Abstract

GUZMAN DUCHEN, Héctor  and  GRAGEDA RICALDI, José A.. Hypertension and Diabetes Mellitus as a Cause of Chonic Kidney Disease at the Políclínico 32 of the Caja Nacional de Salud of Cochabamba. Gac Med Bol [online]. 2011, vol.34, n.1, pp.11-15. ISSN 1012-2966.

Objetives: To identify laboratory studies that have feasibility in primary care to detect patients with chronic renal failure in early stages. Methods: In this prospective, longitudinal, from May 2008 to January 2010 in the offices of the polyclinic in the National Health Fund. Statistical analysis was performed using SPSS software. Results: The study included 112 patients with a female predominance in 71 %, 42 diabetics, 46 arterial hypertension, and 24 with both diseases. In 96% of chronic renal failure was established after 50 years, most asymptomatic. Physical examination detected 20% of obese. The results of the estimated glomerular filtration rate, calculated, allowed classifying patients with severe chronic renal failure, outstanding 37% in stage 2. A quarter of the scans showed renal lesions. Nonpharmacological measures were identified and specific medication according to underlying pathology. Clinical checks were performed monthly and semi lab. Criteria for referral to the third level were: GFR less than 60 ml/m/1,71 m², creatinine increased to 1.7mg/dl in two consecutive controls in men and 1.4 mg /dl in women. Difficult to control hypertension and diabetes with microalbuminuria or persistent proteinuria or increases. Conclusions: The calculation of glomerular filtration rate and microalbuminuria laboratory studies appear to be feasible in the first level of care to detect early-stage chronic renal failure patients.

Keywords : insuficiencia renal crónica; diabetes mellitus; tasa de filtración glomerular; hipertensión.

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