Hipertensión arterial y riñón

Fuente, G. de Arriba de la; Valle, K.M. Pérez del; Tocora, D.G. Gaitán; Puyol, Diègo Rodrı́guez

doi:10.1016/j.med.2019.06.001

Cited by 1 publication

(4 citation statements)

References 32 publications

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“…In the present study, both age 60 years and older and male sex are risk factors for the development of CKD, as reported in other studies 14 , 30 that find that CKD is up to three times higher in men than in women, with a statistically significant relationship between CKD progression and male sex. 2 , 4 …”

Section: Discussionsupporting

confidence: 88%

“…31 It has also been described that in the Peruvian population pyramid, women predominate after the age of 60 years 32 and that survival is greater in this group. In the present study, both age 60 years and older and male sex are risk factors for the development of CKD, as reported in other studies 14,30 that find that CKD is up to three times higher in men than in women, with a statistically significant relationship between CKD progression and male sex. 2,4 Regarding the evolution of the clinical factors studied, it can be seen that there is no difference in the percentages of anemia between 2015 and 2017.…”

Section: Discussionsupporting

confidence: 88%

“…The medical literature reviewed indicates that kidney disease increases with age and is more prevalent in people aged 55 years and older. 2 , 14 , 15 , 30 This is also evident in the present study, where 40.9% of patients with CKD are aged 60 years or older, with average age of 69.79,70.45 and 71.5 years between 2015 and 2017. In the studies consulted, the variable age is related to the progression of CKD, for participants aged 60 years and older 14 , 15 , 30 .…”

Section: Discussionsupporting

confidence: 78%

“… 2 , 14 , 15 , 30 This is also evident in the present study, where 40.9% of patients with CKD are aged 60 years or older, with average age of 69.79,70.45 and 71.5 years between 2015 and 2017. In the studies consulted, the variable age is related to the progression of CKD, for participants aged 60 years and older 14 , 15 , 30 . It is important to point out that the higher the age, the higher the frequency of CKD, mainly due to a decrease in renal function due to aging 15 secondary to glomerular sclerosis and a decrease in the glomerular filtration rate of 1mL/min/1.73 m2 after the age of 40 years.…”

Section: Discussionsupporting

confidence: 78%

See 3 more Smart Citations

Factors Associated with the Development of Chronic Kidney Disease in Patients with Arterial Hypertension

Goicochea-Rios,

Chian-García,

Yupari-Azabache

et al. 2024

IJNRD

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Introduction Chronic kidney disease affects a large part of the population with hypertension, diabetes mellitus as well as those over 50 years of age. Research reported that male sex and other comorbidities such as obesity and anemia are more frequent in Chronic kidney disease, as well as uncontrolled diabetes mellitus or hypertension. Objective To determine the risk factors associated with the development of chronic kidney disease in adults with arterial hypertension. Material and Methods Retrospective cohort study of 455 patients with hypertension treated in a primary health care hospital. Medical records and laboratory information were reviewed for the diagnosis of chronic kidney disease and its staging. Patients aged 40 years and older, of both sexes and evaluated between the years 2015 −2017 were included. Logistic regression analysis allowed the identification of risk factors associated with the development of chronic kidney disease. Results 63.7% were female and 36.3% male. The average age for 2015 was 69.79 ± 9.03, more than half of participants had diabetes mellitus and controlled hypertension and the predominant nephroprotection was with Losartan (53%) that year. Male sex (OR 1.68, CI 1.03–2,76), age: 60 years or older (OR 6.38, CI 2.65–15,37) and anemia (OR 1.71, CI 1.03–2,85), were risk factors for the development of chronic kidney disease (p < 0.05), whereas nephroprotection (OR 0.39, CI 0.18–0,88) and controlled diabetes mellitus (OR: 0.18, CI 0.07–0,47) were shown to be protective factors (p < 0.05). The prevalence of chronic kidney disease between 2015 and 2017 was 19% and 45%, respectively, with predominance of category G2. The comparison group is the same cohort analyzed in each year under study. Conclusion Male sex, age over 60 years, and anemia are risk factors for chronic kidney disease. Nephroprotection, controlled diabetes mellitus, and patient follow-up are factors that prevent its development.

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Section: Discussionsupporting

confidence: 88%