Awareness of Hypertension and Proteinuria in Randomly Selected Patients in 11 Italian Cities. A 2005 Report of the National Kidney Foundation of Italy |
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| Authors: | Andrea Galassi MD ; Diego Brancaccio MD ; Mario Cozzolino MD PhD ; Guido Bellinghieri MD ; Umberto Buoncristiani MD ; Fosco Cavatorta MD ; Ludovica D'Apice MD ; Biagio Di Iorio MD ; Loreto Gesualdo MD ; Salvatore Gianni MD ; Biagio Ricciardi MD ; Domenico Russo MD ; Vittorio Andreucci MD |
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| Institution: | From the Fondazione Italiana del Rene (FIR) Onlus, Naples, Italy;;the Renal Unit, Azienda Ospedaliera di Vimercate, Presidio di Desio, Desio, Italy;;the Renal and Dialysis Unit, S. Paolo Hospital, Milan, Italy;;the Nephrology Unit, University of Messina, Messina, Italy;;the Nephrology and Dialysis Unit, Perugia Hospital, Perugia, Italy;;the Renal and Dialysis Unit, Hospital of Imperia, Imperia, Italy;;the Renal and Dialysis Unit, Sant'Anna e San Sebastiano Hospital, Caserta, Italy;;the Renal Unit, A. Landolfi Hospital, Avellino, Italy;;the Nephrology Unit, University of Foggia, Foggia, Italy;;the Renal and Dialysis Unit TIKE, Siracusa, Italy;;the Renal and Dialysis Unit, Fogliani Hospital, Messina, Italy;;and the Nephrology Unit, University Federico II of Naples, Naples, Italy |
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| Abstract: | Arterial hypertension and proteinuria are risk factors for chronic kidney disease. A mobile clinic was parked in a central plaza of 11 Italian cities to check blood pressure (BP), prescribe antihypertensive drugs, assess for proteinuria, and provide awareness about hypertension. Among 3757 patients, 56% were hypertensive, 37% were not diabetic nor proteinuric with BP ≥140/90 mm Hg, 17% were diabetic or proteinuric with BP ≥130/80 mm Hg, and 11% were on treatment with BP at target. Among 1204 treated patients, 400 (33%) had controlled BP. Among all 2114 hypertensive patients, only 1344 (64%) were aware of their hypertension. Awareness was greater among treated patients at target (99%). As many as 523 (14%) patients had proteinuria ≥30 mg/dL. The authors conclude that awareness of people walking in the street about their BP and proteinuria is insufficient. Mobile screening clinics may increase public awareness and detection of hypertension and proteinuria in the general community and detect patients at risk for chronic kidney disease. |
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