Calcium - Phosphate Index: Considerable Indicator in Different Stages of Chronic Kidney Disease.

DOI: https://doi.org/10.47648/jmsr.2012.v1902.01

Mili N Y1 , Hoque Md E2 , Akhter S3 , Lovely N S4

Abstract

Since the early 1970s. calcium phosphate (Ca-P) index has been regarded as a risk factor for extra skeletal calcification. tumoral calcinosis and increased cardiovascular event and death. The general consensus was not to exceed 70 ing2h1Lt (5.6 unno1/1,2) in chronic kidney disease. The present study was done to find out the Ca - P index in different  stages of (CKB) patients to assess the risks of the patients which can be understood and be negotiated. In this study 100 of previously diagnosed chronic kidney disease patients of different stages as CKD stage Ill. IV and stage V were included. Subjects were divided into three groups according to staging of chronic kidney disease : group A (stage 111) were 34 patients, group 8 (Stage IV) were 36 and group C (Stage V) were 30 patients. Mean serum inorganic phosphate level was in group A .5.41 + 2.49. group 8 8.17 + 3.63 and in group C 10.50 + 3.06. Mean serum Calcium level in three groups were in group-A 8.36± 0.74. group- B 8.10± 0.75 and in group- C was 7.43± 1.27 ). Ca - P index was calculated by multiplying the serum calcium and phosphate level. Mean Ca-P index was in group-A 49.39+ 22.95. group B-67.93+ 31.2 and in group-C 90.76+ 24.82. Statistical analysis was done betWeen these groups and it was signifimuly higher in group B than group A ( p< 0.06. group A is group 8). in group C than group A ( p< 0.00. group A vs group C) and in ,group C than group ft ( p< .002. group B vs group C). It was found that as the renal function deteriorates gradually the Ca P index increases and it is highly significantly higher in CKD — V patient than other stages.

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  1. Assistant Professor, Department of Physiology

    Addin Womens' Medical College, Dhaka

  2. Professor of Nephrology

    Holy Family Red Crescent Medical College, Dhaka

  3. Associate Professor, Department of Physiology

    Addin Womens' Medical College, Dhaka

  4. Assistant: Professor . Department of Physiology

    Addin Womens' Medical College, Dhaka


Volume 19, Number 2 July 2012
Page: 44991