Enfermedad renal crónica en individuos hipertensos 60 años atendidos en Atención Primaria

espanolAntecedentes: La hipertension arterial (HTA) es la segunda causa de insuficiencia renal. En hipertensos con enfermedad renal cronica (ERC) el control de la presion arterial (PA) es la intervencion mas importante para minimizar la progresion. Para el diagnostico de ERC se recomienda la determinacion estandarizada de creatinina y filtrado glomerular estimado (FGe) segun CKD-EPI. Objetivos: Describir la prevalencia y los factores asociados a la disminucion moderada del FGe (segun CKD-EPI) y el control de PA en individuos con HTA. Metodos: Estudio descriptivo transversal en individuos ≥60 an˜ os incluidos en la base de datos SIDIAP plus con HTA y registro de creatinina serica estandarizada y PA en ultimos 2 an˜ os. Criterios de exclusion: FGe Resultados: Prevalencia FGe EnglishBackground: Hypertension (HT) is the second leading cause of kidney failure. In hypertensive patients with chronic kidney disease (CKD), blood pressure (BP) control is the most important intervention to minimise progression. For CKD diagnosis, standardised creatinine and estimated glomerular filtration rate (eGFR) testing by CKD-EPI is recommended. Objectives: To describe the prevalence and factors associated with a moderate decrease in eGFR (by CKD-EPI) and BP control in subjects with HT. Methods: Cross-sectional descriptive study in subjects ≥ 60 years included in the SIDIAP plus database with hypertension and standardised serum creatinine and BP tests in the last 2 years. Exclusion criteria: eGFR Results: Prevalence of eGFR Conclusion: One in 5 hypertensive patients without cardiovascular disease ≥60 years in primary care presented with a moderate decrease in eGFR. In addition to age and sex, albuminuria and heart failure were the main associated factors. Despite the increased exposure to drugs, BP control was lower in CKD.