TỈ LỆ TĂNG ACID URIC MÁU, TỈ LỆ BỆNH GOUT VÀ CÁC YẾU TỐ LIÊN QUAN Ở NGƯỜI TRƯỞNG THÀNH ĐẾN PHÒNG KHÁM Y HỌC GIA ĐÌNH, BỆNH VIỆN ĐẠI HỌC Y DƯỢC THÀNH PHỐ HỒ CHÍ MINH

Abstract

Elevated blood uric acid levels and Gout are associated with cardiovascular and renal diseases, with an increasing global and Vietnamese prevalence. Effective management and care for high blood uric acid and Gout are essential, especially in the early stages, as family physicians can play a vital role in controlling Gout and identifying other co-existing conditions. It is crucial to determine the prevalence of elevated blood uric acid and Gout and investigate the correlation between high blood uric acid levels and risk factors in Family Medicine Clinics (FMCs). A cross-sectional study was conducted on 235 adults (> 18 years old) attending a Family Medicine Clinic, Ho Chi Minh City University Medical Center, screening from 3 to 6/2021. Data were collected using questionnaires, laboratory test results, and information such as age, gender, and body mass index. The Bennett - Wood 1968 criteria (ARA 1977) were used for diagnosing Gout, as they were suitable for outpatient FMCs. The prevalence of elevated blood uric acid and Gout in adults attending the Family Medicine Clinic, Ho Chi Minh City University Medical Center, was 34.5% (43.6% in males and 26.4% in females) and 5.2% (9.1% in males and 1.6% in females), respectively. One-third of elevated blood uric acid cases were in the age group under 40. Factors associated with high blood uric acid levels included male gender, age over 60, and being in the obese BMI group. The proportion of diagnosed gout patients in the elevated blood uric acid group was 12.3%, indicating that not all patients with high serum uric acid levels had Gout, and vice versa (83.3% of gout patients had elevated blood uric acid levels). The public was more informed about Gout than elevated blood uric acid and its risks. Among adults attending the Family Medicine Clinic at Ho Chi Minh City University Medical Center, high blood uric acid prevalence was 34.5%, with one-third of cases in the under-40 age group. The detected gout prevalence in this study was 5.2%, with half of the patients being new diagnoses, and both conditions were more prevalent in males than females.