Avaliação da função renal em idosos

Abstract

The objective of this study was to evaluate the renal function of the elderly in the city of Adelândia-Goiás by analyzing serum levels of urea, creatinine, glucose, albumin and estimated glomerular filtration rate as markers for monitoring renal changes. The public approached were patients from a nursing home; 8 elderly people; being 6 men and 2 women. The study was developed at the Laboratory of Clinical Analyzes of the Faculdade União de Goyazes, in the second half of 2017. Serum dosage of creatinine, urea, glucose and albumin were performed using Doles reagent kits, and the estimated glomerular filtration rate was calculated by complete MDRD methodology and simplified MDRD. A rate of 87.5% of the elderly presented increased serum creatinine, 37.5% hyperuremia, 37.5% had simultaneous alteration of urea and creatinine, and 75% had a moderate decrease in glomerular filtration rate, 62,5% hyperglycemia, 25 % systemic arterial hypertension, 62.5% hypoalbuminemia. At the same time, 37.5% of the elderly presented alterations in all biochemical parameters, 50% presented alterations in biochemical parameters, with the exception of urea, and 62.5% presented reduction of GFR and albumin, and elevated glucose. These findings are indicative of renal dysfunction, due to these results, the need for a new approach in the care of this elderly population is emphasized, in order to dimension these comorbidities.