Gut Hastalarında Eşlik Eden Komorbiditeler

Yıl 2024, Cilt: 46 Sayı: 1, 68 - 74, 16.01.2024

Erdal Bodakçi

https://doi.org/10.20515/otd.1370951

Öz

Gut hastalarında sıklıkla hipertansiyon(HT), kardiyovasküler hastalık, böbrek yetmezliği, diyabet mellitus(DM), obezite, hiperlipidemi(HL) veya metabolik sendrom dahil olmak üzere birden fazla komorbidite bulunur. Bu komorbiditeler ve tedavileri gut’ un seyrini ve tedavi edici ajan seçimini etkileyebilir. Bu çalışma gut’ a eşlik eden hastalıkları belirlemek amacıyla yapıldı. Çalışmamızda Aralık 2019- Nisan 2023 tarihleri arasında romatoloji polikliniğine başvuran gut tanısı alan hastaların demografik, klinik, biyokimyasal değişkenleri ile komorbid faktörleri geriye dönük araştırıldı. Çalışmaya 384 gut hastası dahil edildi (ortalama yaş 63,4 yıl olup erkeklerin oranı %71,6). Hastaların 299' una (%77,9) ilk kez tanı konulmuştu. Komorbid hastalığı olan hasta sayısı 319 (%83,0) idi. Komorbid hastalıklar değerlendirildiğinde en sık görülen hipertansiyondu(255 hasta, %58,5). Eşlik eden diğer hastalıklar sırasıyla 140 hastada (%36,4) HL, 132 hastada (%34,3) böbrek hastalığı, 120 hastada (%31,2) koroner arter hastalığı, 100 hastada (%26,0) DM, 65 hastada kalp yetmezliği (%16,9), 45 hastada (%11,7) osteoporoz, 26 hastada (%6,7) karaciğer hastalığı, 25 hastada (%6,5) inme, 20 hastada (%5,2) diğer hastalıklar, 18 hastada (%4,6) malignite ve herhangi bir komorbiditesi olmayan hasta sayısı ise 65 (%16,9) idi. Gutta komorbiditeler çok yaygındır ve hastalığın morbiditesini daha da arttırır ve tedavisini zorlaştırır. Bu nedenle gut hastaları, gut tedavisinin önemli bir parçası olarak ele alınması gereken komorbiditeler ve risk faktörleri açısından taranmalıdır.

Anahtar Kelimeler

Gut, komorbidite, Ürik asid

Comorbidities in Patients with Gout

Öz

Patients with gout frequently have multiple comorbidities, including hypertension(HT), cardiovascular disease (CVD), renal impairment, diabetes mellitus(DM), obesity, hyperlipidemia(HL) or metabolic syndrome. These comorbidities and their treatment may have an effect on the choice of therapeutic agent. This study was to identify the comorbidities of gout. The study retrospectively investigated the demographic, clinical, and biochemical variables and comorbid factors of patients diagnosed with gout who applied to the rheumatology department between December 2019 and April 2023. 384 gout patients were included (mean age 63.4 years; men 71.6%). 299 (77.9%) of the patients received a diagnosis for the first time. The number of patients with comorbidities was 319 (83.0%). Hypertension was the most common comorbidity, observed in 255 patients (58.5%). Other comorbid diseases were HL in 140 patients (36.4%), kidney disease in 132 patients (34.3%), coronary artery disease(CAD) in 120 patients (31.2%), DM in 100 patients (26.0%), heart failure in 65 patients (16.9%), osteoporosis in 45 patients (11.7%), liver disease in 26 patients (6.7%), stroke in 25 patients (6.5%), other diseases in 20 patients (5.2%), malignancy in 18 patients (4.6%) and the number of patients without any comorbidities was 65 (16.9%). Comorbidities in gout are very common and add further to the disease's morbidity and make its management challenging. Patients with gout should therefore screened for comorbidities and risk factors, which should be addressed as an important part of gout management.

Anahtar Kelimeler

Gout, Comorbidity, Uric acid

Kaynakça

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