透析戒断后的预后 透析戒断后的预后
Sarah So1,2, Kelly Chen Lei Li3
1Department of Renal Medicine, Nepean Kidney Research Center, Nepean Hospital, Kingswood, Sydney, New South Wales, Australia.
Kidney international reports
|July 31, 2024
概括
从透析中断后,腹膜透析的中位生存时间为4天,血液透析的中位生存时间为6天. 戒断的心理社会原因与更长的生存时间有关,有助于终身护理讨论.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 抚慰性护理是一种缓解性护理.
- 临床预测 临床预测
背景情况:
- 透析中断是接受脏替代疗法的患者死亡的常见原因.
- 预后信息对于终身护理咨询至关重要,但在透析停止后是有限的.
- 这项研究调查了透析停止后的生存时间和相关因素.
研究的目的:
- 为了确定透析停止后的中位生存时间.
- 为了确定患者和透析相关的因素,与戒断后的预后相关.
主要方法:
- 一项回顾性队列研究,使用来自西部脏服务的注册表数据.
- 包括在2016年1月1日至2022年6月30日期间退出腹膜透析 (PD) 或血液透析的成年患者.
- 主要结局:从最后一次透析到死亡的时间.
主要成果:
- 平均存活时间为PD (n=53) 的4天 (IQR: 3-10) 和血液透析的6天 (IQR: 2-11) (n=186),没有显著差异 (P=0.72).
- 对于PD,戒断原因是唯一显著的因素 (P=0.01),心理社会原因与更长的生存时间有关 (P=0.002).
- 对于血液透析,停药原因 (P=0.001),尿液产量 (P=0.005),血清 (P=0.02) 和吸烟状态 (P=0.009) 都显著.
结论:
- 透析停止后的中位生存时间很短,心理社会原因与更长的生存时间有关.
- 调查结果可以为临床讨论患者和家人的预后和终身规划提供信息.
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