Microalbuminuria among Patients with Diabetes Mellitus Visiting the Department of Nephrology in a Tertiary Care Centre: A Descriptive Cross-sectional Study

Introduction: Microalbuminuria is an abnormal increase in albumin excretion rate with a specific range of 30-299 mg of albumin/g of creatinine or excretion of 20-200 mg/l of albumin in spot urine samples. Diabetic patients with microalbuminuria are at increased risk for cardiovascular death as comp...

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Main Authors: Tulsi Bhattarai, Asim Pandey, Samriddhi Parajuli, Prajwal Khanal, Angel Dongol, Rahul Devkota, Sohil Neupane, Bharat Kumar Bhattarai
Format: Article
Language:English
Published: Nepal Medical Association 2023-07-01
Series:Journal of Nepal Medical Association
Subjects:
Online Access:https://www.jnma.com.np/jnma/index.php/jnma/article/view/8214
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author Tulsi Bhattarai
Asim Pandey
Samriddhi Parajuli
Prajwal Khanal
Angel Dongol
Rahul Devkota
Sohil Neupane
Bharat Kumar Bhattarai
author_facet Tulsi Bhattarai
Asim Pandey
Samriddhi Parajuli
Prajwal Khanal
Angel Dongol
Rahul Devkota
Sohil Neupane
Bharat Kumar Bhattarai
author_sort Tulsi Bhattarai
collection DOAJ
description Introduction: Microalbuminuria is an abnormal increase in albumin excretion rate with a specific range of 30-299 mg of albumin/g of creatinine or excretion of 20-200 mg/l of albumin in spot urine samples. Diabetic patients with microalbuminuria are at increased risk for cardiovascular death as compared with normoalbuminuria. The aim of this study was to find out the prevalence of microalbuminuria among patients visiting the Department of Nephrology in a tertiary care centre. Methods: This is a descriptive cross-sectional study conducted among diabetic patients visiting the Department of Nephrology in a tertiary care centre after obtaining ethical approval from the Institutional Review Committee (Reference number: 04072022/04). The study was conducted between 1 October 2022 to 30 November 2022 where patients providing written consent and had documented diabetes were included in the study whereas patients without documented diabetes, having comorbidities such as congestive heart failure, nephritic/nephrotic syndrome and those who refused to give consent were excluded from the study. Convenience sampling was done. Point estimate and 95% Confidence Interval were calculated. Results: Among 103 patients, microalbuminuria was found to be in 19 (18.45%) (10.96-25.94, 95% Confidence Interval). Out of 19 patients, 8 (42.11%) were male and 11 (57.89%) were female. The mean HbA1c among participants with microalbuminuria was 7.67±0.67%. Conclusions: The prevalence of microalbuminuria among diabetic patients was similar to other studies done in similar settings.
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spelling doaj.art-a452e8fb7f5c4af1b232b52abc8ab9812024-09-23T18:38:33ZengNepal Medical AssociationJournal of Nepal Medical Association0028-27151815-672X2023-07-016126310.31729/jnma.8214Microalbuminuria among Patients with Diabetes Mellitus Visiting the Department of Nephrology in a Tertiary Care Centre: A Descriptive Cross-sectional StudyTulsi Bhattarai0Asim Pandey1Samriddhi Parajuli2Prajwal Khanal3Angel Dongol4Rahul Devkota5Sohil Neupane6Bharat Kumar Bhattarai7Department of Nephrology, National Academy of Medical Sciences, Bir Hospital, Mahaboudha, Kathmandu, NepalDepartment of Cardiology, Norvic International Hospital, Thapathali, Kathmandu, NepalKathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, NepalKathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, NepalKathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, NepalKathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, NepalKathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, NepalKathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal Introduction: Microalbuminuria is an abnormal increase in albumin excretion rate with a specific range of 30-299 mg of albumin/g of creatinine or excretion of 20-200 mg/l of albumin in spot urine samples. Diabetic patients with microalbuminuria are at increased risk for cardiovascular death as compared with normoalbuminuria. The aim of this study was to find out the prevalence of microalbuminuria among patients visiting the Department of Nephrology in a tertiary care centre. Methods: This is a descriptive cross-sectional study conducted among diabetic patients visiting the Department of Nephrology in a tertiary care centre after obtaining ethical approval from the Institutional Review Committee (Reference number: 04072022/04). The study was conducted between 1 October 2022 to 30 November 2022 where patients providing written consent and had documented diabetes were included in the study whereas patients without documented diabetes, having comorbidities such as congestive heart failure, nephritic/nephrotic syndrome and those who refused to give consent were excluded from the study. Convenience sampling was done. Point estimate and 95% Confidence Interval were calculated. Results: Among 103 patients, microalbuminuria was found to be in 19 (18.45%) (10.96-25.94, 95% Confidence Interval). Out of 19 patients, 8 (42.11%) were male and 11 (57.89%) were female. The mean HbA1c among participants with microalbuminuria was 7.67±0.67%. Conclusions: The prevalence of microalbuminuria among diabetic patients was similar to other studies done in similar settings. https://www.jnma.com.np/jnma/index.php/jnma/article/view/8214albumin; diabetes mellitus; prevalence.
spellingShingle Tulsi Bhattarai
Asim Pandey
Samriddhi Parajuli
Prajwal Khanal
Angel Dongol
Rahul Devkota
Sohil Neupane
Bharat Kumar Bhattarai
Microalbuminuria among Patients with Diabetes Mellitus Visiting the Department of Nephrology in a Tertiary Care Centre: A Descriptive Cross-sectional Study
Journal of Nepal Medical Association
albumin; diabetes mellitus; prevalence.
title Microalbuminuria among Patients with Diabetes Mellitus Visiting the Department of Nephrology in a Tertiary Care Centre: A Descriptive Cross-sectional Study
title_full Microalbuminuria among Patients with Diabetes Mellitus Visiting the Department of Nephrology in a Tertiary Care Centre: A Descriptive Cross-sectional Study
title_fullStr Microalbuminuria among Patients with Diabetes Mellitus Visiting the Department of Nephrology in a Tertiary Care Centre: A Descriptive Cross-sectional Study
title_full_unstemmed Microalbuminuria among Patients with Diabetes Mellitus Visiting the Department of Nephrology in a Tertiary Care Centre: A Descriptive Cross-sectional Study
title_short Microalbuminuria among Patients with Diabetes Mellitus Visiting the Department of Nephrology in a Tertiary Care Centre: A Descriptive Cross-sectional Study
title_sort microalbuminuria among patients with diabetes mellitus visiting the department of nephrology in a tertiary care centre a descriptive cross sectional study
topic albumin; diabetes mellitus; prevalence.
url https://www.jnma.com.np/jnma/index.php/jnma/article/view/8214
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