在COVID-19大流行期间加拿大的家庭透析过渡:一个中断的时间序列分析
Davide Verrelli1, Reid Whitlock2, Thomas Ferguson2
1Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada.
Kidney medicine
|February 2, 2026
概括
在COVID-19大流行期间,加拿大对家庭透析的转变增加,与减少感染风险的建议保持一致. 然而,从家庭透析转移到医疗机构的护理也增加了,原因尚不清楚.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 由于COVID-19大流行,建议从医疗机构的血液透析转向家庭透析,以减轻感染风险.
- 了解大流行期间透析方式过渡的变化对于患者护理和资源配置至关重要.
研究的目的:
- 为了比较在加拿大COVID-19大流行之前和期间从设施式血液透析到家庭透析的转换率和原因.
- 评估在同一时期从家庭透析转移到医疗机构的血液透析的比例和原因.
主要方法:
- 使用来自加拿大器官置换登记册的行政数据进行了中断时间序列分析.
- 这项研究包括接受血液透析的成年人,比较了大流行前期 (2016年1月至2019年12月) 与大流行初期 (2020年4月至2021年9月) 的数据.
- 用细分线性回归和协差分析来分析每月的转变率和转移原因.
主要成果:
- 在大流行初期,过渡到家庭透析的比例显著增加 (0.60每10,000名患者/月,P=0.03).
- 在大流行期间,每月从家庭透析转移到医疗机构的血液透析也显著增加 (每10,000名患者中6.91,P<0.001).
- 在大流行期间,地理或与资源相关的原因占了家庭到设施转移的更高比例 (5.8%与2.7%,P<0.0001).
结论:
- 加拿大脏护理计划似乎增加了对家庭透析的过渡,以响应COVID-19大流行建议.
- 疫情期间从家庭透析转移到医疗机构的转移率增加的原因尚不清楚,需要进一步调查.
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