Prevalencia de daño renal en pacientes diabéticos y/o hipertensos mediante prueba tamiz (RAC) en una clínica de Guanajuato.

Background: The detection of microalbuminuria is the earliest clinical sign of renal damage in patients with diabetes. The hic.org.mx 24-hour urine is the gold standard for measurement of albuminuria, it is accepted that screening can be used a spot urine sample, it is better to relate the concentration of albuminuria with creatinuria. Objective: T o determine the prevalence of incipient renal damage through the albumin/creatinine in patients attending the Clinic in Guanajuato ISSSTE Hospital, diagnosed with diabetes and/or hypertension. Methods: We conducted a longitudinal descriptive study, using the instrument Clinitek Status and Clinitek Microalbumin test strips for casual urine sample. The results of the albumin/creatinine were associated with the diagnosis of patients with creatinine clearance. Results: Patients with diabetes: normoalbuminuria = 55%, microalbuminuria = 32% and macroalbuminuria = 13%. Patients with hypertension: normoalbuminuria = 88%, microalbuminuria = 6% and macroalbuminuria 6%. Diabetic patients with hypertension normoalbuminuria = 38%, microalbuminuria = 33% and macroalbuminuria = 29%. Conclusion: The analysis of the albumin/creatinine proved to be a reliable screening test and easy to identify damage stage of microalbuminuria. [ABSTRACT FROM AUTHOR]