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Revista Virtual de la Sociedad Paraguaya de Medicina Interna

versión On-line ISSN 2312-3893

Resumen

ROMERO PANIAGUA, Fernando Ariel; VERA MARECO, Fanny; GONZALEZ ESPINOLA, Eduardo Agustín  y  VELAZQUEZ ACUNA, Rosalía Irene. Diabetic and hypertensive patients and chronic kidney disease in the Regional Hospital of Villarrica, Paraguay, period 2023-2024. Rev. virtual Soc. Parag. Med. Int. [online]. 2025, vol.12, n.1, e12122515.  Epub 26-Jun-2025. ISSN 2312-3893.  https://doi.org/10.18004/rvspmi/2312-3893/2025.e12122515.

Introduction:

Chronic kidney disease (CKD) includes different pathophysiological processes accompanied by abnormalities of renal function and progressive deterioration of the glomerular filtration rate. Hypertension and diabetes are among the main risk factors for CKD.

Objectives:

To determine the frequency of chronic kidney disease in patients with hypertension and diabetes in the Villarrica Regional Hospital in 2023-2024.

Methods:

An observational, descriptive, cross-sectional design with analytical component was applied in patients diagnosed with diabetes and/or hypertension. The variables studied were: sociodemographic, risk factor (diabetes, hypertension), KDIGO classification of CKD stages. Statistics were applied with the Epi Info 7™ program. The relationship between risk factors (independent variables) and CKD (dependent variable) was analyzed.

Results:

Four hundred patients were included. Women predominated (57%), with an age range of 40-60 years, and 46% with a diagnosis of hypertension. The frequency of chronic kidney disease was 34%, with a predominance of KDIGO stages 1 and 2. Patients presenting both pathologies concomitantly had a higher risk of developing chronic kidney disease, OR 8.61 (95% CI 4.83-15.36) (p 0.0000001).

Conclusion:

Female patients predominated, with an age range between 40 and 60 years. The frequency of chronic kidney disease according to the KDIGO-CKD scale was 34%, with the highest proportion corresponding to stages 1 and 2. There was a statistically significant relationship between the presence of diabetes and concomitant hypertension and the subsequent development of chronic kidney disease.

Palabras clave : chronic kidney disease; diabetes; hypertension.

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