Enfermedad renal crónica en pacientes agricultores
Fecha
2020
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
El aumento en la incidencia de enfermedad renal crónica de presentación atípica se está dando en las comunidades agrícolas. No parece tener relación con los factores de riesgo comunes, se lo atribuye a factores sociodemográficos, ocupacionales y de habito. Objetivo: determinar si el desarrollo de enfermedad renal crónica en pacientes agricultores se asocia a factores ocupacionales y hábitos relacionados a la agricultura. Materiales y métodos: Es una investigación de enfoque cuantitativo, diseño no experimental de corte transversal y el método es observacional y analítico realizada con la información otorgada por el área de Nefrología del Hospital General IESS de Babahoyo durante el período 2017 al 2019, se realizó un análisis de regresión múltiple con el programa minitab Resultados: el 100% de nuestros pacientes son del sexo masculino, 132 en un rango de edad de 60-70 años fue el grupo más afectado con un 55%, el estadio de enfermedad renal crónica más prevalente en un 48.3% corresponde al estadio III (N18.3), 152 pacientes no acudieron a instituciones educativas siendo un 63.3%, el nivel socioeconómico bajo fue el de mayor frecuencia en 228 pacientes, es decir un 95% , según su exposición y uso de agroquímicos 207 refieren estar expuestos representando un 86.3%, el 87.1% ingiere alcohol y 228 pacientes estaban expuestos a estrés térmico , es decir el 95%. Conclusión: Se concluye que existe relación entre las variables dependiente e independiente siendo el alcoholismo la que tiene una mayor contribución sobre el filtrado glomerular.
The increase in the incidence of atypical chronic kidney disease is occurring in agricultural communities. It does not seem to be related to common risk factors, it is attributed to sociodemographic, occupational and habit factors. Objective: to determine if the development of chronic kidney disease in agricultural patients is associated with occupational factors and habits related to agriculture. Materials and methods: It is a research with a quantitative approach, a non-experimental cross-sectional design and the method is observational and analytical, carried out with the information provided by the Nephrology area of the IESS General Hospital of Babahoyo during the period 2017 to 2019, a multiple regression analysis was performed with the minitab program Results: 100% of our patients are male, 132 in an age range of 60-70 years was the most affected group with 55%, the most prevalent stage of chronic kidney disease 48.3% corresponds to stage III (N18.3), 152 patients did not attend educational institutions, being 63.3%, the low socioeconomic level was the most frequent in 228 patients, that is, 95%, according to their exposure and use of agrochemicals 207 report being exposed, representing 86.3%, 87.1% ingest alcohol and 228 patients were exposed to heat stress, that is, 95%. Conclusion: it is concluded that there is a relationship between the dependent and independent variables, alcoholism being the one that has a greater contribution on glomerular filtration.
The increase in the incidence of atypical chronic kidney disease is occurring in agricultural communities. It does not seem to be related to common risk factors, it is attributed to sociodemographic, occupational and habit factors. Objective: to determine if the development of chronic kidney disease in agricultural patients is associated with occupational factors and habits related to agriculture. Materials and methods: It is a research with a quantitative approach, a non-experimental cross-sectional design and the method is observational and analytical, carried out with the information provided by the Nephrology area of the IESS General Hospital of Babahoyo during the period 2017 to 2019, a multiple regression analysis was performed with the minitab program Results: 100% of our patients are male, 132 in an age range of 60-70 years was the most affected group with 55%, the most prevalent stage of chronic kidney disease 48.3% corresponds to stage III (N18.3), 152 patients did not attend educational institutions, being 63.3%, the low socioeconomic level was the most frequent in 228 patients, that is, 95%, according to their exposure and use of agrochemicals 207 report being exposed, representing 86.3%, 87.1% ingest alcohol and 228 patients were exposed to heat stress, that is, 95%. Conclusion: it is concluded that there is a relationship between the dependent and independent variables, alcoholism being the one that has a greater contribution on glomerular filtration.
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Factores de riesgo, Insuficiencia renal crónica, Agricultores, Hospital General Babahoyo (IESS), Cantón Babahoyo, Ecuador, Epidemiología analítica