诊断结肠镜的碳足迹评估和灵敏度分析
Marina García-Castellanos1,2, Vicente Lorenzo-Zúñiga1,3, Guillermo Vilariño-Feltrer4
1Department of Gastroenterology. Endoscopy unit / IIS La Fe, La Fe University and Polytechnic Hospital, Valencia, Spain.
结肠镜的碳足迹主要是由患者和工作人员的运输, 而不是手术本身. 更聪明的移动解决方案可以显著减少这一共同的医疗检查对环境的影响.
科学领域:
- 环境科学
- 医疗保健的可持续性
- 生命周期评估
背景情况:
- 结肠镜是一项重要的诊断程序,
- 评估医疗程序的碳足迹对于可持续的医疗保健至关重要.
研究的目的:
- 对结肠镜手术进行多因素碳足迹评估.
- 进行敏感性分析以确定主要的环境影响因素.
主要方法:
- 一项前性,单中心研究评估了66例门诊诊断结肠镜检查.
- 使用生命周期评估 (LCA) 方法,涵盖供应,程序,运输和废物.
- 通过对不同情景的敏感性分析计算了100年全球变暖潜力 (GWP-100).
主要成果:
- 一次结肠镜检查的估计GWP-100为18.09kgCO2e.
- 患者运输 (47.60%) 和工作人员运输 (28.14%) 是最大的贡献者.
- 结肠镜再处理和医疗用品也有很大的贡献,而与程序相关的因素的影响较小.
结论:
- 患者和工作人员的运输是结肠镜的碳足迹的主要因素.
- 实施可持续和高效的移动战略可以大大降低该程序的环境负担.
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