Indian journal of Medical Biochemistry

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VOLUME 22 , ISSUE 1 ( January-June, 2018 ) > List of Articles

ORIGINAL ARTICLE

A Hospital-based Study of Renal Function Tests in Chronic Alcoholics

Velu Malarkodi, Mala Malathi

Keywords : Chronic alcoholism, Chronic renal disease, Estimated glomerular filtration rate, Modification of diet in renal disease

Citation Information : Malarkodi V, Malathi M. A Hospital-based Study of Renal Function Tests in Chronic Alcoholics. Indian J Med Biochem 2018; 22 (1):22-25.

DOI: 10.5005/jp-journals-10054-0048

License: CC BY-NC 3.0

Published Online: 01-06-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: The purpose of the study is to assess the glomerular filtration rate (GFR) using Modification of Diet in Renal Disease (MDRD) formulae, and to estimate renal parameters including electrolytes in chronic alcoholics and compare all the parameters with normal controls. Materials and methods: A total of 50 male alcoholics were taken for the study on admission to the deaddiction center in Father Muller Medical College and Hospital. All the serum parameters were analyzed in auto analyzer Cobas c 311, and qualitative analysis of urine was done using dipsticks. Statistical evaluation was done using Student\'s t-test and Karl Pearson\'s correlation coefficient. Results: The mean estimated GFR (eGFR) in alcoholics of our study was slightly increased with an increase in 32% of alcoholics. A significant negative correlation of eGFR with age (p = 0.027) and urea (p = 0.039) was seen. There was a significant decrease in the levels of urea (p = –0.022) and potassium (p = –0.008). There was a mean increase in uric acid and decrease in phosphate levels. Qualitative analysis of urine showed proteinuria and hematuria in alcoholics with eGFR < 110. Conclusion: The study showed a spectrum of variation in the renal parameters assayed, with a significant decrease in urea and potassium levels. Validation of the findings by large-scale cohort studies is needed. Clinical significance: There is a significant decrease in the renal function with variations in electrolytes and a decrease in phosphate levels. Some cases also had proteinuria and hematuria, indicating progress toward chronic renal disease.


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