Glomerular Filtration Result in Patients with Hypertensive Emergencies
<strong>Foundation</strong>: hypertensive emergencies may be the presentation of an underlying chronic kidney disease; in turn kidney damage may be the cause that leads to hypertensive emergency. Theoretical glomerular filtration is recommended to assess the risk of morbidity and mortali...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | Spanish |
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Universidad de las Ciencias Médicas de Cienfuegos
2020-06-01
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| Series: | Revista Finlay |
| Subjects: | |
| Online Access: | https://revfinlay.sld.cu/index.php/finlay/article/view/840 |
| _version_ | 1797301718711533568 |
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| author | Manuel Tasis Hernández Wendy Talavera Hernández Valentina Edighill Villanueva Aliucha María Rodríguez Díaz Taimy Calvera Castro Juan Francisco Gastón Del Monte |
| author_facet | Manuel Tasis Hernández Wendy Talavera Hernández Valentina Edighill Villanueva Aliucha María Rodríguez Díaz Taimy Calvera Castro Juan Francisco Gastón Del Monte |
| author_sort | Manuel Tasis Hernández |
| collection | DOAJ |
| description | <strong>Foundation</strong>: hypertensive emergencies may be the presentation of an underlying chronic kidney disease; in turn kidney damage may be the cause that leads to hypertensive emergency. Theoretical glomerular filtration is recommended to assess the risk of morbidity and mortality in hypertensive emergencies. <br /><strong>Objective</strong>: to describe the behavior of glomerular filtration in patients with hypertensive emergencies attended at the Julio Trigo López Clinical Hospital in the period of 2016. <br /><strong>Methods</strong>: a prospective cohort study of patients with hypertensive emergencies attended at the Julio Trigo López Hospital in the 2016-2018 period was performed. A total of 136 patients who met the inclusion criteria were included in the study. Glomerular filtration was calculated and patients were followed up to one year in the hypertension clinic.<br /><strong>Results</strong>: mean age was 61.6 years (SD ± 13.6 years), prevalence of Fge <60 ml / min / 1.73 m2 was 30.9 %. Patients with kidney damage showed higher mean age (63.5 years; SD ± 13.9 years), higher prevalence of diabetes (61.9 %; OR 5,318; CI9 5 % 2,731 - 6,992; p <0.001), intra and extra hospital mortality 8.8% (OR: 2.44; IC 95 %: 1,933 - 2,902; p <0.001) and 14.5% (RR: 2,264; 95 % CI: 2,151 - 3,476; p <0.001) respectively compared to those without kidney damage. <br /><strong>Conclusions</strong>: patients with hypertensive emergencies who have kidney damage have a worse prognosis, so a more strict follow-up and treatment are justified. |
| first_indexed | 2024-03-07T23:26:44Z |
| format | Article |
| id | doaj.art-71ecabde40944fb48b005f0c9cb79bf0 |
| institution | Directory Open Access Journal |
| issn | 2221-2434 |
| language | Spanish |
| last_indexed | 2024-03-07T23:26:44Z |
| publishDate | 2020-06-01 |
| publisher | Universidad de las Ciencias Médicas de Cienfuegos |
| record_format | Article |
| series | Revista Finlay |
| spelling | doaj.art-71ecabde40944fb48b005f0c9cb79bf02024-02-21T02:59:19ZspaUniversidad de las Ciencias Médicas de CienfuegosRevista Finlay2221-24342020-06-01102160169452Glomerular Filtration Result in Patients with Hypertensive EmergenciesManuel Tasis Hernández0Wendy Talavera Hernández1Valentina Edighill Villanueva2Aliucha María Rodríguez Díaz3Taimy Calvera Castro4Juan Francisco Gastón Del Monte5Hospital Clínico Quirúrgico Julio Trigo. La Habana.Hospital Clínico Quirúrgico Julio Trigo. La Habana.Hospital Clínico Quirúrgico Julio Trigo. La Habana.Facultad de Ciencias Médicas Julio Trigo. La Habana.Hospital Clínico Quirúrgico Julio Trigo. La Habana.Hospital Clínico Quirúrgico Julio Trigo. La Habana.<strong>Foundation</strong>: hypertensive emergencies may be the presentation of an underlying chronic kidney disease; in turn kidney damage may be the cause that leads to hypertensive emergency. Theoretical glomerular filtration is recommended to assess the risk of morbidity and mortality in hypertensive emergencies. <br /><strong>Objective</strong>: to describe the behavior of glomerular filtration in patients with hypertensive emergencies attended at the Julio Trigo López Clinical Hospital in the period of 2016. <br /><strong>Methods</strong>: a prospective cohort study of patients with hypertensive emergencies attended at the Julio Trigo López Hospital in the 2016-2018 period was performed. A total of 136 patients who met the inclusion criteria were included in the study. Glomerular filtration was calculated and patients were followed up to one year in the hypertension clinic.<br /><strong>Results</strong>: mean age was 61.6 years (SD ± 13.6 years), prevalence of Fge <60 ml / min / 1.73 m2 was 30.9 %. Patients with kidney damage showed higher mean age (63.5 years; SD ± 13.9 years), higher prevalence of diabetes (61.9 %; OR 5,318; CI9 5 % 2,731 - 6,992; p <0.001), intra and extra hospital mortality 8.8% (OR: 2.44; IC 95 %: 1,933 - 2,902; p <0.001) and 14.5% (RR: 2,264; 95 % CI: 2,151 - 3,476; p <0.001) respectively compared to those without kidney damage. <br /><strong>Conclusions</strong>: patients with hypertensive emergencies who have kidney damage have a worse prognosis, so a more strict follow-up and treatment are justified.https://revfinlay.sld.cu/index.php/finlay/article/view/840tasa de filtración glomerularhipertensiónurgencias médicas |
| spellingShingle | Manuel Tasis Hernández Wendy Talavera Hernández Valentina Edighill Villanueva Aliucha María Rodríguez Díaz Taimy Calvera Castro Juan Francisco Gastón Del Monte Glomerular Filtration Result in Patients with Hypertensive Emergencies Revista Finlay tasa de filtración glomerular hipertensión urgencias médicas |
| title | Glomerular Filtration Result in Patients with Hypertensive Emergencies |
| title_full | Glomerular Filtration Result in Patients with Hypertensive Emergencies |
| title_fullStr | Glomerular Filtration Result in Patients with Hypertensive Emergencies |
| title_full_unstemmed | Glomerular Filtration Result in Patients with Hypertensive Emergencies |
| title_short | Glomerular Filtration Result in Patients with Hypertensive Emergencies |
| title_sort | glomerular filtration result in patients with hypertensive emergencies |
| topic | tasa de filtración glomerular hipertensión urgencias médicas |
| url | https://revfinlay.sld.cu/index.php/finlay/article/view/840 |
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