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Pinho NA, Oliveira Rde C, Pierin AM. Hipertensos com e sem doença renal: avaliação de fatores de risco. Hypertensive patients with and without kidney disease: assessment of risk factors. Rev Esc Enferm USP. 2015;49:101-8doi: 10.1590/S0080-623420150000700015.
Pinho, N. A., Oliveira, R. d. e. . C., & Pierin, A. M. (2015). Hipertensos com e sem doença renal: avaliação de fatores de risco. Hypertensive patients with and without kidney disease: assessment of risk factors. Revista da Escola de Enfermagem da U S P, 49101-8. https://doi.org/10.1590/S0080-623420150000700015
Pinho, Natália Alencar de, et al. "Hipertensos com e sem doença renal: avaliação de fatores de risco." Hypertensive patients with and without kidney disease: assessment of risk factors. Revista da Escola de Enfermagem da U S P vol. 49 (2015): 101-8. doi: https://doi.org/10.1590/S0080-623420150000700015
Pinho NA, Oliveira Rde C, Pierin AM. Hipertensos com e sem doença renal: avaliação de fatores de risco. Hypertensive patients with and without kidney disease: assessment of risk factors. Rev Esc Enferm USP. 2015 Feb;49:101-8. doi: 10.1590/S0080-623420150000700015. Portuguese. PMID: 26761699.
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Rev Esc Enferm USP. 2015 Feb;49:101-8. doi: 10.1590/S0080-623420150000700015.

Hypertensive patients with and without kidney disease: assessment of risk factors.

Revista da Escola de Enfermagem da U S P

[Article in Portuguese]
Natália Alencar de Pinho, Rita de Cássia Burgos de Oliveira, Angela Maria Geraldo Pierin

Affiliations

  1. Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brasil.
  2. Departamento de Enfermagem Médico-Cirúrgica, Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brasil.

PMID: 26761699 DOI: 10.1590/S0080-623420150000700015

Abstract

Objective To compare hypertensive patients with and without chronic kidney disease and identify factors associated with their clinical condition and antihypertensive treatment. Method This was a cross-sectional study conducted with patients hospitalized in a general medical ward at a university hospital in the city of São Paulo, Brazil. Data were collected from medical records. Significance was set at p<0.05. Results Of the 386 patients studied, 59.3% presented hypertension and, of these, 37.5% presented chronic kidney disease. The data showed an independent association between chronic kidney disease and prior history of diabetes (OR 1.86; CI 1.02-3.41), congestive heart failure (OR 3.42; CI 1.36-9.03) and living with a partner (OR 1.99; CI 1.09-3.69). Regarding antihypertensive treatment, there was a difference (p<0.05) between hypertensive patients with and without chronic kidney disease in terms of administering healthcare treatment (93.2% versus 77.7%); ongoing use of antihypertensive drugs, (79.1% versus 66.4%); higher number of antihypertensive drugs; the use of beta-adrenergic blockers (34.9%versus 19.6%), calcium channel blockers (29.1%versus 11.2%), loop diuretics (30.2%versus 10.5%) and vasodilators (9.3%versus 2.1%). Conclusion The hypertensive patients with chronic kidney disease presented a more compromised clinical profile; however, the attitudes of these patients toward antihypertensive treatment were more positive than those without chronic kidney disease.

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