Prevalencia de insuficiencia renal aguda en pacientes hospitalizados en el servicio de clínica del Hospital Regional Vicente Corral Moscoso. Cuenca-Ecuador

Abstract

Objective. To determine the prevalencia of Sharp Renal Inadequacy (ANGER) by means of creatinina values in patients assisted in the area of Internal Medicine of the Hospital Vicente Corral Moscoso and to identify the associate factors. Materials and method. With a descriptive design was carried a cross sectional study gathering information in a sample of 379 patients that entered in the service of Clinic of the Regional Hospital "Vicente Corral Moscoso" of Cuenca, Ecuador, during the period understood among January to June of the 2009 Results. 379 inclined patients' information was gathered to renal damage, of them 4,48% (n = 17) he/she had confirmed diagnosis of inadequacy renal chronicle and they were excluded. The prevalence of sharp renal inadequacy was of 20,4% (n = 74). The diagnosis of Sharp Renal Inadequacy was based on a creatinina value high to 1,5 mg/dl. The Sharp Renal Inadequacy was more prevalent for the women [RP = 1,07 (IC95% 0,7 - 1,6)], bigger patients to 65 years [RP = 1,3 (IC95% 0,8 - 2,0)], the bachelors [RP = 1,4 (IC95% 0,5 - 3,4)], private employees [RP = 1,8 (IC95% 0,6 - 5,2)], the unemployed [RP = 1,2 (IC95% 0,5 - 3,1)], level of primary instruction [RP = 1,9 (IC95% 0,6 - 5,3)], with comorbilidad like diabetes [RP = 2,2 (IC95% 1,3 - 5,5)], cardiovascular illnesses [RP = 1,4 (IC95% 0,8 - 2,3)], urologics [RP = 1,6 (IC95% 0,4 - 6,6)], infectious [RP = 1,6 (IC95% 0,2 - 12,6)] and with edema [RP = 1,1 (IC95% 0,3 - 3,6)]. TO exception of the association with the diabetes mellitus that was significant (P = 0,042), the other associations were not it. Discussion. The prevalence and the associate factors were neither different from the results found in a previous study in the same service The reports of the international literature they have concordant figures. That makes necessary periodic investigations that allow to obtain bigger evidences.