Evaluación de la función renal en adultos mayores

Vista sencilla de ítem
dc.contributor.authorVega, Jorge
dc.contributor.authorHuidobro E., Juan Pablo
dc.date.accessioned2022-11-30T02:47:05Z
dc.date.available2022-11-30T02:47:05Z
dc.date.issued2021
dc.description.abstractThe evaluation of renal function in older adults is usually carried out with a creatinine clearance or an estimation of glomerular filtration rate using formulas such as Cockcroft-Gault, MDRD or CKD-EPI. The results obtained with these formulas are often regarded as equivalent. However, in adults older than 70 years, the Cockcroft-Gault formula frequently underestimates the glomerular filtration rate with respect to reference methods and the MDRD formula overestimates it. CKD-EPI has a more unpredictable behavior. This leads to erroneously classifying patients in the stages of chronic kidney disease (CKD), artificially increasing the prevalence of this condition, overloading health systems and generating emotional disorders in patients mistakenly classified as carriers of CKD. Also, when kidney function is overestimated, CKD patients are prevented from receiving the treatments appropriate for their condition. In recent years, new formulas have been proposed (FAS, BIS) with a greater accuracy to estimate glomerular filtration rate in older adults. This review describes the behavior of these formulas in a significant number of older adults, from various countries, and proposes using those equations with the best performance in older adults.en_ES
dc.facultadFacultad de Medicinaen_ES
dc.file.nameVega_Eval2021.pdf
dc.identifier.citationVega Jorge, Huidobro E. Juan Pablo. Evaluación de la función renal en adultos mayores. Rev. méd. Chile [Internet]. 2021 Mar [citado 2022 Nov 21] ; 149( 3 ): 409-421. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000300409&lng=es. http://dx.doi.org/10.4067/s0034-98872021000300409.en_ES
dc.identifier.doihttp://dx.doi.org/10.4067/s0034-98872021000300409
dc.identifier.urihttp://repositoriobibliotecas.uv.cl/handle/uvscl/7570
dc.languagees
dc.publisherSociedad Médica De Santiago
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.sourceRevista médica de Chile
dc.subjectAGEDen_ES
dc.subjectCREATININEen_ES
dc.subjectKIDNEY DISEASESen_ES
dc.subjectGLOMERULAR FILTRATION RATEen_ES
dc.subjectRENAL INSUFFICIENCY, CHRONICen_ES
dc.subjectRENAL INSUFFICIENCYen_ES
dc.titleEvaluación de la función renal en adultos mayores
dc.typeArticulo
uv.departamentoDepartamento de Medicina

Archivos

Bloque original
Mostrando 1 - 1 de 1
Miniatura
Nombre:
Vega_Eval2021.pdf
Tamaño:
247.64 KB
Formato:
Adobe Portable Document Format
Descargar

Colecciones

Artículos investigadores UV