增量和全剂量腹腔透析之间的碳排放,用水和透析废物比较:一个队列研究
Mary Ann Nicdao1,2,3,4, Germaine Wong2,3,5, Karine Manera2,3
1Department of Renal Medicine, Royal North Shore Hospital, Sydney, NSW, Australia.
概括
与全剂量腹膜透析相比,增量腹膜透析 (PD) 显著减少了环境影响. 这种可持续的透析方法降低了碳排放,用水和废物产生,有利于环境.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 环境科学 环境科学
- 公共卫生 公共卫生
背景情况:
- 腹腔透析 (PD) 是一种关键的置换疗法.
- 环境可持续性是医疗保健中日益关注的问题.
- 增量PD可能比全剂量PD提供环境优势.
研究的目的:
- 量化和比较增量PD与全剂量PD的环境足迹.
- 为了评估二氧化碳排放,水消耗和废物产生的两种PD方法.
主要方法:
- 澳大利亚悉尼西部脏服务中心发生病例的PD患者的前性队列研究 (2019年6月 - 2024年5月).
- 环境指标 (碳排放,蓝水,灰水,垃圾填埋垃圾,回收) 被测量.
- 标准化系数和基于文献的假设被用于量化;曼-惠特尼U测试用于比较.
主要成果:
- 增量PD表明每年每患者的影响明显较低:CO2eq排放 (1016比1360公斤),蓝水 (24,090比25548公升),垃圾填埋废物 (212比271公斤),灰水 (8213比10549公升),和回收 (73比131公斤) (所有p<0.001).
- 随着PD的增量,观察到大量的整体节约,包括超过20100万公斤的CO2eq排放量和500万升的蓝水.
结论:
- 与全剂量PD相比,增量PD与显著较低的环境影响有关.
- 这突出了增量PD的潜力,有助于更环保的透析护理.
- 医疗保健提供者在选择PD疗法时应考虑环境效益.
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