2017, Number 4
<< Back Next >>
Rev Enferm IMSS 2017; 25 (4)
Detection of patients susceptible to chronic kidney disease by the family medicine specialist nurse in preventive healthcare service
Nieves-Ruiz ER, Ríos-Siordia JM, Oblea-Valdés M, García-Hernández A
Language: Spanish
References: 13
Page: 265-270
PDF size: 307.72 Kb.
ABSTRACT
Introduction: The identification of risk factors for development of chronic kidney disease (CKD)
allows the application of therapeutic interventions in earlier phases; therefore, the detection
should be focused on the groups of patients at greater risk for developing CKD.
Objective: to detect patients susceptible to CKD by the family medicine specialist nurse in preventive
action.
Methods: It was carried out a cross-sectional study of 363 patients with no history of diabetes,
hypertension or collagen disease, who were treated in a preventive healthcare service. We performed
somatometry, evaluation of renal susceptibility factors, determination of serum creatinine
and glomerular filtration rate. Statistical analysis was descriptive with relative and absolute
frequencies.
Results: 68% were women and 32% men; 15% reported a familiar history of CKD, 6% had anemia,
and 30% had dyslipidemia. With the Cockcroft-Gault, MDRD-4 and F-G2D-EPI formulas, 75% and
80% of patients were identified at stage 1. The most significant renal susceptibility factors were
anemia, overweight and obesity.
Conclusions: The intervention of the family medicine specialist nurse in the search for susceptibility
factors of renal disease in suspected patients was beneficial for the timely detection of the
status of patients.
REFERENCES
Roca-Goderich R, Smith-Smith V, Paz-Presilla E, Losada-Gómez J, Serret-Rodríguez V, Llamos Sierra N et al. Temas de medicina interna: Insuficiencia Renal Crónica. Cuarta edición. La Habana: Editorial Ciencias Médicas; 2002. pp. 134-6.
Castillo-Rascón S, Bollati E, Pedrozo W, Castro-Olivera C, Mühn A, Bonneau G. Índice de filtración glomerular estimado y su relación con factores de riesgo cardiovasculares en empleados públicos hospitalarios de Posadas, Misiones. Rev Fed Arg Cardiol. 2011;40 (4):363-70.
Fontseré-Baldellou N. Validación de las ecuaciones predictivas del filtrado glomerular en pacientes adultos con enfermedad renal crónica. Universidad Autónoma de Barcelona. Departamento de medicina; 2007. pp. 21-22.
National Kidney Foundation. KDOQI Clinical Practice Guidelines for chronic kidney disease: evaluation, classification and stratification. Am J Kidney Dis. 2002;39(Suppl 1):S1-266.
Venado-Estrada A, Moreno-López JA, Rodríguez-Alvarado M, López-Cervantes M. Insuficiencia renal crónica. México: Unidad de Proyectos Especiales, Universidad Nacional Autónoma de México; 2005;1-31.
Flores JC, Alvo M, Borja H, Morales J, Vega J, Zúñiga C et al. Enfermedad renal crónica: clasificación, identificación, manejo y complicaciones. Rev Med Chile. 2009;137:137-77.
De Francisco AL, de la Cruz J, Cases A, de la Figuera M, Egocheaga MI, Gorriz JI, et al. Prevalence e insuficiencia renal en centros de Atención Primaria de España. Estudio EROCAP. Nefrología. 2007;27:300-12.
Lou-Arnal LM, Campos-Gutiérrez B, Boned-Juliani B, Turón-Calzada JM, Gimeno-Orna JA. [Estimation of glomerular filtration rate in primary care: prevalence of chronic kidney disease and impact on referral to nephrology]. Nefrologia. 2008;28(3):329-32.
Duncan L, Heathcote J, Djurdjev O, Levin A. Screening for renal disease using serum creatinine: who are we missing? Nephrol Dial Transplant. 2001 May;16(5):1042-6.
Secretaría de Salud. Guía de Práctica Clínica Prevención, Diagnóstico y Tratamiento de la Enfermedad Renal Crónica Temprana, México: SS; 2009.
Martínez-Ramírez HR, Cueto-Manzano AM, Rojas-Campos E, Cortés- Sanabria L. Estrategias para la prevención, diagnóstico y tratamiento de la enfermedad renal crónica temprana en primer nivel de atención. El Residente. 2011;6:44-50.
Méndez-Durán A, Méndez-Bueno JF, Tapia-Yáñez T, Muñoz-Montes A, Aguilar-Sánchez L. Epidemiología de la insuficiencia renal crónica en México. Dial Traspl. 2010;31:7-11.
Zúñiga-SM C, Muller-O H, Flores-O M. Prevalencia de enfermedad renal crónica en centros urbanos de atención primaria. Rev Med Chile. 2011;139: 1176-84.