Prevalence of Chronic Kidney Disease in Hypertensive patient and Blood pressure control in Phayao Hospital
Keywords:
ความดันโลหิตสูง, โรคไตเรื้อรังAbstract
This is retrospective study conducted in Phayao hospital during 1 October 2008 to 30 APRIL 2010. Data were collected from all people who registered for hypertension clinic. Only patients who had creatinine results and blood pressure record, 6433 cases were enrolled. We estimated GFR for all participants with the Modification of Diet in Renal Disease equation, using calibrated serum creatinine. Patient with estimated GFRs <60 mL/min per 1.73 m2 were defined as chronic kidney disease. A good level of BP control was defined as having figures lower than 130/80 mmHg. Results: of all patients 43.4% had a diminished GFR. Of these, 33.2% bad a good level of control of BP, 35.9% had a good level of control of systolic BP, 56.2% had a good level of control of systolic BP. Conclusion: A considerable prevalence of chronic kidney disease was found in hypertensive patient. Only 1 in 3 of these have their BP under control.
References
Wright JT Jr, et al . Effect of blood pressure lowering and anthypertensive drug class on progression of hypertensive kidney disease: results from the AASK trial. J Am Med Assoc. 2002; 288: 2421-2431.
Jafar TH et al. Progression of chronic kidney disease: the role of blood pressure control, proteinuria, and angiotensin-converting enzyme inhibition: a patient-level meta-analysis. Ann Intern Med. 2003; 139: 244-252.
Chobanian AV, Bakris GL, Black HR, et al. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension. 2003; 42: 1206-1252.
Kidney Disease Outcomes Quality Initiative (K/DOQI). K/DOQI clinical practice guidelines on hypertension and antihypertensive agents in chronic kidney disease. Am J Kidney Dis. 2004; 43 (5 suppl 1): 51—S290.
P-Guerin, Maumus-Robert S, Zin A. Insufficient therapeutic management of hypertensive patients with renal failure in France. Archives of Cardiovascular Diseases2008; 101: 705-713.
Vela-Gonzalez L. et al. Prevalence of chronic kidney disease in hypertensive patients under treatment at primary health centres in Spain and the monitoring of their blood pressure. Aten Prima is 2008 May, 40(5):241-5.
Carmen A. Peralta; Leroi S. Hicks, Glenn M. Chertow, et al. Control of Hypertension in Adults with Chronic Kidney Disease in the United States. Shlipak Hypertension. 2005; 45: 1119.
แนวทางเวชปฏิบัติสำหรับโรคไตเรื้อรังก่อนการบำบัดทดแทนไต พ.ศ.2552 สมาคมโรคไตแห่งประเทศไทย
