Evaluación del estado de la función renal de los pacientes con hipertensión arterial esencia de 20 a 50 años de edad que acuden a la consulta externa del Hospital General del Norte de Guayaquil IESS Los Ceibos entre junio del 2017 a junio del 2018.

Abstract

Introduction: High blood pressure is a modifiable risk factor for the development of chronic kidney disease and its progression. Our study analyzes the relationship of arterial hypertension with renal dysfunction in patients younger than 50 years measured by an estimated glomerular filtration rate, related to the variables degree of hypertension, age and sex. Objective: To determine the state of renal function of patients with essential arterial hypertension who attend the outpatient clinic of the General Hospital of the North of Guayaquil IESS Los Ceibos. Methodology: A retrospective, observational and analytical study was carried out in patients with essential hypertension between 20 and 50 years of age who attend the external consultation of the IESS Los Ceibos General Hospital during the period of time between June 2017 to June 2018. Results: The average population GFR was 98.60 ml / min / 1.73m2. 70% of the patients classified into the normal category, followed by the mild (26.1%), moderate (2.2) category and with 6.6% of patients the severe, very severe and failed categories. A statistically significant association was found between urea and the decrease in GFR (p = 0.000), showing that an increase in 1 mg / dl of urea leads to a 1.2% risk of a decrease in GFR below 90 ml / min / 1.73m2 (OR = 1.12; 95% CI 1.07 - 1.18). Age also presented a statistically significant association (p = 0.015), with which the increase in one year leads to 0.7% risk of GFR less than 90 ml / min / 1.73m2 (OR = 1.07; 95% CI 1.01 - 1.13) . Conclusion: There is a considerable amount (30%) of middle-aged hypertensive patients with diminished renal function, so control of it cannot be ignored, with the aim of preventing chronic kidney disease.