Validated registry of pre-dialysis chronic kidney disease: description of a large cohort

Abstract

Introduction: Chronic diseases account for the majority of deaths in Brazil. These include hypertension (SAH) and diabe-tes mellitus (DM), which are the main causes of chronic kidney disease (CKD). Objective: This study aimed to validate the data of an electronic health record and to point out characteristics of the profile of these users in relation to clini-cal quality indicators for a pre-dialytic CKD. Methods: Retrospective cohort, August/2010 to December/2014. Included users > 18 years, with at least two queries. Variables analyzed: sociodemographic, underlying disease, main medications and main clinical indicators of control. A descriptive analysis was performed and the percentage of users was evaluated in the goals at admission and at the end of the study. Results: Exported, converted and validated data of 1,977 users with average follow-up time of 21 months. Of these, 51.4% were men, 58% were > 64 years of age and 81.6% were over-weight. The main medications in use were diuretics (82.9%), BRAT (62%), Statin (60.7%) and ACE inhibitors (49.9%). The percentage of users with a decline in the glomerular filtration rate was 33.7%. Regarding glycated hemoglobin, users with CKD and DM, 36% were within the initial goal and 52.1% of the final. Blood pressure was at the target for ad-mission at 34.3% and 49.8% at the end of follow-up. Conclusion: Validated data are of vital importance for health manag-ers to monitor users. The population of this study is predominantly elderly, obese, requiring multi-professional care to slow the progression of the disease and de-crease morbidity and mortality.