| Objective: To understand the prevalence of our hospital patients with chronic kidney disease (CKD), as well as the situation of decreased kidney function in patients with relevant medical history and diagnosis, contribute to the various sections of patients with chronic kidney disease early detection, early diagnosis, early treatment and avoid inappropriate treatment so that further deterioration of CKD, as soon as possible to restore the health. And for the subsequent large-scale clinical survey to provide some help.Methods: The relevant information of 31,469 adult patients hospitalized in Shandong Provincial Hospital from October 2007 to September 2008, 16,608 males and 14,861 female, were reviewed. We recorded the gender, age, serum creatinine, blood urea nitrogen, hemoglobin, total cholesterol, triglyceride, low-density lipoprotein, albumin, fasting blood glucose, calcium, phosphorus, serum uric acid and urinary protein , access to which patients with renal function decline to understand their hypertension, diabetes, cardio-cerebral vascular disease and other chronic kidney disease related medical history, and record their blood pressure values.Results: The prevalence rate of proteinuria was 7.2%, and the prevalence rate of decline in renal function was 12.58%. The prevalence rate of CKD was 16.47% , for males 18.17% and for female 14.56%. In various departments of the hospital, in addition to the highest prevalence rate of CKD was Nephrology , the other in order to enhance the treatment of subjects, comprehensive health-care wards, emergency wards, neurology, heart medicine, Urology, Endocrinology, Chinese Branch, digestive medicine, respiratory Branch. The prevalence rates of CKD of stage 1 to 5 were 2.20%,1.77%,9.99%,1.41% and 1.06% respectively. The prevalences of CKD stage 3 in the study population, stratified by age groups of 18-29, 30-39, 40-49, 50-59, 60-69, 70-79, 80-89 and 90-99 years, were 0. 44%, 0. 94%, 1. 89%, 3. 76%, 10. 74%, 32. 98%, 61. 99%, 74. 55%. 16.5% of the patients at stages 3-5 failed to be diagnosed as with CKD during their hospitalization. Besides Nephrology had the highest attendance rate, the endocrine and Rheumatoid immune Branch followed by. Their hypertension, diabetes, cardiovascular and cerebrovascular disease prevalence rates were 55.7%, 25.6%, 20.9%. The CKD-related diseases in decline in renal function in addition to hypertension and diabetes, followed by the tumor of urinary tract, urinary tract obstruction, urinary calculi, chronic nephritis, renal cysts, gout or hyperuricemia. Multivariate Logistic regression analysis suggest that high blood sugar, high blood cholesterol, high uric acid were independent risk factors for proteinuria. Age, sex (male), high blood sugar, high cholesterol, high uric acid were main risk factors for CKD.Conclusion:Chronic kidney disease in adult patients in the high prevalence rate, the false dismissal rate is also high. Improving the diagnosis of CKD can contribute to avoiding the deterioration of renal function and delaying the progress of CKD in Various sections.
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