伊利诺伊州肾脏基金会的 KidneyMobile：一个移动资源，用于在社区进行慢性肾脏病及其危险因素的筛查。

The National Kidney Foundation of Illinois KidneyMobile: a mobile resource for community based screenings of chronic kidney disease and its risk factors.

机构信息

Center of Innovation for Complex Chronic Healthcare, Jesse Brown VA Medical Center, Chicago, IL, USA.

Edward Hines Jr. VA Hospital, Hines, IL, USA.

出版信息

BMC Nephrol. 2018 Oct 25;19(1):295. doi: 10.1186/s12882-018-1079-y.

DOI:10.1186/s12882-018-1079-y

PMID:30359229

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6203277/

Abstract

BACKGROUND

Early detection and treatment of chronic kidney disease (CKD) and its risk factors improves outcomes; however, many high-risk individuals lack access to healthcare. The National Kidney Foundation of Illinois (NKFI) developed the KidneyMobile (KM) to conduct community-based screenings, provide disease education, and facilitate follow-up appointments for diabetes, hypertension, and CKD.

METHODS

Cross-sectional design. Adults > = 18 years of age participated in NKFI KM screenings across Illinois between 2005 and 2011. Sociodemographic and medical history were self-reported using structured interviews; laboratory data and blood pressure were assessed using standard procedures.

RESULTS

Among 20,770 participants, mean age was 53.5 years, 68% were female, 49% were African-American or Hispanic, 21% primarily spoke Spanish, and at least 27% lacked health insurance. Seventy-eight percent of participants with elevated blood pressure (≥ 140/90 mmHg) were aware of having hypertension, 93% of participants with abnormal blood glucose (fasting glucose > 126 mg/dl or a random glucose of > 200 mg/dL) were aware of having diabetes, and 19% of participants with albuminuria (> 30 mg/gm) were aware of having CKD. In participants reporting hypertension, 47% had blood pressure ≥ 140/90 mmHg, and in those reporting diabetes, 56% had blood glucose ≥ 130 mg/dl (fasting) or ≥ 180 mg/dl (random). Among 4937 participants with abnormal screening findings that participated in follow-up interviews, 69% reported having further medical evaluation.

CONCLUSIONS

A high-risk disadvantaged population is being reached by the NKFI KidneyMobile and connected with healthcare services. A significant proportion of participants were newly informed of having abnormal results suggestive of diabetes, hypertension, and/or CKD or that their diabetes and hypertension were inadequately controlled.

摘要

背景

早期发现和治疗慢性肾脏病（CKD）及其危险因素可改善预后；然而，许多高危人群无法获得医疗保健。伊利诺伊州国家肾脏基金会（NKFI）开发了 KidneyMobile（KM），以进行基于社区的筛查，提供疾病教育，并为糖尿病、高血压和 CKD 患者提供后续预约服务。

方法

采用横断面设计。2005 年至 2011 年间，年龄≥18 岁的成年人在伊利诺伊州各地参加了 NKFI KM 筛查。使用结构化访谈报告社会人口统计学和病史；使用标准程序评估实验室数据和血压。

结果

在 20770 名参与者中，平均年龄为 53.5 岁，68%为女性，49%为非裔美国人或西班牙裔，21%主要讲西班牙语，至少 27%的人没有医疗保险。78%的血压升高（≥140/90mmHg）的参与者知道自己患有高血压，93%的血糖异常（空腹血糖>126mg/dl 或随机血糖>200mg/dL）的参与者知道自己患有糖尿病，19%的蛋白尿（>30mg/gm）的参与者知道自己患有 CKD。在报告高血压的参与者中，47%的人血压≥140/90mmHg，在报告糖尿病的参与者中，56%的人空腹血糖≥130mg/dl（空腹）或随机血糖≥180mg/dl。在 4937 名接受异常筛查结果并参加随访访谈的参与者中，69%的人报告进行了进一步的医学评估。