Publicación:

Comportamiento de la progresión de la enfermedad renal en pacientes con diabetes mellitus en una IPS de primer nivel

Resumen

Diabetic Kidney Disease because of its adverse health effects can have significant consequences in the patient with diabetes mellitus. Objective: to analyze the behavior of the progression of the renal disease in patients with diabetes mellitus. Methodology: descriptive, longitudinal, quantitative study of 180 cases between January 2014 and December 2016 of the precursor disease program, which meet the clinical history parameters of the guidelines proposed by the organization Kidney Disease: Improving Global Outcomes (KDIGO) 2013 and which are being carried out in a Health Services Provider Institution (IPS) in the city of Valledupar, Colombia. The renal function was analyzed, determining the beginning of the damage and its progression taking into account the Glomerular Filtration Rate (GFR), the consequent staging according to the criteria of the guide (KDIGO) (3) evidencing a significant progression in the study period. Results: The average GFR for the study period was 86.16 ml/min (95% Confidence Interval [CI] ± 82.34, 89.99). Compared to 2014, the average decrease in GFT in patients was 11.61 ml/min (95% CI ± 10.3, 12.92), additionally, 61.7% presented an advance in CKD stages. Conclusion: The CKD scenario is not a very good prognosis since it is distinguished by short evolution times between each stage and starts acting when the disease is in advanced stages where there are less probabilities of delaying the progression of kidney damage.