Morbidity and risk factors of microalbuminuria among 1 259 hospitalized patients
10.3724/SP.J.1008.2014.00749
- Author:
Hui-Fang WANG
1
Author Information
1. Department of Internal Medicine, Dahua Outpatient Clinic, Tongji Hospital, Tongji University School of Medicine
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus;
Hypertension;
Microalbuminuria;
Prevalence;
Risk factors;
Type
- From:
Academic Journal of Second Military Medical University
2014;35(7):749-753
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To evaluate the prevalence and risk factors of microalbuminuria (MAU) in hospitalized patients. Methods: A total of 1 259 hospitalized patients undergoing detection of urinary microalbumin in 2012 were recruited from Tongji Hospital. They were divided into two groups according to the level of urinary microalbumin, with 907 cases in the normal albuminuria (NAU) group and 352 in the MAU group. The clinical data of the two groups were compared and the risk factors of MAU were analyzed. Results: The MAU prevalence was 27.9% in our study. Patients in the MAU group had an elder age and higher prevalence rates of type 2 diabetes mellitus, hypertension, and type 2 diabetes combined with hypertension compared with the NAU group (P<0.01). Multivariate analysis with logistic regression showed that age and type 2 diabetes were the independent risk factors of MAU. Advanced age (>80 years old,OR=1.668,95%CI 1.185-2.348) and type 2 diabetes mellitus (OR=1.718,95%CI 1.334-2.211) increased the risk for MAU in hospitalized patients. Conclusion: MAU is closely related to age and type 2 diabetes mellitus in hospitalized patients, which suggests that strict control of blood glucose and timely treatment can slow down diabetic nephropathy and cardiovascular disease in hospitalized patients.