Prevalência de doença renal crônica em adultos atendidos na Estratégia de Saúde da Família

Edna Regina Silva Pereira, Aline de Castro Pereira, Guilherme Borges de Andrade, Alessandra Vitorino Naghettini, Fernanda Karolline Melchior Silva Pinto, Sandro Rodrigues Batista, Solomar Martins Marques

Chronic Kidney Disease (CKD) is an important Brazilian public health issue that has as main etiologies, arterial hypertension and diabetes mellitus (DM). The precocious diagnosis is important, because it allows the implementation of preventive measures that retard or interrupt the progression to the most advanced stages of the CKD. Identify the prevalence and the associated factors to the CKD among adults served by the Family Health Strategy (FHS). Cross-sectional study with epidemiological, descriptive and observational design, realized with 511 adults older than 20 years, served by the FSH in a region of Goiania. CKD was defined as GFR < 60 mL/min/1.73m2and/or albuminuria ≥ 30 mg/g. The GFR was estimated by the Cockcroft-Gault equation and albuminuria by the ratio of albumin and urinary creatinine in the urine sample. The independent variables were age, sex, blood pressure, alcohol comsumption, DM, smoking and overweight/obesity. The CKD prevalence was 32,53%. While GFR < 60ml/min/1.73 m2occurred in 10,64% and albuminuria in 25,29% of the sample. The analysis identified a significant association between the ages ≥ 60 and GFR < 60ml/min/1.73 m2 (p < 0,001); as the albuminuria ≥ 30 mg/g the association was found in the male gender (p = 0,043), DM (p = 0,002) and alcohol consumption (p = 0,035). There was a high prevalence of CKD's early stages on FHS, taking in consideration the risk factors of age ≥ 60 years old, masculine gender, DM and alcohol consume. Therefore, a CKD screening and monitoring is suggested in adults who are served by the FHS.