The Correlation between Disease Stage and Pulmonary Edema Assessed with Chest X-Ray in Chronic Kidney Disease Patients.

Author(s): Widiastuti*, Ratih Tri Kusuma Dewi, Bhisma Murti, Ervina Ruth, Ida Prista Maryetty,Muhamad Lukman Hermansah, Rachmi Fauziah Rahayu, Muchtar Hanafi, Yusuf Syaeful Nawawi.

Background: Pulmonary edema is one of the most common complications in patients with chronic kidney disease (CKD). Chest radiography is the most practical method for assessing pulmonary edema. This study aimed to identify the relationship between chronic kidney disease and pulmonary edema assessed with chest X-ray. Material and methods: A cross sectional study was conducted in inward patients at Dr. Moewardi Hospital Surakarta Indonesia from May 2017 to May 2018. Patients who were diagnosed with CKD and performed chest X-ray were eligible to this study and consecutively recruited as study subject. The data were analyzed using the simple logistic regression with p value <0.05. Results: There were 120 patients who participated in this study, consisted of 90 patients with end-stage of CKD or end-stage renal disease (ESRD) and 30 CKD patients without ESRD. End-stage renal disease (ESRD) was significantly associated with pulmonary edema incidence (OR=6.77; 95% CI=1.37- 33.51; p=0.02). Conclusion: ESRD is closely related to pulmonary edema. Early diagnosis and prompt treatment are the key points in avoiding further disease progression in patients with CKD.