The National Kidney Foundation of Illinois KidneyMobile: a mobile resource for community based screenings of chronic kidney disease and its risk factors.
The National Kidney Foundation of Illinois KidneyMobile: a mobile resource for community based screenings of chronic kidney disease and its risk factors.
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DOI：
10.1186/s12882-018-1079-y
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发表时间：
2018-10-25
期刊：
影响因子：
2.3
通讯作者：
Fischer MJ
中科院分区：
文献类型：
--
作者：
Lederer S;Ruggiero L;Sisen NM;Lepain N;O'Connor KG;Wang Y;Chen J;Lash JP;Fischer MJ
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，许多高危人群缺乏医疗保健。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，并促进糖尿病，高血压和CKD的随访预约。横截面设计。2005年至2011年期间，18岁以上的成年人参加了伊利诺斯州NKFI KM筛查。采用结构化访谈自我报告社会人口统计学和病史;采用标准程序评估实验室数据和血压。在20，770名参与者中，平均年龄为53.5岁，68%为女性，49%为非洲裔美国人或西班牙裔，21%主要讲西班牙语，至少27%缺乏医疗保险。78%的血压升高（≥ 140/90 mmHg）的参与者知道自己患有高血压，93%的血糖异常（空腹血糖> 126 mg/dl或随机血糖> 200 mg/dL）的参与者知道自己患有糖尿病，19%的白蛋白尿（> 30 mg/gm）的参与者知道自己患有CKD。在报告高血压的参与者中，47%的血压≥ 140/90 mmHg，在报告糖尿病的参与者中，56%的血糖≥ 130 mg/dl（空腹）或≥ 180 mg/dl（随机）。在4937名参与随访的筛查结果异常的参与者中，69%的人报告有进一步的医学评估。NKFI KidneyMobile正在接触高风险的弱势群体，并与医疗保健服务相连。很大一部分参与者被告知有提示糖尿病、高血压和/或CKD的异常结果，或者他们的糖尿病和高血压控制不充分。
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. 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. 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. 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.
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影响因子：
--
作者：
Coresh, J;Wei, L;Klag, MJ
通讯作者：
Klag, MJ
影响因子：
3.3
作者：
Saffar, Darcy;Perkins, Denise White;Wisdom, Kimberlydawn
通讯作者：
Wisdom, Kimberlydawn
影响因子：
5.1
作者：
OHKUBO, Y;KISHIKAWA, H;SHICHIRI, M
通讯作者：
SHICHIRI, M
影响因子：
39.2
作者：
Levey, Andrew S.;Coresh, Josef;Van Lente, Frederick
通讯作者：
Van Lente, Frederick
影响因子：
13.2
作者：
Nickolas, TL;Frisch, GD;Radhakrishnan, J
通讯作者：
Radhakrishnan, J