紧急开始PD的生存率,累计住院日和传染性并发症与紧急开始HD的比较
Jonna Virtanen1, Maija Heiro2, Niina Koivuviita1
1Kidney Center, Department of Internal Medicine, Turku University Hospital and University of Turku, Finland.
概括
紧急启动腹腔透析 (PD) 和血液透析 (HD) 的患者存活率和感染率相似. 然而,频繁使用中央静脉导管 (CVC) 在紧急开始的HD中与更高的感染风险和住院住院有关.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 脏替代疗法治疗 脏替代疗法
- 透析方式 透析方式
背景情况:
- 紧急启动腹腔透析 (PD) 尽管有效性和安全性与紧急启动血液透析 (HD) 相比,但仍未得到充分利用.
- 有限的数据存在于与中静脉导管 (CVC) 插入相关的不良结果在紧急开始的HD患者.
- 本研究将紧急开始PD和HD之间的结果进行比较,以告知临床实践.
研究的目的:
- 为了比较患者的存活率,透析相关的感染和紧急开始PD和紧急开始HD之间的医院护理日.
- 为了研究CVC插入对紧急开始的HD患者的结果的影响.
主要方法:
- 追溯性,单中心研究,将紧急开始的PD患者与紧急开始的HD患者匹配起来.
- 在导管插入后72小时内开始的PD;HD通过心血管开始.
- 分析了3个月和1年的结果,包括患者存活率,KRT相关的感染和住院护理日.
主要成果:
- 在PD和HD组之间,3个月或1年的患者存活率没有显著差异.
- 在PD和HD组之间,与KRT相关的感染率和住院日数相似.
- 在HD中,较高的CVC插入率与血培阳性细菌病的增加和住院护理日有关.
结论:
- 紧急开始的PD和紧急开始的HD显示了可比的患者存活率和感染率.
- 频繁使用CVC治疗紧急发病的疾病与细菌病的风险增加和长时间住院的风险有关.
- 在紧急启动透析开始时,PD可能在减少CVC相关并发症方面具有优势.
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