作为一个长期的独立预测因素,残留体积作为一个长期的独立预测因素,用于在供体切除术后发展慢性病
Thanakhom Hoontrakul1, Charoen Leenanupunth2, Mookdarat Siantong2
1Faculty of Medicine, Thammasat University, Pathumthani, Thailand.
Scientific reports
|March 4, 2024
概括
脏残留体积超过50%的脏捐赠者面临慢性脏病 (CKD) 进展的更高风险. 男性性别和年龄较大也独立地增加了切除术后的CKD风险.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 移植 移植 移植 移植
背景情况:
- 慢性病 (CKD) 是脏切除术后脏捐赠者的一个重大问题.
- 活体捐赠者切除术后的长期结果需要进一步调查.
研究的目的:
- 评估脏残留体积与脏捐赠者的CKD进展之间的关联.
- 为了确定开放式或腹腔镜供体切除术后CKD发展的危险因素.
主要方法:
- 在60个月内对452名脏捐赠者的回顾性观察性研究.
- 通过计算机断层扫描 (CT) 评估的残留体积.
- 多变量分析患者特征,手术因素和估计的淋巴细胞过率 (eGFR).
主要成果:
- 剩余体积>50%与增加CKD可能性有关 (HR 1.675,P<0.05).
- 男性性别 (HR 4.013,P<0.001) 和年龄较大 (HR 1.107,P<0.001) 是CKD的独立风险因素.
- 较高的残留体积,男性性别和年龄较大预测CKD的发展.
结论:
- 剩余体积是捐赠者的长期脏健康的关键预测指标.
- 男性捐赠者和老年接受者在捐赠后患CKD的风险更高.
- 这些发现有助于供体选择和术后监测策略.
相关概念视频
Factors Affecting Renal Clearance: Renal Impairment
91
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
91
Renal Clearance
932
The glomerular filtration rate (GFR) is a critical marker of kidney function, reflecting the efficiency of filtration by the glomeruli. Renal clearance of specific substances, such as inulin or creatinine, is commonly used to measure GFR.
Renal clearance refers to the volume of plasma cleared of a specific substance, such as creatinine, per unit of time. To measure clearance, urine samples are collected over a 24-hour period during each bladder voiding, followed by a single blood sample at the...
Renal clearance refers to the volume of plasma cleared of a specific substance, such as creatinine, per unit of time. To measure clearance, urine samples are collected over a 24-hour period during each bladder voiding, followed by a single blood sample at the...
932
Renal Failure: Dose Adjustments
88
In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
88
Kidney Structure
69.6K
The kidneys are two large bean-shaped organs located in the upper abdomen. They filter the blood several times a day to remove toxins and rebalance water and electrolytes of the circulatory system via the renal veins. The kidneys receive blood directly from the heart via the renal arteries. These arteries enter the kidney at the hilum, the concave surface of the bean, where they branch and divide into smaller vessels and capillaries.
69.6K


