Prevalência da doença renal e de fatores de risco para doença renal crônica em trabalhadores negros da área da saúde

• Autor(a) principal: Souza, Célia Mariana Barbosa de
• Data de Publicação: 2012
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da PUC_RS
• Texto Completo: http://tede2.pucrs.br/tede2/handle/tede/1698
• topic: MEDICINA; NEFROLOGIA; INSUFICIÊNCIA RENAL CRÔNICA; NEFROPATIAS; NEGROS - DOENÇAS; CNPQ::CIENCIAS DA SAUDE::MEDICINA

Introduction: Few studies have evaluated the chronic kidney disease (CKD) risk factors for in black populations. This study aimed to determine the prevalence of renal disease (RD), risk factors for CKD and compare the estimated glomerular filtration rate (eGFR) by three methods in a group of black workers in the health field. Methods: We evaluated in a cross sectional observational study 313 individuals from the black staff of a university hospital, workers from different health professions. Was defined RD bearing individuals with GFR below 90ml/minute or protein/creatinine index in urine sample up to or greater than 0.3. We estimated the glomerular filtration using three equations: Crockoft-Gault, MDRD and CKD EPI. For data collection was used a structured questionnaire containing demographic data, risk factors for CKD, serum creatinine, blood pressure (BP) and GFR. Results: In the 313 participants 80.8% were female. The risk factors were present in this proportion: 26.8% with a diagnosis of hypertension (HA), 8.3% diabetes mellitus (DM), 79.9% with a family history (FH) of hypertension, 49.2% FH and DM, 6.45% FH for dyslipidemia, and 19.8% FH with CKD, BMI with or greater than 30 kg /m². The prevalence of RD ranged between 12.5% (CKD-EPI) and 18.8% (MDRD). The higher prevalence of RD was observed at the stage of eGFR between 60 and 89 mL/minute. In individuals with RD, there was difference between the eGFR for the CG or MDRD and CKDEPI equations (P<0.001) difference among the three formulas for the total group analysis (P <0.001). Conclusion: RD was present in at least 12.2% of the studied group. The prevalence of RD was lower when using the CKD-EPI equation, compared to the CG and MDRD equations. It was demonstrated statistical significance (P <0.05) for the highest average age of patients with RD compared the diagnosis by eGFR by the three equations used with other individuals in the study. Among the associations of risk in the total group the most frequent were HA and FH with HA. Among the variables examined, only the mean of systolic BP was different and higher, when comparing individuals with risk factor for RD and those without this risk factor