ROLE OF RENAL PARAMETERS IN ASSESSMENT OF RENAL IMPAIRMENT IN CKD PATIENTS

Dr Alka Agrawal; Dr Dharmendra Singh Thakur; Dr Amit Shankhwar

Volume : VIII, Issue : X, October - 2019

ROLE OF RENAL PARAMETERS IN ASSESSMENT OF RENAL IMPAIRMENT IN CKD PATIENTS

Dr Alka Agrawal, Dr Dharmendra Singh Thakur, Dr Amit Shankhwar

Abstract :

Aim & objectives: To study the role ultrasonographic renal parameters to assess renal impairment in CKD patients. Method: Total 86 patients with CKD were undergone ultrasonographic examination for evaluation kidneys. Renal length, cortical thickness, segmental artery Doppler and cortical echogenicity were documented on B-mode gray scale using 2-5 MHz probe. Results: Mean renal length was 8.12cm, mean cortical thickness was 6.25mm and mean eGFR was 43.27 ml/min/1.73m2. Serum-creatinine showed negative correlation with cortical thickness and renal length. eGFR showed positive correlation with cortical thickness and renal length. Cortical echogenicity positively correlated with serum creatinine (r=0.7102, P<0.01) and negatively with renal function (r=-0.4681, P<0.01). RRI was higher in advanced stages of CKD. Conclusion: Cortical thickness and cortical echogenicity showed significant correlation with serum creatinine and renal function. RRI can be used as marker in CKD and to assess the risk of adverse renal outcome in CKD.