Detección de factores de riesgo e indicadores tempranos de enfermedad renal crónica en población adulta en una campaña de salud renal

Introduction: Chronic kidney disease (CKD) in adults is a common condition and a major public health issue worldwide. There has been related to a high risk of End Stage Renal Disease (ESRD), cardiovascular disease and death. Given the increasing incidence of CKD and the availability of effective therapeutic measures, is of vital importance perform early detection of risk factors (RF), in order to delay or prevent progression to ESRD. The optimal cost-effective strategy seems to be an investigation aimed at patients with one or more risk factors for CKD. In order to detect early indicators of CKD and associated risk factors, we conducted a study in an adult population. Methods: In a cross-sectional study was evaluated BP, BMI, blood glucose, serum creatinine and albumin/creatinine ratio in urine sample in 608 people> 18 years. Participants were classified for stages of CKD according to the presence of albuminuria and / or estimated glomerular filtration rate (MDRD4, CKD-EPI and CG). For statistical analysis (Stata 11.0) we used Fisher’s exact test, Ttest and Cox regression to explore the association between variables. Effect measure RR and 95% CI, was considered significant when P 55 years 52.8%, hypertension 39.3% obesity 36.8%, carbohydrate metabolism disorders (CHMD)21.2%, diabetes: 14.1% (DBT), smoking 12.31%, albuminuria 11%. CKD was found in 14% of participants, 40% were male, albuminuria in 78.8% and GFR 55, hypertension, diabetes, obesity, smoking and educational level. In multivariate analysis remained significant: age> 55, obesity, hypertension, diabetes and educational level. The 21.8% of hypertensive patients, 37.3% of those with CHMD and 100% with albuminuria did not know that condition. Conclusion: In this population to be a male,  to have> 55 years, hypertension, obesity and diabetes it increases the risk of developing CKD. We identified a high percentage (61.5%) of individuals with RF and ERC. The implementation of campaigns for early detection of RF and treatment would reduce the incidence and progression of CKD. We found a frequency of CKD and albuminuria similar to others international reports contributing to the understanding of this disease and its prevalence in Argentina.