Analysis of renal function in home care patients

Introduction:In this research, we aim to evaluate urea, creatinine and gfr levels and in addition to that undiagnosed renal failure for registered patients in Ä°stanbul ÅžiÅŸli Hamidiye Etfal EAH Home Care Unit. Methodology:Within the time frame of January 2015 – February 2016, during our retrospective complementary research we examine laboratuary results in home care patients. Urea, creatinine ve gfr levels , daily intake of water, hypertension, diabetes mellitus ,existing renal diseases examined.According to this formulation, the results were grouped as mild renal failure(RF)(GFR=89-60), moderate RF (GFR=59-30) and severe RF (GFR=29-15).We used SPSS20.0 version ; frequency, chi-square ve T test evaluated.Results:Totally 232 patients included in the study of which 160(%69) were women, and 72(%31) were men. According to GFR levels %4.3(n:10)were grouped as severe RF, %36.6(n:85) were mild and %31.9(n:74) were moderate RF. 137 of the patients who answered the question about “Daily water intake” %32.3(n:75) were less than 1 liter/day, %21.5(n:50) were between 1-2 liter/day, %5.1(n:12) were above 2 liter/day.Renal failure were %70.6 in patients whose water intake were less than 1 liter/day, and this ratio was %66.6 in patients whose intake were above 2 liter/day. Conclusion:We observed that mostly for patients with home care have high levels of Creatin, while their gfr levels were low.In most patients there was no prior knowledge of Kidney failure;but in laboratory results it was found that patients had mid- stage renal failure. For home care patients, we have to give right treatment in order to avoid end-stage renal failure and prevent dialysis need.