The Longitudinal Study on Early Chronic Kidney Disease in Navy

• Main Authors: Ji, Ching-Shien, 計慶賢
• Other Authors: Chou, Yu-Ching
• Format: Others
• Language: zh-TW
• Published: 2014
• Online Access: http://ndltd.ncl.edu.tw/handle/25370748557277545012

碩士 === 國防醫學院 === 公共衛生學研究所 === 102 === Chronic kidney disease (CKD) is one of the predominant epidemic diseases in the world.The increasing prevalence and incidence of CKD also meet to the critical problem in medical cost.Because of the stressful environment, aircrews, who have a high risk of renal dysfunction.It would be a better strategy in preventing the CKD from bad to worse is to diagnose in early stage. In order to achieve this objective, we investigate the prevalence of CKD status, risk factors and long-term trends. In this longitudinal study, we elected the 246 Subjects who had participated medical examinations in military hospital since 2009 to 2013, and can be tracked 4 years. By the using aMDRD formula to estimate the glomerular filtration rate, in addition, combine with the NKF-K/DOQI to decide the CKD patients. In these results, the prevalence of CKD was 7.7%, 2.8%, 5.3%, 9.3% for four years. In logistic regression analysis,high blood pressure, total cholesterol abnormalities and urinary occult blood positive, will increase the risk of CKD. GOT, urea nitrogen, urine specific gravity and high blood pressure can predict future risk of CKD. In this study, the prevalence and incidence of CKD showed a rising trend in the annual. Most of our patients are belong to early stage. In the future, we can focus on not only annual physical examine, but also identify persons at high risk. Furthermore, use of health information system to management over the years aircrew examination results, and strengthen the effectiveness of medical management in Navy.