意大利的腹膜透析:第八次GPDP-SIN人口普查2022 - 第二部分:中心
Loris Neri1, Giusto Viglino2, Valerio Vizzardi3
1Nefrologia e Dialisi, Ospedale "Michele e Pietro Ferrero", Verduno, Cuneo, Italy.
概括
意大利第八次腹腔透析全国人口普查显示,较小的透析中心的资源较少,结果较差. 较大的中心表现出较低的腹膜炎率,突出了中心规模和患者护理质量之间的联系.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 腎臟醫學 腎臟醫學
- 透析技术 透析技术
背景情况:
- 意大利脏病学会进行了第八次全国人口普查 (Cs-22),以评估意大利的腹腔透析 (PD) 中心.
- 收集和分析了2022年使用PD的227个非儿科中心的数据.
研究的目的:
- 在2022年对意大利腹膜透析中心进行表征.
- 调查资源,培训和家庭访问实践.
- 分析中心尺寸和PD结果之间的关联.
主要方法:
- 根据流行PD患者的数量 (截至2022年12月31日),中心被分为四分之一.
- 收集了有关中心规模,人员,培训和患者结果的数据.
- 关键指标包括患者退学率,腹膜炎率和家庭访问频率.
主要成果:
- 较小的PD计划 (<9名患者) 与更小的中心规模,更少的专业人员,更多地依赖外部培训,以及较少的腹膜透性评估有关.
- 这些较小的中心也显示出更高的血液透析 (HD) 中断率,通常是由于患者的选择或与治疗有关的问题.
- 较大的PD计划 (≥25名患者) 报告了较低的腹膜炎发病率.
- 在大多数中心,定期的家庭访问并不常见.
结论:
- 腹腔透析中心计划的大小与其可用的资源之间存在显著的关联.
- 中心的大小与PD模式实践和患者结果相关,包括腹膜炎和学率.
- 优化资源和潜在的标准化实践,如家庭访问,可以改善PD患者在不同中心大小的护理.
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