慢性病的流行病学基于健康数据库的健康数据库
Bertrand Saulo Vieira Cariry1, Ysabely de Aguiar Pontes Pamplona2, Fernando Luiz Affonso Fonseca3,4
1Mestre Vitalino Hospital - Caruaru (PE), Brazil.
概括
这项研究分析了巴西慢性病患者的情况,发现男性患病率更高,透析费用增加. 了解患者个人资料对于管理置换疗法服务至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 慢性病 (CKD) 患病率数据在全球范围内不确定,随着需求的增加,透析服务受到压力.
- 了解需要替代疗法 (RRT) 的患者的流行病学概况对于服务规划至关重要.
研究的目的:
- 分析接受脏替代疗法 (RRT) 的患者的流行病学概况.
- 详细说明在统一卫生系统 (SUS) 中为RRT患者提供的援助.
主要方法:
- 一项基于人口的横截面研究利用了统一卫生系统 (SUS) 数据库中的数据.
- 这项研究涵盖了2009年1月1日至2013年12月31日的巴西帕拉伊巴州.
- 关键变量包括人口统计,居住地,治疗方式 (血液透析/腹腔透析),血管接入,移植名单状态,病毒感染 (HBV,HCV,HIV) 和成本.
主要成果:
- 男性 (56.8%) 和白人 (39%) 患上需要高度复杂的手术的患病率更高.
- 血液透析是占主导地位的RRT方式,42.2%的患者缺乏最终的动脉静脉囊接入.
- 在2009年至2013年期间,脏置换治疗费用从州卫生支出的2.89%增加到3.32%.
结论:
- 来自DATASUS (巴西统一卫生系统数据库) 的二次数据可以有效地为了解CKD人口提供信息.
- 这项分析提供了关于帕拉伊巴州RRT患者的特征和医疗保健需求的见解.
更多相关视频
相关概念视频
Nephrons
2.2K
The kidneys are intricate organs with millions of working units known as nephrons. Each nephron features two major structures: the renal corpuscle, which facilitates blood plasma filtration, and the renal tubule, which handles the glomerular filtrate. Blood supply is directly linked to the nephrons. The renal corpuscle consists of the glomerulus, a capillary network, and the Bowman's capsule, a double-walled epithelial structure that encases the glomerulus. The filtering of blood plasma...
2.2K
Factors Affecting Renal Clearance: Renal Impairment
53
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...
53
Dialysis
264
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...
264
Internal Anatomy of the Kidney
1.3K
The kidneys are essential organs in the human body, performing a myriad of tasks that maintain homeostasis and overall health.
Anatomical Position and Dimensions
The kidneys are retroperitoneal organs positioned against the posterior abdominal wall on either side of the spine, roughly between the twelfth thoracic and third lumbar vertebrae. Each kidney is typically 10-12 cm long, 5-6 cm wide, and 3-4 cm thick, weighing about 150 grams.
Renal Cortex
The outermost region of the kidney is the...
Anatomical Position and Dimensions
The kidneys are retroperitoneal organs positioned against the posterior abdominal wall on either side of the spine, roughly between the twelfth thoracic and third lumbar vertebrae. Each kidney is typically 10-12 cm long, 5-6 cm wide, and 3-4 cm thick, weighing about 150 grams.
Renal Cortex
The outermost region of the kidney is the...
1.3K
Renal Corpuscle
1.7K
The glomerulus and Bowman's capsule are two essential components of the nephron, which is the functional unit of the kidney. These microscopic structures play a critical role in the process of blood filtration to produce urine.
Glomerulus: Structure and Function
The glomerulus is a tiny, intricate network of capillaries located at the beginning of the nephron. It's enveloped by the Bowman's capsule and receives its blood supply from an afferent arteriole, which divides into numerous...
Glomerulus: Structure and Function
The glomerulus is a tiny, intricate network of capillaries located at the beginning of the nephron. It's enveloped by the Bowman's capsule and receives its blood supply from an afferent arteriole, which divides into numerous...
1.7K
Renal Failure: Dose Adjustments
63
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...
63


