Sobrevida de la enfermedad renal crónica en pacientes con insuficiencia cardiaca del hospital General Del Norte De Guayaquil “Los Ceibos” en el periodo 2019-2022.

Abstract

Introduction: Chronic kidney disease (CKD) is a significant comorbidity in patients with heart failure (HF), constituting a risk factor for poor prognosis in this group of patients. There are no data on this prognostic association in Ecuador. Objective: Determine the survival of chronic kidney disease in patients with heart failure in the outpatient clinic of the General Hospital of the North of Guayaquil “Los Ceibos” in the period 2019-2022. Material and Method: The hospital "Los Ceibos" heart failure registry is a single-center, observational, descriptive, retrospective study that includes HF patients from the outpatient consultation period 2017-2022. Data were collected from the electronic medical record. Clinical and prognostic data of the patients were analyzed according to the presence or absence of CKD categorized as glomerular filtration rate <60 mL/min/1.73 m2. Results: 49.7% of the population had chronic kidney disease, the mean age was 69.8±13.1 years, patients with CKD presented more arterial hypertension (97.2%), a higher group of patients in functional class III (31.2%) and IV (4.2%). Lower ejection fraction values (29.5±6.6) were observed in patients with CKD. The annual hospital admission rate (47,6%) was higher in patients with CKD, similarly, a higher overall mortality was observed over a five-year follow-up period (49.3%). Conclusions: Patients with heart failure who present with CKD have a higher comorbidity rate, a higher annual hospitalization rate, and a higher overall mortality rate over a five-year follow-up period.