Factores de riesgo de nefropatía en pacientes con diabetes en el Hospital Guayaquil Dr. Abel Gilbert Pontón y la Unidad de Hemodiálisis INRID de enero del 2014 hasta enero del 2015
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2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
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Antecedentes:La diabetes mellitus sigue siendo la causa más común de
enfermedad renal en fase terminal y la nefropatía diabética es el principal
diagnóstico primario específico de patología renal para comenzar terapia de
reemplazo renal. El número cada día aumenta de manera importante y es
fundamental identificar los factores de riesgo de desarrollarlo con el propósito de
prevenir. Sin embargo el impacto de estos varía dependiendo de varios aspectos.
Metodología:Con el objetivo de determinar los factores de riesgo de mayor
impacto para el desarrollo de nefropatía en pacientes con Diabetes Mellitus en la
ciudad de Guayaquil, se realizó un estudio de transversal en el que se
incorporaron pacientes con Diabetes Mellitus 46 sin nefropatía y 54 con
nefropatía. Se seleccionaron aquellos que consintieron su participación y se
excluyeron aquellos con diagnóstico en proceso y los que desistieron de continuar
con la entrevista.
Resultados:Una edad menor al momento del diagnóstico de diabetes se asoció
significativamente a un mayor riesgo de desarrollar ND (P 0.02). Tener
antecedentes familiares (69% vs 54%)tuvo una tendencia a incrementar el riesgo
de desarrollar esta patología. Cumplir con una dieta hipocalóricas y cumplir con
los controles respectivos y otras recomendaciones efectuadas por los médicos
pareció disminuir la posibilidad de progresar a nefropatía diabética. (52% vs 43%)
y cumplimiento con los controles y otras recomendaciones médicas (50% vs 41%)
tuvieron una tendencia a proteger al riñón de una ND (P > 0.05). Factores como
edad, sexo, IMC, tipo de diabetes, entre otros no se asociaron con un incremento
significativo del riesgo.
Conclusión:De manera inversamente proporcional, una edad menor de
diagnóstico de diabetes se asoció significativamente al desarrollo de ND.
Background: Diabetes mellitus is still the most common cause of end-stage renal disease and diabetic nephropathy is the main specific primary diagnosis of renal pathology to start renal replacement therapy. Each day the number increases significantly and is essential to identify risk factors for developing it in order to prevent. However the impact of these varies depending on several aspects. Methodology: In order to determine the risk factors with the greatest impact for the development of nephropathy in diabetic patients from Guayaquil city, A cross section study, in which diabetic patients without nephropathy joined 46 and 54 it was conducted nephropathy. Those who consented their participation and excluded those with diagnostic process and those that withdrew to continue the interview were selected. Results: A smaller at diagnosis of diabetes age was significantly associated with an increased risk of developing ND (P 0.02). Family history (69% vs 54%) had a tendency to increase the risk of developing this disease. Sticking to a low calorie diet s meet the respective controls and other recommendations made by doctors thought lessen the chance of progressing to diabetic nephropathy. (52% vs 43%) and compliance with controls and other medical recommendations (50% vs 41%) had a tendency to protect the kidney from one NA (P> 0.05). Factors such as age, sex, BMI, type of diabetes, among others not associated with a significantly increased risk. Conclusion: inversely proportional manner, a younger age at diagnosis of diabetes was significantly associated with development of ND.
Background: Diabetes mellitus is still the most common cause of end-stage renal disease and diabetic nephropathy is the main specific primary diagnosis of renal pathology to start renal replacement therapy. Each day the number increases significantly and is essential to identify risk factors for developing it in order to prevent. However the impact of these varies depending on several aspects. Methodology: In order to determine the risk factors with the greatest impact for the development of nephropathy in diabetic patients from Guayaquil city, A cross section study, in which diabetic patients without nephropathy joined 46 and 54 it was conducted nephropathy. Those who consented their participation and excluded those with diagnostic process and those that withdrew to continue the interview were selected. Results: A smaller at diagnosis of diabetes age was significantly associated with an increased risk of developing ND (P 0.02). Family history (69% vs 54%) had a tendency to increase the risk of developing this disease. Sticking to a low calorie diet s meet the respective controls and other recommendations made by doctors thought lessen the chance of progressing to diabetic nephropathy. (52% vs 43%) and compliance with controls and other medical recommendations (50% vs 41%) had a tendency to protect the kidney from one NA (P> 0.05). Factors such as age, sex, BMI, type of diabetes, among others not associated with a significantly increased risk. Conclusion: inversely proportional manner, a younger age at diagnosis of diabetes was significantly associated with development of ND.
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ENFERMEDADES RENALES, FACTORES DE RIESGO, HOSPITAL DE ESPECIALIDADES GUAYAQUIL DR. ABEL GILBERT PONTON, DIABETES MELLITUS, CANTON GUAYAQUIL, ECUADOR