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加拿大阿尔伯塔省慢性病患者中的急性和慢性并发症概况:一项追溯观察性研究
David C W Lau1, Eileen Shaw2, Suzanne McMullen3
1Division of Endocrinology and Metabolism, Department of Medicine, University of Calgary Cumming School of Medicine, Calgary, AB, Canada.
BMC nephrology
|July 30, 2024
概括
超过三分之二的慢性病患者出现并发症,特别是患有心代谢疾病的患者. 早期风险减轻策略对于降低患者负担至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 慢性病 (CKD) 显著影响个人,护理人员和医疗保健系统.
- 慢性病增加了严重结局的风险,如功能衰竭,心血管疾病和死亡率.
- 了解CKD患者的并发症和并发症对于有效管理至关重要.
研究的目的:
- 描述慢性病患者的并发症的流行情况.
- 确定和量化慢性病患者急性和慢性并发症的发生率.
- 根据CKD阶段和动脉样硬化心血管疾病 (ASCVD) 和2型糖尿病 (T2DM) 的存在来分析并发症率.
主要方法:
- 使用加拿大阿尔伯塔省 (2010-2019) 的行政卫生数据库进行的回顾性观察研究.
- 根据诊断代码或实验室测试,确定了成年CKD患者.
- 分析了两年前指数和后指数并发症的并发症,按CKD阶段,ASCVD和T2DM状态分层.
主要成果:
- 这项研究包括588,170名CKD患者.
- 常见的并发症包括高血压 (36.9%) 和T2DM (24.1%).
- 观察到感染 (58.2%) 和心血管住院 (24.4%) 等急性并发症的高率. 慢性并发症包括失脂症 (17.3%) 和贫血 (14.7%).
- 晚期CKD,ASCVD或T2DM患者的并发症率更高.
结论:
- 超过三分之二的CKD患者出现并发症.
- 在患有同时存在心代谢疾病的患者中,并发症的发生率较高.
- 实施减轻风险因素和并发症的策略对于减轻患者负担至关重要.
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