Key result
Resistant hypertension carries high CKD risk in ~97% of patients, with greater risk in women.
Why the study?
Factors related to the risk of developing chronic kidney disease using the SCORED questionnaire in resistant hypertensive individuals had not been analyzed.
Cross-Sectional (n=63)
No
p-value: p=0.047
A very high proportion (96.8%) of patients with resistant hypertension are at risk for chronic kidney disease, highlighting the need for routine screening with accessible tools like the SCORED questionnaire.
Suggests heightened CKD vigilance in resistant hypertension; leaves open predictive validity and needs prospective validation.
Objectives: to analyze factors related to the risk of developing chronic kidney disease using the SCORED questionnaire in resistant hypertensive individuals. Methods: this cross-sectional study was conducted at a university hospital in Rio de Janeiro state, between January 2022 and October 2024, with an intentional, non-probabilistic sample of 63 participants. Sociodemographic, clinical, and lifestyle data were collected from medical records, and the Screening for Occult Renal Disease (SCORED) questionnaire was applied via telemonitoring to estimate the risk of chronic kidney disease. Fisher’s exact and Mann-Whitney tests were used for statistical analysis. Results: there was a predominance of females (80.3%), mean age of 66.4 ± 10.0 years, ≥ 21 years since diagnosis of hypertension, and 96.8% at risk for kidney disease. Conclusions: in this first study with resistant hypertensive patients at risk for kidney disease, the related factors were sex, advanced age and time since clinical diagnosis of arterial hypertension.
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Guimarães et al. (2026) conducted a cross-sectional in Resistant hypertension (n=63). Sociodemographic and clinical risk factors was evaluated on Risk of developing chronic kidney disease (SCORED questionnaire score ≥ 4) (p=0.047). Among 63 resistant hypertensive patients, 96.8% were at high risk for developing chronic kidney disease based on the SCORED questionnaire, with female sex significantly associated with this risk.
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