Clinical-epidemiological description of urolithiasis
Keywords:
urolitiasis, epidemiología, Cuba, oxalatoAbstract
Introduction: Urolithiasis causes pain, renal functional deterioration and notorious economic expenses.
Objectives: To identify the clinical-epidemiological characteristics of nephrolithiasis.
Methods: A descriptive, cross-sectional study was conducted in a total of 2,923 people from to three clinics of Plaza de la Revolution Teaching Community Clinic, Plaza de la Revolution municipality, Havana province, Cuba. They were selected by simple random sampling from the 16 clinics that the health area has. The data was obtained through a survey and structured interview. The information was processed automatically (IBMSPSS 22.0). Frequency distribution analysis was used, prevalence rates were calculated and the homogeneity test was used.
Results: The prevalence of urolithiasis was 4.99 per 100 inhabitants, 6.3 among men and 5.7 among white-skinned men. The average age at diagnosis was 39.3 years. Among the risk factors for lithiasis, the high intake of oxalates prevailed (97.3%). Ultrasound was the most used form of diagnosis (67.8%). Phytotherapy was the most used medical treatment (69.2%). A medical permit was issued to 16.4% of the patients in the last two years.
Conclusions: The prevalence of urinary lithiasis in Plaza de la Revolution Teaching Community Clinic is high, prevailing in males, in white-skinned and middle aged subjects. High oxalate intake is the most common risk factor for urinary lithiasis found. The most used form of diagnosis is ultrasound and the most used treatment is phytotherapy.
Keywords: urolithiasis; epidemiology; Cuba; oxalate.
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