Value of renal resistance index in detection of diabetes mellitus complications in Egyptian elderly:

Prof. Dr. Motassem Salah Amer; Prof. Dr. Tamer Mohammed Farid; Dr. Nermien Naim Adly; Menna–t– Allah Abdel Ghany Shawkat Mohammed; Prof. Dr. Omar Hussein Omar; Prof. Dr. Randa Abdel Wahab Reda Mabrouk

Volume : VI, Issue : II, February - 2016

Value of renal resistance index in detection of diabetes mellitus complications in Egyptian elderly:

Prof. Dr. Motassem Salah Amer, Prof. Dr. Tamer Mohammed Farid, Dr. Nermien Naim Adly, Menna Ndash T Ndash Allah Abdel Ghany Shawkat Mohammed, Prof. Dr. Omar Hussein Omar, Prof. Dr. Randa Abdel Wahab Reda Mabrouk

Abstract :

Aim: determination of the value of renal resistance index in detection of diabetic nephropathy in elderly Egyptian. Methods: This study was a case–control comparative study between non nephropathic patients, nonproteinuric nephropathics and proteinuric nephropathic diabetic patients. 130 elderly diabetic patients were serially selected from Ain Shams University hospital inpatient’s wards of geriatric and internal medicine departments; males/ females, 60 – 75 years old, with primary diabetes mellitus, diagnosed within the last 10 years. Any patient with known kidney disease, urinary tract infection, hepatitis C using drugs affecting kidney functions were excluded. All patients were subjected to clinical assessment and laboratory investigation, Estimation of glomerular filtration rate by Cockroft–Gault equation , Framingham 10 year coronary risk prediction by LDL tool, Renal duplex to estimate renal resistance index. Results: Results revealed that patients with nonproteinuric diabetic nephropathy were significantly younger than patients with proteinuria. After adjusting weight, age, SABP, type of antihypertensive used (ACEi/ARB) and compå to participants with eGFR>60, there was a statistically significant inverse relationship between RRI and weight adjusted eGFR with p value <0.001. Conclusion: Renal resistance index was inversely correlated with glomerular filtration rate after adjusting ideal body weight.