Prevalencia de enfermedad renal crónica en diabéticos tipo 2 atendidos en el Hospital Regional Policial Chiclayo, Julio a diciembre 2023
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Date
2024
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Universidad Nacional de Trujillo
Abstract
La diabetes mellitus 2 es una enfermedad crónica que afecta varios órganos y tiende a ser la causar de la enfermedad renal crónica (ERC). La ERC es la pérdida progresiva de la tasa de filtración glomerular (TFG). Esta investigación tuvo como objetivo determinar la prevalencia de ERC en diabéticos tipo 2 atendidos en el Hospital Regional Policial Chiclayo de julio a diciembre 2023. Se realizaron exámenes de creatinina sérica, creatinuria, albuminuria y TFG a pacientes que cumplieron los criterios de inclusión propuestos. Encontrándose, de 226 pacientes, 111 mujeres (49.12%) y 115 hombres (50.88%). La TFG media fue menor en hombres y personas mayores a 70 años y la albuminuria media fue mayor en hombres y pacientes de 51 a 60 años. Los valores de TFG significativos a ERC tuvieron una prevalencia de 21.24%. La comparación de TFG/albuminuria para el riesgo moderado a alto de ERC fue 34.51%. Por ANOVA y Tukey se encontraron diferencias significativas para creatinina, TFG y creatinuria ocasional. Revisando diferentes investigaciones se indica que el diagnostico de ERC incluye la evaluación de TFG y albuminuria. Valores de creatinina sérica más altos fueron en hombres, posiblemente por su mayor masa muscular, y en pacientes de edad avanzada por su alta multimorbilidad. Asimismo, prevalencia de ERC se encontraron valores cercanos al valor encontrado en este trabajo. Concluyéndose que la prevalencia de ERC encontrada en esta investigación fue, por TFG de 21.24% y de 34.32% por comparación de TFG/RAC, predominando valores alterados en hombres y pacientes mayores de 60 años.
Diabetes mellitus 2 is a chronic disease that affects several organs and tends to be the cause of chronic kidney disease (CKD). CKD is the progressive loss of glomerular filtration rate (GFR). The objective of this research was to determine the prevalence of CKD in type 2 diabetics treated at the Hospital Regional Policial Chiclayo from July to December 2023. Serum creatinine, creatinuria, albuminuria and GFR tests were performed in patients who met the proposed inclusion criteria. Of 226 patients, 111 women (49.12%) and 115 men (50.88%) were found. Mean GFR was lower in men and people older than 70 years and mean albuminuria was higher in men and patients aged 51 to 60 years. GFR values significant to CKD had a prevalence of 21.24%. The comparison of GFR/albuminuria for moderate to high risk of CKD was 34.51%. By ANOVA and Tukey significant differences were found for creatinine, GFR and occasional creatinuria. A review of different studies indicates that the diagnosis of CKD includes the evaluation of GFR and albuminuria. Higher serum creatinine values were found in men, possibly due to their greater muscle mass, and in elderly patients due to their high multimorbidity. Likewise, the prevalence of CKD was close to the values found in this study. It was concluded that the prevalence of CKD found in this study was 21.24% for GFR and 34.32% for comparison of GFR/RAC, with altered values predominating in men and patients over 60 years of age
Diabetes mellitus 2 is a chronic disease that affects several organs and tends to be the cause of chronic kidney disease (CKD). CKD is the progressive loss of glomerular filtration rate (GFR). The objective of this research was to determine the prevalence of CKD in type 2 diabetics treated at the Hospital Regional Policial Chiclayo from July to December 2023. Serum creatinine, creatinuria, albuminuria and GFR tests were performed in patients who met the proposed inclusion criteria. Of 226 patients, 111 women (49.12%) and 115 men (50.88%) were found. Mean GFR was lower in men and people older than 70 years and mean albuminuria was higher in men and patients aged 51 to 60 years. GFR values significant to CKD had a prevalence of 21.24%. The comparison of GFR/albuminuria for moderate to high risk of CKD was 34.51%. By ANOVA and Tukey significant differences were found for creatinine, GFR and occasional creatinuria. A review of different studies indicates that the diagnosis of CKD includes the evaluation of GFR and albuminuria. Higher serum creatinine values were found in men, possibly due to their greater muscle mass, and in elderly patients due to their high multimorbidity. Likewise, the prevalence of CKD was close to the values found in this study. It was concluded that the prevalence of CKD found in this study was 21.24% for GFR and 34.32% for comparison of GFR/RAC, with altered values predominating in men and patients over 60 years of age
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Keywords
Enfermedad, renal, diabetes, hospital, policial, prevalencia