Detección temprana de la enfermedad renal crónica, mediante la fórmula CKD-EPI en pacientes diabéticos e hipertensos, Hospital Isidro Ayora, Loja
Fecha
2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
La Enfermedad Renal Crónica reconoce la existencia de alteraciones estructurales y/o funcionales renales de más de tres meses de duración acompañadas de alteraciones en la salud de la persona. La Diabetes Mellitus y la Hipertensión Arterial son las dos principales causas de la enfermedad. Constituye un problema de Salud Pública. La comprensión de los mecanismos fisiopatológicos y el establecimiento de una clasificación con fines terapéuticos han permitido establecer medidas para revertir o retardar su progresión. El trasplante renal y la terapia de reemplazo renal han podido recuperar y mejorar la calidad de vida del paciente. Se debe promover el establecimiento de medidas para prevenir la enfermedad renal crónica, mejorando el acceso a la Salud y estableciendo políticas de salud preventiva. El diagnóstico y la intervención tempranas son elementos claves para disminuir la mortalidad, la morbilidad y ahorrar muchos recursos. La detección de la enfermedad renal crónica no debe estar relegada al Nefrólogo. Se realizó un estudio transversal en 150 pacientes diabéticos e hipertensos con el objeto de elaborar un algoritmo de diagnóstico de la enfermedad renal crónica en forma temprana usando la ecuación CKD EPI. En el estudio se determinó que dicha ecuación es muy válida en el diagnóstico, estadiaje, pronóstico y tratamiento. Se confirmó que el valor de creatinina sérica no es buen predictor de deterioro de la función renal. También se evidenció que la ecuación CKD EPI creatinina es confiable, fácil de usar, no consume recursos en la consulta y permite tener un diagnóstico rápido de la enfermedad.
Chronic Kidney Disease, recognizes the existence of structural and or functional kidney for more than three months accompanied by alterations in the health of the person. Diabetes Mellitus and hypertension are the two leading causes of disease. Is a public health problem. Understanding of the pathophysiological mechanisms and the establishment of a classification for therapeutic purposes have established measures to reverse or slow its progression. Renal transplantation and renal replacement therapy have been able to recover and improve the quality of life of patients. Should promote the establishment of measures to prevent chronic kidney disease, improving access to health and establishing preventive health policies. Early diagnosis and intervention are key to reducing mortality, morbidity and economic resources saving elements. The detection of chronic kidney disease should not be relegated to the nephrologist. A cross-sectional study was conducted in 150 diabetic and hypertensive patients in order to develop a diagnostic algorithm of chronic kidney disease early using the CKD EPI Equation. The study determined that this equation is very valid in the diagnosis, staging, prognosis and treatment. It was confirmed that the serum creatinine value is not good predictor of renal function impairment. also it showed that CKD EPI creatinine equation is reliable, easy to use, does not consume resources in consultation and allows a rapid diagnosis of the disease.
Chronic Kidney Disease, recognizes the existence of structural and or functional kidney for more than three months accompanied by alterations in the health of the person. Diabetes Mellitus and hypertension are the two leading causes of disease. Is a public health problem. Understanding of the pathophysiological mechanisms and the establishment of a classification for therapeutic purposes have established measures to reverse or slow its progression. Renal transplantation and renal replacement therapy have been able to recover and improve the quality of life of patients. Should promote the establishment of measures to prevent chronic kidney disease, improving access to health and establishing preventive health policies. Early diagnosis and intervention are key to reducing mortality, morbidity and economic resources saving elements. The detection of chronic kidney disease should not be relegated to the nephrologist. A cross-sectional study was conducted in 150 diabetic and hypertensive patients in order to develop a diagnostic algorithm of chronic kidney disease early using the CKD EPI Equation. The study determined that this equation is very valid in the diagnosis, staging, prognosis and treatment. It was confirmed that the serum creatinine value is not good predictor of renal function impairment. also it showed that CKD EPI creatinine equation is reliable, easy to use, does not consume resources in consultation and allows a rapid diagnosis of the disease.
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Insuficiencia renal crónica, Fórmula CKD-EPI, Hospital General Isidro Ayora, Cantón Loja, Ecuador, Diabetes mellitus, Hipertensión