Impact of Moderating Model of the Risk in the Chronic Renal Disease. IPS COMFANDI, Cali, 2006
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Universidad del Valle
2007
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| author | Alvaro Muñoz |
| author_facet | Alvaro Muñoz |
| contents | Impact of Moderating Model of the Risk in the Chronic Renal Disease. IPS COMFANDI, Cali, 2006 Alvaro Muñoz Lunevar Figueroa Luis Mariano Otero Medicina Regression Stabilization Primary prevention Testing hypothesis Epidemiological transition Objective: To assess if a health care model implemented at the basic level of the IPS COMFANDI and based on an earlyintervention in cardiovascular risk factors and its application to patients with different levels of chronic renal disease, producessignificant changes in lab and clinical parameters to be translated into stabilization or regression of the disease.Materials and methods: From the cardiovascular risk program 362 patients were randomly selected with different stages of renaldisease, diabetes mellitus (DM), and arterial hypertension, (AHT). Two measurements were made: one before and another afterthe intervention, with an interval of six months. Wilcoxon hypotheses were tested to compare means of clinical interest and labvariables as well as dynamics of change in the number of patients according to KDOQUI stage, for both periods.Results: A total of 8 factors were evaluated: 4 clinical and 4 lab parameters, as well as patients proportion according tonephropathy stage (KADOQUI) found in the two periods. Clinical variables were measured for 24 hours such as systolic, diastolicand mean blood pressure and proteinuria which showed differences before and after the intervention that were statisticallysignificant. BMI (body mass index), glycemia and microalbuminuriadid not present statistically significant differences for the twomeasurements.Conclusion: Implementation of a basic level health care model focused on risk reduction for renal chronic disease, by meansof an intensive therapy, has also an affirmative incidence on diseases such as diabetes and hypertension. Results are favorablewhen measuring key variables in renal chronic disease and suggest a positive impact regarding this important public health problemin Colombia. 2007 artículo científico 0120-8322 https://www.redalyc.org/articulo.oa?id=28338312 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.3 Vol.38 |
| format | Artículo científico |
| id | redalyc_28338312 |
| institution | Redalyc |
| language | en |
| publishDate | 2007 |
| publisher | Universidad del Valle |
| spellingShingle | Impact of Moderating Model of the Risk in the Chronic Renal Disease. IPS COMFANDI, Cali, 2006 Alvaro Muñoz Medicina Regression Stabilization Primary prevention Testing hypothesis Epidemiological transition Impact of Moderating Model of the Risk in the Chronic Renal Disease. IPS COMFANDI, Cali, 2006 Alvaro Muñoz Lunevar Figueroa Luis Mariano Otero Medicina Regression Stabilization Primary prevention Testing hypothesis Epidemiological transition Objective: To assess if a health care model implemented at the basic level of the IPS COMFANDI and based on an earlyintervention in cardiovascular risk factors and its application to patients with different levels of chronic renal disease, producessignificant changes in lab and clinical parameters to be translated into stabilization or regression of the disease.Materials and methods: From the cardiovascular risk program 362 patients were randomly selected with different stages of renaldisease, diabetes mellitus (DM), and arterial hypertension, (AHT). Two measurements were made: one before and another afterthe intervention, with an interval of six months. Wilcoxon hypotheses were tested to compare means of clinical interest and labvariables as well as dynamics of change in the number of patients according to KDOQUI stage, for both periods.Results: A total of 8 factors were evaluated: 4 clinical and 4 lab parameters, as well as patients proportion according tonephropathy stage (KADOQUI) found in the two periods. Clinical variables were measured for 24 hours such as systolic, diastolicand mean blood pressure and proteinuria which showed differences before and after the intervention that were statisticallysignificant. BMI (body mass index), glycemia and microalbuminuriadid not present statistically significant differences for the twomeasurements.Conclusion: Implementation of a basic level health care model focused on risk reduction for renal chronic disease, by meansof an intensive therapy, has also an affirmative incidence on diseases such as diabetes and hypertension. Results are favorablewhen measuring key variables in renal chronic disease and suggest a positive impact regarding this important public health problemin Colombia. 2007 artículo científico 0120-8322 https://www.redalyc.org/articulo.oa?id=28338312 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.3 Vol.38 |
| title | Impact of Moderating Model of the Risk in the Chronic Renal Disease. IPS COMFANDI, Cali, 2006 |
| topic | Medicina Regression Stabilization Primary prevention Testing hypothesis Epidemiological transition |
| url | https://www.redalyc.org/articulo.oa?id=28338312 |