Authors

Laura Paloma Fürstenheim Milerud1, Gemma Amat Camats2, Álvaro Vilela Pájaro3, Cristina García Serrano1

Position

1Enfermera Especialista en Enfermería Familiar y Comunitaria. ABS Balaguer (Lleida) 2Enfermera Máster Oficial en Ciencias de la Enfermería. ABS Balaguer (Lleida) 3Enfermero Especialista en Enfermería Familiar y Comunitaria. CAP Onze de Setembre (Lleida)

Contact address

Laura Paloma Fürstenheim Milerud. C/ Portal del Segre, 6. 25613 Camarasa (Lleida).

Contact email: lfurstenheim@gmail.com

Abstract

Objective: to determine the atherogenic risk in patients with chronic kidney disease (CKD), as well as to explore the influence of gender and diabetes mellitus (DM) in said risk.
Method: a descriptive cross-sectional study in CKD patients from the Balaguer Basic Health Area (n= 1.852). Variables analyzed: gender, DM, HDLc-LDLc-triglycerides (TGc)-total cholesterol (TC); indexes: TC/HDLc, LDLc/HDLc, TG/HDLc, No-HDLc. Statistical analysis through Chi square-Mann-Whitney U with the SPSS program.
Results: in total, 1,834 patients met the inclusion criteria. Optimal values of lipid control were observed (62.6% with TC< 200 mg/dl), though there was a high prevalence of elevated AR (73.3% according to the TC/HDLc ratio). Women (with or without DM) presented higher lipid values than men: TC 190 mg/dL (SD: 41.3) with DM and 198 mg/dl (SD: 39.1) without DM, vs. 175 mg/dl (SD: 37.2) with DM and 183 mg/dl (SD: 38.9) without DM (p< 0.001). The estimation of AR for women was superior in all ratios except for TGc/HDLc. Non-diabetic persons presented a higher prevalence of high AR vs. diabetic persons; it was higher in LDLc/HDLc (44.4% without DM vs. 39.8% with DM), and No-HDLc (68.0% without DM vs. 59.3% with DM), but lower in TGc/HDLc (57.7% without DM vs. 76.6% with DM) and TC/HDLc (72.7% without DM vs. 74.4% with DM).
Conclusions: it seems that both AR values and lipid control (TC, LDLc) are better in persons with DM (potential treatment intensity), and worse in women. No-HDLc stands out as the best predictor among all indexes for calculating AR.

Keywords:

dyslipidemia; hypercholesterolemia; HDL-cholesterol; LDL-cholesterol; renal failure; tertiary prevention; advanced practice nursing; cardiovascular conditions; descriptive cross-sectional studies

Versión en Español

Título:

Cálculo del riesgo aterogénico en pacientes con enfermedad renal crónica. Una valoración complementaria en el riesgo cardiovascular