medigraphic.com
ISSN 1028-9933 (Electronic)

2022, Number 1

<< Back Next >>

RIC 2022; 101 (1)

Kidneys functions in older adults with diabetic and hypertension problems

Bertot-Palma LA, Rivera-Téllez RM, Rodríguez-Martínez M, Suárez-Labrada M, León-Aragoneses Y

Language: Spanish
References: 12
Page: 1-10
PDF size: 673.09 Kb.


ABSTRACT

Introduction: The decrease in glomerular filtration rate in older adults’ patients with diabetic and hypertensive problems is a consequence of physiological factors to which are added some vascular changes associated with alterations produced by underlying chronic diseases.
Objective: To characterize renal function in older adults’ patients with diabetic and hypertensive problems, attended at the Family Doctor's Office No. 4, Policlínico Docente "Ángel Alfonso Ortiz Vázquez", Manzanillo, Granma, in 2020.
Methods: A descriptive, retrospective study was carried out in 2020 to determine the renal function in 249 older adults with diabetic and hypertension problems, attended at the Family Doctor's Office No. 4, Policlínico Docente "Ángel Alfonso Ortiz Vázquez", Manzanillo, Granma. The Cockcroft-Gaulty formula was used. The following variables extracted from the medical records were used: diagnosis of diabetes mellitus, diagnosis of hypertension, age, sex, weight and creatinine text.
Results: Male sex predominated (52.2 %). The mean age range, between 60 and 87 years, was 68.9 ± 7.3. The minimum glomerular filtration rate was 27.5 ml/min/1.73 m2, and the maximum was 143.7 ml/min/1.73 m2, the mean rate in these patients was 69.2 ± 18.7 ml/min/1.73 m2. For male was 71.4 ± 19.0 ml/min/1.73 m2 and 66.8 ± 18.2 ml/min/1.73 m2 for female. Hypertension predominated (94.4%) over diabetes mellitus (41.8%). The glomerular filtration rate in hypertensive patients (29.7 %) was less than 60 ml/min/1.73 m2.
Conclusions: A third of patients with diabetic and hypertension had decreased in glomerular filtration rate, and this decrease was associated with increasing age.


REFERENCES

  1. López Labrada R, Casado Méndez PR, Ricardo Zamora Y, Del Castillo Remón IR. Eficacia de las fórmulas MDRD-abreviada y Cockcroft-Gault para la detección de insuficiencia renal crónica en la atención primaria. MEDISAN [Internet]. 2014 [citado 09/09/2021]; 18(2):[aproximadamente 9 p.]. Disponible en: http://bvs.sld.cu/revistas/san/vol18_2_14/san07214.pdf

  2. Barreras-Gil C, Quintero-Bojórquez EU, Martínez-Villa FA, Guerrero-Carrillo A, Ramírez-Gárate MB. Factores asociados a la disminución del filtrado glomerular en pacientes con diabetes mellitus tipo 2. Aten Fam [Internet]. 2017 [citado 10/09/2021]; 24(1):[aproximadamente 4 p.]. Disponible en: https://www.elsevier.es/es-revista-atencion-familiar-223-pdf-S1405887117300044

  3. Terazón Miclín O, Vinent Terazón MA, Pouyou Semanat J. Determinación del grado de enfermedad renal crónica en pacientes hipertensos. MEDISAN [Internet]. 2017 [citado 10/09/2021]; 21(1):[aproximadamente 7p.]. Disponible en: http://scielo.sld.cu/pdf/san/v21n1/san03211.pdf

  4. Navarro-Solano J, Chen-Ku CH. Actualización del efecto de los antihiperglicemiantes en la función renal en diabetes mellitus tipo 2. Acta Méd Costarric [Internet]. 2018 [citado 10/09/2021]; 60(2):[aproximadamente 8 p.]. Disponible en: https://www.scielo.sa.cr/pdf/amc/v60n2/0001-6002-amc-60-02-6.pdf

  5. Salvador-González B, Mestre-Ferrer J, Soler-Vilac M, Pascual-Benitod L, Alonso-Bes E, Cunillera-Puértolas O. Enfermedad renal crónica en individuos hipertensos =60 años atendidos en Atención Primaria. Nefrología [Internet]. 2017 [citado 10/09/2021]; 37(4):[aproximadamente 8 p.]. Disponible en: http://scielo.isciii.es/pdf/nefrologia/v37n4/0211-6995-nefrologia-37-04-00406.pdf

  6. Benítez González V. Enfermedad renal oculta en adultos con hipertensión arterial. Rev Virtual Soc Parag Med Int [Internet]. 2018 [citado 10/09/2021]; 5(1):[aproximadamente 5 p.]. Disponible en: http://scielo.iics.una.py/pdf/spmi/v5n1/2312-3893-spmi-5-01-00036.pdf

  7. Lorenzo Conde MB, Ortega Gómez EA, Ortega Hernández A, Ferreiro García LR, Carballea Barrera M. Desarrollo de la enfermedad renal crónica en pacientes con hipertensión arterial y/o diabetes mellitus. Univ Méd Pinareña [Internet]. 2019 [citado 03/02/2022]; 15(1):13-20. Disponible en: https://www.redalyc.org/journal/6382/638266624002/html/

  8. Fernández-Tresguerres JA, Cachofeiro V, Cardinali DR, Delpón E, Díaz-Rubio ER, Escrich E, et al. Fisiología humana. 5ed. [Internet]. McGraw Hill Education; 2020 [citado 03/02/2022]. Disponible en: https://accessmedicina.mhmedical.com/book.aspx?bookid=2987

  9. Treviño BA. Tratado de Nefrología. México: Editorial Prado; 2003.

  10. Hall JE, Hall ME. Guyton y Hall. Tratado de fisiología médica. 14ed [Internet]. España: Editorial Elsevier; 2021. Disponible en: https://tienda.elsevier.es/guyton-hall-tratado-de-fisiologia-medica-9788413820132.html

  11. Gutiérrez-Rufín M, Polanco-López C. Enfermedad renal crónica en el adulto mayor. Rev Finlay [Internet]. 2018 [citado 09/09/2021]; 8(1):[aproximadamente 7 p.]. Disponible en: http://revfinlay.sld.cu/index.php/finlay/article/view/583

  12. Rodríguez-Domínguez Y, Lima-Gutiérrez H, Morejón-Milera A, Hernández-Falcón N, Martínez-González BM, et al. Comportamiento de la Enfermedad Renal Crónica en ancianos de la Atención Primaria. Policlínico "Contreras". 2017. Dominio de las Ciencias [Internet]. 2021 Feb [citado 03 /02/2022]; 7(1):364-382. Disponible en: DOI: http://dx.doi.org/10.23857/dc.v7i1.1710




2020     |     www.medigraphic.com