美国急性损伤死亡率的城乡差异
Fang Xu1, Yoshihisa Miyamoto1, Ibrahim Zaganjor1
1Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
American journal of preventive medicine
|August 23, 2024
概括
美国农村地区的急性损伤 (AKI) 死亡率高于美国城市县. 需要努力减少农村和高风险人群中的AKI死亡.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 急性损伤 (AKI) 是导致死亡率的重要因素.
- 了解AKI相关死亡的地理和人口差异对于有针对性的干预至关重要.
研究的目的:
- 评估美国城市与农村县 AKI 相关死亡率的趋势.
- 确定与AKI死亡率相关的人口和地理因素.
主要方法:
- 使用CDC WONDER多种死亡原因数据 (2001-2020) 进行的横截面研究.
- 针对AKI的年龄标准化死亡率根据年龄,性别,种族,种族和城乡地位进行了分析.
- 结点回归和对对比被用来评估趋势和城乡差异.
主要成果:
- 在整个研究期间,与AKI相关的死亡率在农村县相比,在城市县的死亡率始终更高.
- 虽然死亡率在两个地区都有所增加,但农村的死亡率最初上升得更快,并保持在较高水平,特别是在美国南部的县.
- 观察到显著的差异,在城市和农村环境中,老年人,男性和非西班牙裔黑人中死亡率更高.
结论:
- 农村人口和特定的人口群体面临着不成比例地更高的AKI相关死亡负担.
- 多学科战略对于提高AKI意识和降低死亡率至关重要,特别是在脆弱的农村和高风险社区.
相关概念视频
Factors Affecting Renal Clearance: Renal Impairment
62
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...
62
Dialysis
278
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
278
Renal Failure: Dose Adjustments
71
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...
71
Factors Affecting Renal Clearance: Drug Distribution and Drug Interactions
109
Renal clearance plays a pivotal role in drug elimination from the body and can be influenced by drug distribution and interactions. Understanding these factors is crucial in pharmacology as they impact the effectiveness and duration of drug therapy.
One important factor is the relationship between renal clearance and the apparent volume of distribution. Renal clearance tends to be inversely proportional to the apparent volume of distribution. Drugs with an extensive distribution volume or those...
One important factor is the relationship between renal clearance and the apparent volume of distribution. Renal clearance tends to be inversely proportional to the apparent volume of distribution. Drugs with an extensive distribution volume or those...
109
Determination of Renal Drug Clearance: Graphical and Midpoint Methods
90
Renal clearance, a crucial parameter in pharmacokinetics, can be determined using two different methods: the graphical method and the midpoint method. These methods provide insights into the rate of drug excretion by the kidneys and aid in assessing renal function.
The graphical method involves plotting the rate of drug excretion in urine against the plasma drug concentration. By analyzing the graph, the clearance can be calculated and obtained. Drugs rapidly excreted by the kidneys exhibit a...
The graphical method involves plotting the rate of drug excretion in urine against the plasma drug concentration. By analyzing the graph, the clearance can be calculated and obtained. Drugs rapidly excreted by the kidneys exhibit a...
90
Renal Drug Clearance: Comparison Between Renal Excretion Methods
88
Renal clearance is a critical parameter encompassing kidney filtration, secretion, and reabsorption processes. It is calculated using a specific equation to determine the rate at which the kidneys clear a drug.
Renal clearance is often associated with the renal glomerular filtration rate (GFR), which represents the rate at which plasma is filtered through the glomeruli in the kidney. When drug reabsorption is minimal and there is no active secretion, renal clearance is closely related to the...
Renal clearance is often associated with the renal glomerular filtration rate (GFR), which represents the rate at which plasma is filtered through the glomeruli in the kidney. When drug reabsorption is minimal and there is no active secretion, renal clearance is closely related to the...
88


