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Revista Virtual de la Sociedad Paraguaya de Medicina Interna
versión On-line ISSN 2312-3893
Resumen
BENITEZ GONZALEZ, Verónica. Occult renal disease in adults with arterial hypertension. Rev. virtual Soc. Parag. Med. Int. [online]. 2018, vol.5, n.1, pp.36-41. Epub 01-Mar-2018. ISSN 2312-3893. https://doi.org/10.18004/rvspmi/2312-3893/2018.05(01)36-041.
Introduction:
Occult renal disease is an entity that defines the most initial stages of renal failure and is not detected with the methods usually used (serum creatinine).
Methodology:
A prospective, observational, descriptive study conducted in adults with arterial hypertension who attended the Hospital Nacional (Itauguá, Paraguay) in 2017. In addition to the anthropometric measurements, 24-hour proteinuria and creatinine clearance measured by the Cockcroft-Gault formula were determined.
Results:
Ninety patients were included, with a mean age of 50 years, 51% females. Eight percent of occult renal disease was detected with the Cockcroft-Gault formula and 21% with 24-h proteinuria.
Conclusion:
Eight percent of controlled and uncontrolled hypertensive patients are underdiagnosed in terms of moderate renal dysfunction, taking into account the Cockcroft-Gault formula and 21% according to 24-h proteinuria.
Palabras clave : hypertension; proteinuria; prevalence; creatinine; blood pressure; risk factors.
