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Revista Finlay

On-line version ISSN 2221-2434

Abstract

GALIANO GUERRA, Giorgiet; LASTRE DIEGUEZ, Yamila; HERNANDEZ ALVAREZ, Roberto  and  GARCIA BRINGS, Lilia Ramona. Prevalence of Occult Kidney Disease in Hypertensive Older Adults in Primary Health Care. Rev. Finlay [online]. 2019, vol.9, n.2, pp. 118-126.  Epub Aug 02, 2019. ISSN 2221-2434.

Foundation:

chronic kidney disease is a physio-pathological process. Its estimated prevalence in the population over 60 years is around 20 % and rises to 35 to 40 % if the elderly is hypertensive or diabetic.

Objective:

to determine the prevalence of occult renal disease and identify some predisposing risk factors in hypertensive elderly people belonging to the Jimmy Hirzel University Polyclinic, Bayamo, Granma, in the period from June 2016 - June 2017.

Method:

a descriptive, cross-sectional study was conducted in hypertensive older adults with personal pathological history of HBP and without diagnosis of chronic kidney disease, belonging to the Jimmy Hirzel University Polyclinic of Bayamo municipality, Granma province in the period from June 2016 - June 2017. The universe consisted of 10 832 patients, while the sample was 180 individuals. The variables analyzed were: personal pathological history, demographic variables (age, sex and color of the skin) and clinical variables (weight, height, body mass index); laboratory studies were indicated in the medical consultation (plasma creatinine, cholesterol, triglycerides). Elements of descriptive statistics were used for both qualitative and quantitative variables.

Results:

the diagnosis of occult kidney disease was established in 154 subjects from 180 subjects studied, the 70-79 year old group was the most affected by chronic nephropathy, while the female sex and the white race were the most prevalent. The main predisposing risk factors for occult kidney disease associated with hypertension.

Conclusion:

there is a high morbidity of occult renal disease in the studied elderly.

Keywords : kidney diseases; prevalence; hypertension; aged; primary health care.

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