medigraphic.com
Órgano Oficial del Instituto de Ciencias de la Salud, Hospital Escuela y Facultad de Medicina-Xalapa

2009, Number 2

<< Back Next >>

Rev Med UV 2009; 9 (2)

Detection of hidden renal insufficiency in adults in primary medical care

Soto DFE, Pozos PME, Barrientos GCE, Torres FIA, Beltrán GFJ

Language: Spanish
References: 22
Page: 25-30
PDF size: 387.62 Kb.


ABSTRACT

It is an observational, descriptive, cross-sectional, and prospective study to carry out opportune detection of hidden renal insufficiency in primary attention with a sample of 210 patients of 50 years or but. Sort, age, weight were successfully obtained, charts, IMC, comorbidities (DM, HTA, osteoarthritis) to which asked for laboratories to them control (chemical sanguineous) during the period included of January to June 2007. The filtrate was determined to glomerular applying the formula of Cockcroft-Gault corrected by corporal surface. Hidden renal insufficiency in a 31% (66), and 69% (144) without confirming data of IRO, the total of examined individuals was detected. When analyzing by age group we found that of the 50-59 years a 10% display IRO, between the 60-69 years a 25%, 70-79 years a 53% and over 80 years until a 70%. The pathology that greater frequency reported of IRO was the Arterial Hypertension with a 29%, the Mellitus Diabetes Type 2 with a 27%; In relation to the glucose control, it was observed that of the patients with values of filtrate of glomerular smaller of 60 ml/min/1.73m2, 87% of diabetic patients presented uncontrolled of glucose with an empty stomach. IRO in the patients with antecedents of ingestion of smaller AINES of 5 years in a 13% was observed, and in majors of 5 years it increases to 44%. The anemia presence was related degree I in 56% of the cases to renal insufficiency hides and to anemia degree II in 2%.


REFERENCES

  1. 1.- Coresh J y cols. Prevalence of Chronic Kidney Disease and Decreased Kidney Function in the Adutt US Population: Third National Health and Nutrition Survey. American Journal of Kidney Disease 2003; 41 (1): 1-12.

  2. 2.- Á. L. M. de Francisco y cols. Prevalencia de insuficiencia renal en Centros de Atención Primaria en España: Estudio EROCAP. NEFROLOGÍA 2007; 27 (3).

  3. 3.- Secretaria de Salud. Principales causas de mortalidad y morbilidad en México. SISTEMA NACIONAL DE INFORMACION EN SALUD; 2005.

  4. 4.- US RENAL Data System: USRDS 2001. Annual Data Report: The National Institutes of Health, National institute of Diabetes and Digestive and Kidney Disease. Bethesda (MD); 2001

  5. 5 .- Annual Data Report de Unites States Renal Data System. 2005; 1 (1): [24 screens]. Disponible en: http://www.usrds.org/adr.htm

  6. 6.- National Kidney Fundation. Definition and classification of stages of chronic kidney disease. K/DOQI Clinical Practice Guidelines for Chronic Kidney Disease: Evaluation, Classification, and Stratification. 2002; 10 (32): [24 screens]. Disponible en: www.kidney.org/professionals/ kdoqui/guidelines_ckd/toc.htm

  7. 7.- MP Rodrigo y M Andrés. Detección de insuficiencia renal oculta en consulta de atención primaria mediante la aplicación de la ecuación MDRD-abreviada: análisis de 1.000 paciente. Nefrología 2006; 26(2): 339-43.

  8. 8.- Fernández-Fresnedo, Francisco E Rodrigo, C Piñera. Insuficiencia renal “Oculta” por valoración de la función renal mediante la creatinina sérica. Nefrología 2002; 22(2): 144-51.

  9. 9.- Otero A y cols. Prevalencia de la insuficiencia renal oculta en la población de Ourense. Nefrología 2003; 23 (S6): 26.

  10. 10.- Duncan L, Heathcote J, Djurdjev O, Levin A. Screening for renal disease using serum creatinine: who are we missing? Nephron Dial Transplant 2001; 16: 1042-46.

  11. 11.- E. Rodrigo Calabia. Medida de la función renal. Evaluación del cociente microalbuminuria / creatinina. Valor de la tira reactiva y del examen del sedimento urinario. Indicaciones para solicitar ecografía renal. Nefrología 2004; 24 (suppl 6): 35-46.

  12. 12.- Alberto Salgado Francisco Guillén; Manual de geriatría. 3ª ed. Barcelona: Masson; 2002: 72.

  13. 13.- Frank C. Brosius III y cols. Detection of Chronic Kidney Disease in Patients With or at Increased Risk of Cardiovascular Disease. Circulation 2006; 114: 1083-87.

  14. 14.- Marc Froissart, Jerome Rossert, Christian Jacquot. Predictive Performance of the Modificacion of Diet in Renal Disease and Cockcroft-Gault Equations for estimating renal function; J Am Soc Nephrol 2005; 16: 763-73.

  15. 15.- Cockcroft DW, Gault MH.Prediction of creatinine clearance from serum creatinina; Nephron 1976; 16:31-41.

  16. 16.- Andrew G. Bostom, Florian Kronenberg, Eberhard Ritz; Predictive performance of renal function equations for patients with chronic kidney disease and normal serum creatinine levels; J Am Soc Nephrol 2002; 13: 2140–44.

  17. 17.- Hernández, Sonia Patricia De Santillana, Moctezuma, Luis Eduardo Alvarado. Depuración de creatinina en pacientes geriátricos. Cálculo mediante fórmula de Cockcroft-Gault. Revista Medica del IMSS 1998; 36(1).

  18. 18.- Rostoker G y cols; A modified Cockcroft-Gault formula taking into account the body surface area gives a more accurate estimation of the glomerular filtration rate. J Nephrol 2007; 20(5): 576-85.

  19. 19.- I Martínez. Enfermedad renal crónica: Indicaciones para remitir pacientes desde el nivel de atención primaria al nivel de especialista en nefrología. Ventajas del envío precoz .Estrategias para el seguimiento conjunto. Nefrología 2004; 24 (Suppl 6): 84-91.

  20. 20.- Fundación mexicana del riñon. www.fundrenal.org.mx 2005.

  21. 21.- Bonilla AR, Ambriz GC, López GG, Blanco RD. Tratamiento actual delpaciente con insuficiencia renal crónica en etapa predialítica. Nefrol Mex 2005; 26 (3).

  22. 22.- J Almirall y cols. Prevalencia de la insuficiencia renal en la población general mayor de 64 años y episodios cardio-vasculares asociados. Nefrología 2005; 25 (6).




2020     |     www.medigraphic.com