ブラジルの透析調査 2024
Fabiana Baggio Nerbass1, Helbert do Nascimento Lima2, Bruno Zawadzki3
1Fundação Pró-Rim, Joinville, SC, Brazil.
Jornal brasileiro de nefrologia
|February 19, 2026
まとめ
透析を受けているブラジル人の数は増え続け,貧血や血管へのアクセス不良などの合併症が増加しています. これは,慢性腎臓病患者のケア戦略の改善の緊急の必要性を強調しています.
科学分野:
- ネフロロジーは腎臓科
- エピデミオロジー エピデミオロジー
- 公衆衛生は公衆衛生である.
背景:
- 毎年行われているブラジルの透析調査 (BDS) は,国家保健政策の情報提供に不可欠です.
- ブラジルの腎臓学会 (BSN) は,この重要な調査を実施しています.
研究 の 目的:
- ブラジルの透析調査から2024年の流行病学的発見を報告する.
- 現在の透析統計を前年と比較するためです.
主な方法:
- ブラジルの慢性透析センターにボランティアによるオンライン調査が配布されました.
- 258の透析センターの全国的に代表的なランダムサンプルは,有病率と発生率の推定のために使用されました.
- 収集されたデータには,患者の特徴,センターの属性,治療方法などが含まれていました.
主要な成果:
- 2024年7月1日現在,ブラジルでは推定172,585人の患者が透析を受けている.
- 流行率と発生率は,人口100万人当たりそれぞれ812人,249人でした.
- 傾向は,カテーテル使用の増加,貧血,高リンパ量血症,高カロリー血症の発生率の増加,低透析適度度 (Kt/V) を示し,年間死亡率16.5%であった.
結論:
- ブラジルの慢性透析患者の数と罹患率は引き続き増加しています.
- 血管へのアクセス,透析の適切性,および代謝制御の悪化傾向は,患者ケアにおける集中的な改善を必要とします.
関連する概念動画
Dialysis
Dialysis is a diffusion-based purification process that separates analyte molecules from a complex matrix. This is accomplished by allowing molecules in the solution to pass through a semipermeable membrane into a liquid on the other side. The membrane is usually made of cellulose acetate or cellulose nitrate, and the second liquid must be miscible with the solution. Ions (e.g., chloride or sodium) or organic molecules (e.g., glucose) can pass through the membrane pores, which generally have...
Dialysis
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Extracorporeal Removal of Drugs: Peritoneal Dialysis and Hemodialysis
Patients with end-stage renal disease (ESRD) or those experiencing drug overdose often require extracorporeal methods to eliminate accumulated drugs and metabolites. Hemoperfusion, hemofiltration, and dialysis are the primary techniques to rapidly remove harmful substances without disrupting the patient's fluid and electrolyte balance. For those with compromised renal function, dosage adjustments of concurrent medications may be necessary during extracorporeal drug removal.Dialysis is a process...
Hemodialysis I: Introduction
Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
Hemodialysis II: Procedure and Complications
DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
Hemodialysis III: Nursing Management
The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this measurement...


