Diagnosis of chronic kidney disease in patients with risk factors for cardiovascular complications observed in outpatient settings
Aim. Study of prevalence of chronic kidney diseas (CKD) in ambulatory patients with cardio-vascular risk factors and assessment of diagnostic accuracy of calculation of glomerular filtration rate (GFR) by special formulas. Methods. 157 patients with cardio-vascular risk factors (99 male, 58 female; mean age 61,2±h,8 years) were included into the study, in 148 of them microalbuminuria was determined, CFR was calculation by Cockroft-Gault, MDRD and CKD-ЕРі formulas. Results. In 22% microalbuminuria was found, 11,5% had GFR 2. GFR 2 was found significantly oftener in patients with coronary heart disease. Cockroft-Gault, MDRD and CKD-ЕРі formulas were valuable in estimation of GFR in patients with cardio-vascular risk factors, particularly CKD-ЕРі formula. Conclusion. Chronic kidney disease is widespread in ambulatory patients with cardio-vascular risk factors, for glomerular filtration rate estimation in the Cockroft-Gault, MDRD and CKD-ЕРI formulas can be used.