紧急启动腹膜透析:巴西的经验
Camila Albuquerque Alves1, Viviane Cálice-Silva2, Elaine Mari Rufino3
1Botucatu School of Medicine (FMB), Clinical Medicine Department, University of São Paulo State - UNESP, Botucatu, Brazil.
Blood purification
|June 8, 2023
概括
紧急开始腹透析 (PD) 是慢性病 (CKD) 患者的可行选择,需要立即进行替代疗法. 这项研究表明,PD在巴西中心有效增加,为血液透析 (HD) 病床短缺提供解决方案.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 脏替代疗法治疗 脏替代疗法
- 透析方式 透析方式
背景情况:
- 无计划腹腔透析 (PD) 为紧急的脏置换需求提供了方便的家庭治疗.
- 由于血液透析 (HD) 病床的短缺,需要采用替代的紧急透析启动策略.
研究的目的:
- 评估巴西紧急启动PD计划的有效性和结果.
- 评估紧急PD对解决HD病床短缺问题的影响.
主要方法:
- 一项前性,多中心的队列研究,涉及370例5期CKD患者.
- 紧急启动PD在导管安置后72小时内启动,随后对机械/传染性并发症和存活情况进行跟踪.
- 在三个医院收集了六年来 (2014年7月 - 2020年7月) 的数据.
主要成果:
- 在6年内,370名患者开始紧急PD;35.1%患有糖尿病脏病,81.1%患有尿血病.
- 并发症包括24.3%的机械性,27.3%的腹膜炎,28.01%的技术失败和17.8%的死亡率.
- 住院和出口部位感染预测腹膜炎;机械问题和腹膜炎预测技术失败. 年龄,住院和细菌病预测死亡.
- 参与中心的PD患者数量至少增加了140%.
结论:
- 紧急启动腹膜透析是一种可行的和有效的选择,用于计划外的透析启动.
- PD可以作为一种有价值的策略,以减轻血液透析床容量的短缺.
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