美国透析患者住院护理使用的当前趋势
Ayorinde I Soipe1,2, John E Leggat3, Ajibola I Abioye4
1Division of Nephrology, Department of Medicine, Upstate Medical University, 750 East Adams St, Syracuse, NY, 13210, USA. soipea@upstate.edu.
Journal of nephrology
|August 9, 2023
概括
对于末期脏病患者的临终关怀利用率从2012年至2019年增加. 约有27%的患者在临终关怀中接受治疗,但8%的患者在没有透析的情况下停止透析,趋势显示临终关怀停留时间更长.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 抚慰性护理是一种缓解性护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 末期病 (ESKD) 患者面临着复杂的生命终结决策.
- 临终关怀的利用,足够的护理持续时间,以及在没有临终关怀的情况下停止透析在ESKD中并不完全理解.
- 了解这些因素对于改善功能衰竭的性护理至关重要.
研究的目的:
- 评估ESKD患者宿舍利用率的预测因素和趋势.
- 评估ESKD患者接受的临终关怀的持续时间.
- 检查透析停止的速度和预测因子,而没有住院入学.
主要方法:
- 美国脏数据系统 (USRDS) 对已故ESKD患者 (2012-2019) 的数据分析.
- 利用奇平方和后勤回归来确定宿舍入院和护理持续时间的预测因素.
- 使用Joinpoint回归来分析随着时间的推移,住院利用和护理持续时间的趋势.
主要成果:
- 在27%的ESKD患者中观察到住院入学;8%的患者在没有住院的情况下停止透析.
- 年龄较大 (≥65岁) 和白人种族与更高的临终关怀入院率有关.
- 白人患者和没有脏移植史的患者不太可能获得足够的临终关怀时间.
结论:
- 住院招生和护理时间在2012年至2019年之间呈现上升趋势.
- 四分之一的ESKD患者使用临终关怀,而十二分之一的患者在没有临终关怀的情况下停止透析.
- 需要进行进一步的研究,以优化ESKD患者的终身护理和宿舍整合.
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