Caracterização epidemiológica de idosos com doença renal crônica usuários da atenção primária à saúde

Abstract

Objective: To identify the epidemiological profile of elderly patients with chronic kidney disease (CKD) in Primary Health Care units. Materials and methods: This is a cross sectional study carried out with elderly patients who had serum creatinine results recorded in electronic medical records, assisted from January to December 2019 in Primary Health Care (PHC) in the city of Marau, RS. After data collection, statistical analysis was performed, verifying the epidemiological profile of elderly patients with CKD based on sociodemographic, health, behavioral and clinical characteristics. Pearson's Chi-square T test was applied to categorical variables Results: The initial sample of the study consisted of 1728 elderly people, those who had information on serum creatinine in their medical records were selected for analysis, totaling 690 elderly people. A prevalence of chronic kidney disease (CKD) of 83% (95CI 80-86) was obtained, while the prevalence of self-reported diagnosis of kidney disease was 4% (95CI 3-6). The mean age was 69.72 years (± 7.15) and the most prevalent age group was the elderly over 80 years, accounting for 96.6% of the individuals belonging to this group. Of the group with CKD, 86.7% had systemic arterial hypertension (SAH). All patients with serum creatinine levels ≥ 1.3 mg/dl have some degree of GFR deficiency. Conclusion: The results of the prevalence of CKD were calculated from the serum creatinine and demonstrate a relationship with octogenarian elderly women with SAH. Still, the presence of subdiagnosis of CKD was observed in the city of Marau-RS.