Validated registry of pre-dialysis chronic kidney disease: description of a large cohort

Detalhes bibliográficos
Autor(a) principal: Huaira,Rosalia Maria Nunes Henriques
Data de Publicação: 2018
Outros Autores: Paula,Rogerio Baumgratz de, Bastos,Marcus Gomes, Colugnati,Fernando Antonio Basile, Fernandes,Natália Maria da Silva
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Jornal Brasileiro de Nefrologia
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002018000200112
Resumo: ABSTRACT Introduction: Chronic diseases account for the majority of deaths in Brazil. These include hypertension (SAH) and diabetes mellitus (DM), which are the main causes of chronic kidney disease (CKD). Objective: This study aimed to validate the data of an electronic health record and to point out characteristics of the profile of these users in relation to clinical quality indicators for a pre-dialytic CKD. Methods: Retrospective cohort, August/2010 to December/2014. Included users > 18 years, with at least two queries. Variables analyzed: sociodemographic, underlying disease, main medications and main clinical indicators of control. A descriptive analysis was performed and the percentage of users was evaluated in the goals at admission and at the end of the study. Results: Exported, converted and validated data of 1,977 users with average follow-up time of 21 months. Of these, 51.4% were men, 58% were > 64 years of age and 81.6% were overweight. The main medications in use were diuretics (82.9%), BRAT (62%), Statin (60.7%) and ACE inhibitors (49.9%). The percentage of users with a decline in the glomerular filtration rate was 33.7%. Regarding glycated hemoglobin, users with CKD and DM, 36% were within the initial goal and 52.1% of the final. Blood pressure was at the target for admission at 34.3% and 49.8% at the end of follow-up. Conclusion: Validated data are of vital importance for health managers to monitor users. The population of this study is predominantly elderly, obese, requiring multi-professional care to slow the progression of the disease and decrease morbidity and mortality.
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spelling Validated registry of pre-dialysis chronic kidney disease: description of a large cohortKidney DiseasesDiseases RegistriesEpidemiologyABSTRACT Introduction: Chronic diseases account for the majority of deaths in Brazil. These include hypertension (SAH) and diabetes mellitus (DM), which are the main causes of chronic kidney disease (CKD). Objective: This study aimed to validate the data of an electronic health record and to point out characteristics of the profile of these users in relation to clinical quality indicators for a pre-dialytic CKD. Methods: Retrospective cohort, August/2010 to December/2014. Included users > 18 years, with at least two queries. Variables analyzed: sociodemographic, underlying disease, main medications and main clinical indicators of control. A descriptive analysis was performed and the percentage of users was evaluated in the goals at admission and at the end of the study. Results: Exported, converted and validated data of 1,977 users with average follow-up time of 21 months. Of these, 51.4% were men, 58% were > 64 years of age and 81.6% were overweight. The main medications in use were diuretics (82.9%), BRAT (62%), Statin (60.7%) and ACE inhibitors (49.9%). The percentage of users with a decline in the glomerular filtration rate was 33.7%. Regarding glycated hemoglobin, users with CKD and DM, 36% were within the initial goal and 52.1% of the final. Blood pressure was at the target for admission at 34.3% and 49.8% at the end of follow-up. Conclusion: Validated data are of vital importance for health managers to monitor users. The population of this study is predominantly elderly, obese, requiring multi-professional care to slow the progression of the disease and decrease morbidity and mortality.Sociedade Brasileira de Nefrologia2018-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002018000200112Brazilian Journal of Nephrology v.40 n.2 2018reponame:Jornal Brasileiro de Nefrologiainstname:Sociedade Brasileira de Nefrologia (SBN)instacron:SBN10.1590/2175-8239-jbn-3841info:eu-repo/semantics/openAccessHuaira,Rosalia Maria Nunes HenriquesPaula,Rogerio Baumgratz deBastos,Marcus GomesColugnati,Fernando Antonio BasileFernandes,Natália Maria da Silvaeng2018-07-24T00:00:00Zoai:scielo:S0101-28002018000200112Revistahttp://www.bjn.org.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||jbn@sbn.org.br2175-82390101-2800opendoar:2018-07-24T00:00Jornal Brasileiro de Nefrologia - Sociedade Brasileira de Nefrologia (SBN)false
dc.title.none.fl_str_mv Validated registry of pre-dialysis chronic kidney disease: description of a large cohort
title Validated registry of pre-dialysis chronic kidney disease: description of a large cohort
spellingShingle Validated registry of pre-dialysis chronic kidney disease: description of a large cohort
Huaira,Rosalia Maria Nunes Henriques
Kidney Diseases
Diseases Registries
Epidemiology
title_short Validated registry of pre-dialysis chronic kidney disease: description of a large cohort
title_full Validated registry of pre-dialysis chronic kidney disease: description of a large cohort
title_fullStr Validated registry of pre-dialysis chronic kidney disease: description of a large cohort
title_full_unstemmed Validated registry of pre-dialysis chronic kidney disease: description of a large cohort
title_sort Validated registry of pre-dialysis chronic kidney disease: description of a large cohort
author Huaira,Rosalia Maria Nunes Henriques
author_facet Huaira,Rosalia Maria Nunes Henriques
Paula,Rogerio Baumgratz de
Bastos,Marcus Gomes
Colugnati,Fernando Antonio Basile
Fernandes,Natália Maria da Silva
author_role author
author2 Paula,Rogerio Baumgratz de
Bastos,Marcus Gomes
Colugnati,Fernando Antonio Basile
Fernandes,Natália Maria da Silva
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Huaira,Rosalia Maria Nunes Henriques
Paula,Rogerio Baumgratz de
Bastos,Marcus Gomes
Colugnati,Fernando Antonio Basile
Fernandes,Natália Maria da Silva
dc.subject.por.fl_str_mv Kidney Diseases
Diseases Registries
Epidemiology
topic Kidney Diseases
Diseases Registries
Epidemiology
description ABSTRACT Introduction: Chronic diseases account for the majority of deaths in Brazil. These include hypertension (SAH) and diabetes mellitus (DM), which are the main causes of chronic kidney disease (CKD). Objective: This study aimed to validate the data of an electronic health record and to point out characteristics of the profile of these users in relation to clinical quality indicators for a pre-dialytic CKD. Methods: Retrospective cohort, August/2010 to December/2014. Included users > 18 years, with at least two queries. Variables analyzed: sociodemographic, underlying disease, main medications and main clinical indicators of control. A descriptive analysis was performed and the percentage of users was evaluated in the goals at admission and at the end of the study. Results: Exported, converted and validated data of 1,977 users with average follow-up time of 21 months. Of these, 51.4% were men, 58% were > 64 years of age and 81.6% were overweight. The main medications in use were diuretics (82.9%), BRAT (62%), Statin (60.7%) and ACE inhibitors (49.9%). The percentage of users with a decline in the glomerular filtration rate was 33.7%. Regarding glycated hemoglobin, users with CKD and DM, 36% were within the initial goal and 52.1% of the final. Blood pressure was at the target for admission at 34.3% and 49.8% at the end of follow-up. Conclusion: Validated data are of vital importance for health managers to monitor users. The population of this study is predominantly elderly, obese, requiring multi-professional care to slow the progression of the disease and decrease morbidity and mortality.
publishDate 2018
dc.date.none.fl_str_mv 2018-06-01
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Nefrologia
publisher.none.fl_str_mv Sociedade Brasileira de Nefrologia
dc.source.none.fl_str_mv Brazilian Journal of Nephrology v.40 n.2 2018
reponame:Jornal Brasileiro de Nefrologia
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