Abstract

FIGUEROA-MONTES, Luis E. Prevalence of albuminuria in primary and secondary healthcare centers during 2013-2014, Lima, Peru. Acta méd. Peru [online]. 2018, vol.35, n.4, pp.197-203. ISSN 1728-5917.

Objective: To determine the prevalence of albuminuria in a cohort of patients being taken care of in a healthcare network from Peruvian Social Security in Lima, and also to determine tha association between hypertension and/or diabetes and albuminuria. Materials and Methods: A descriptive cross-sectional study was designed, analyzing secondary data of laboratory tests from patients who underwent screening in a Lima healthcare network during a two-year period (2013-2014). The albumin/creatinine rate in urine was quantitatively and automatically calculated. A chi-square test was used for establishing p-values, according to albuminuria levels. An univariate logistic regression model was used aiming to obtain crude odds ratio values for determining an association between the presence of the aforementioned conditions and albuminuria; and an adjusted multiple logistic regression was also used. Ninety five-per cent confidence intervals are enclosed. Results: Nearly fourteen thousand (13,842) patients were included in the study. Prevalence of albuminuria was 23.31%. Its prevalence in diabetic subjects was 23.93%, in patients with high blood pressure it was 18.03%, and the prevalence was 35.22% in patients affected by both conditions. A significant association between diabetes and hypertension and the risk for presenting with albuminuria in A2 and A3 categories. Conclusion: There is a 23.31% overall prevalence of albuminuria in patients with high blood pressure and diabetes in our healthcare network. This screening may benefit patients in our institution; therefore, it will be useful to implement healthcare interventions for making a timely diagnosis of kidney disease, so there may be less patients developing chronic kidney disease.

Keywords : Diabetes mellitus; Hypertension; Renal insufficiency chonic.

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