC & Scott & White Dialysis, Killeen, TX