MEDLINE/PubMed Journal Browser Search

Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

Title: [Prevalence of chronic kidney disease in hypertensive patients under treatment at primary care health centres in Spain and the monitoring of their blood pressure: the DISEHTAE Study].
Author: Vara-González L, Martín Rioboó E, Ureña Fernández T, Dalfó Baqué A, Flor Becerra I, López Fernández V.
Journal: Aten Primaria; 2008 May; 40(5):241-5. PubMed ID: 18482543.
Abstract:
OBJECTIVE: To establish what proportion of hypertensive patients being treated in the primary care health centres of Spain have diminished renal function, and to ascertain their level of blood pressure (BP) control. DESIGN: Descriptive, cross-sectional study, based on an external audit of clinical charts. SETTING: Primary care health centres in 14 autonomous regions. PARTICIPANTS: A total of 6,113 charts of hypertensive patients from 107 primary care health centres were checked. The selection of primary care health centres and charts was randomized. MAIN MEASUREMENTS: Creatinine and BP figures of the patients included were analyzed. Chronic kidney disease was defined as a glomerular filtration rate (GFR), as calculated by the equation developed by the Modification of Diet in Renal Disease (MDRD) Study, at under 60 mL/min per 1.73 m(2) of body surface area. A good level of BP control was defined as having figures lower than 130/80 mm Hg. RESULTS: Of all patients, 25.7% (95% CI, 24.3-27.2) had a diminished GFR. Of these, 19.1% (95% CI, 16.6-21.9) had a good level of control of systolic BP, 49.9% (95% CI, 46.6-53.2) had a good level of control of diastolic BP, and 15.2% (95% CI, 12.9-17.8) had a good level of control of both. CONCLUSIONS: A considerable proportion of hypertensive patients under treatment in the primary care health centres of Spain have a diminished GFR. Only 1 in 6 of these have their BP under control. OBJETIVO: Describir la proporción de pacientes hipertensos seguidos en los centros de salud de España que presentan una disminución de la función renal y determinar el grado de control de su presión arterial (PA). DISEÑO: Descriptivo, transversal, basado en una auditoría externa de historias clínicas. EMPLAZAMIENTO: Centros de atención primaria de 14 comunidades autónomas. PARTICIPANTES: Se revisaron 6.113 historias clínicas de pacientes hipertensos pertenecientes a 107 centros de salud. La selección de los centros de salud y de las historias clínicas fue aleatoria. MEDICIONES PRINCIPALES: En este estudio se analizan los datos obtenidos sobre las cifras de creatinina sérica y de PA de los pacientes incluidos. La enfermedad renal crónica se ha definido como la existencia de un filtrado glomerular (FG), estimado mediante la ecuación del estudio Modification of Diet in Renal Disease (MDRD), menor de 60 ml/min por 1,73 m² de superficie corporal y el buen control de la PA, como la presencia de cifras menores de 130/80 mmHg. RESULTADOS: El 25,7% (IC del 95%, 24,3-27,2%) de los pacientes presentaba un FG disminuido. De ellos, el 19,1% (IC del 95%, 16,6-21,9%) presentaba un buen control de la PA sistólica (PAS); el 49,9% (IC del 95%, 46,6-53,2%), de la PA diastólica (PAD), y el 15,2% (IC del 95%, 12,9-17,8%), de ambas. CONCLUSIONES: Una considerable proporción de pacientes hipertensos atendidos en los centros de salud de España presentan una disminución del FG. De ellos, sólo 1 de cada 6 presenta cifras de buen control de la PA.

[Abstract] [Full Text] [Related] [New Search]