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- Title
Prevalence of incidental chronic kidney disease and patient characteristics - results of the EH-UH 2 study and the ENAH project.
- Authors
Domislović, Marija; Gellineo, Lana; Jelaković, Ana; Dika, Živka; Domislović, Viktor; Đapić, Krešimir; Karanović, Sandra; Brinar, Ivana Vuković; Bukal, Nikolina; Barić, Mirta Abramović; Brzić, Ivan; Jelaković, Bojan
- Abstract
Introduction: Chronic kidney disease (CKD) is an independent risk factor for cardiovascular (CV) disease and premature deaths. The worldwide prevalence of CKD in 2017 in the general population is 9.1%. In this paper our primary aim was to present preliminary data on incidental, i.e., newly discovered CKD and the overall prevalence of CKD in the adult population in Croatia. Secondary aim was to compare these data with the data of the CKD prevalence of the adult population from the rural part of Croatia (results of the ENAH study). Materials and Methods: This cross-sectional observational study included random, representative sample of general adults in Croatia, 781 subjects who were part of the large cohort from the EH-UH 2 study. The eGFR was calculated by creatinine-based CKD EPI equation. Albuminuria was determined from the albumin to creatinine ratio in urine (ACR) in 691 subjects. Results: The overall prevalence of CKD in Croatia was 12.7%, of which 9.5% were newly discovered CKD, and only 3.2% were subjects with previously known CKD. According to the albuminuria level, 30.7% of the adult population belonged to the group with a moderate risk of CKD progression, and 7% had a high risk, while 2.5% of the study subjects had a very high risk. Predictors for newly discovered CKD are older age, higher urate and potassium, antihypertensive therapy, angina pectoris, atrial fibrillation, lower hemoglobin level. Conclusions: These results continue in a pilot project of the Croatian Kidney Society and the Croatian Hypertension League on the implementation of an action plan to detect new kidney disease in the general population in real life, in a collaboration of primary care physicians and nephrologists.
- Subjects
CROATIA; CHRONIC kidney failure; CHRONICALLY ill; RURAL population; ANGINA pectoris; KIDNEY diseases
- Publication
Rad Hrvatske Akademije Znanosti i Umjetnosti. Medicinske Znanosti, 2022, Vol 552, Issue 58/59, p42
- ISSN
1330-5301
- Publication type
Article
- DOI
10.21857/y7v64tvl2y