Improving Dialysis Initiation in Stage 5 CKD: A Quality Improvement Project at a Safety Net Hospitaldoi:10.1681/ASN.202400gxp6phElaine J. OldfordLos Angeles General Medical Center, Los Angeles, California, United States;Annika K. KhineLos Angeles General Medical Center, Los Angeles, California, ...
第三个D,也就是Dialysis,透析。 关于这个问题,有人曾比较每周透析12 小时和每周透析21 小时的患者,发现后者的血磷和血钙水平优于前者。有研究显示:进行夜间长程透析(每周6次,每次6小时)较常规透析可以显著降低血磷水平。还有研究显示:长程透析(每次透析超过5.5小时)...
1.AlSahow A, et al. Safety of Intravenous Iron in CKD Stage 3-5 Patients Not on Dialysis: A Retrospective Cohort Study. Can J Kidney Health Dis. 2022 Oct 28;9:20543581221130685.
此外长期的高血磷水平可致甲状旁腺功能亢进(低钙)、血管钙化(增加死亡风险)、肾性骨病(骨痛、骨折)等多种并发症。 降磷主要遵循3D原则(Diets饮食、Dialysis透析、Drugs药物),下表汇总了几种常见的口服磷结合剂。 表2 常用的口服磷结合剂 注意:降磷药物胃肠道副作用较多,约有8...
[8] Tentori F, Elder S J, Thumma J, et al. Physical exercise among participants in the Dialysis Outcomes and Practice Patterns Study (DOPPS): correlates and associated outcomes[J]. Nephrol Dial Transplant, 2010, 25(9): 3050-62.
Hyperphosphatemia has been associated with higher mortality risk in CKD 5 patients receiving dialysis. Here, we determined the association between the use ... JB Cannata-Andía,JL Fernández-Martín,F Locatelli,... - 《Kidney International》 被引量: 92发表: 2013年 Improvement of mineral and bon...
司维拉姆是临床广泛应用的降低 CKD 患者血磷的非含钙磷结合剂,既往有研究显示其对 CKD 患者有额外的获益,包括减轻内皮损伤[3]、降低血脂[4]及炎症反应[1]等。但司维拉姆对非透析依赖 CKD(non-dialysis dependent CKD,NDD-CKD)患者的肾功能...
[7]Macdougall IC, Gray SJ, Elston O, Breen C, Jenkins B, Browne J, Egrie J. Pharmacokinetics of novel erythropoiesis stimulating protein compared with epoetin alfa in dialysis patients. J Am Soc Nephrol. 1999 Nov;10(11):2392-5.
Fracture Risk in Dialysis and KidneyTransplanted Patients: A Systematic Review. JBMR Plus 2019 Jan;3(1):45-55 血液透析患者骨折史与心血管死亡率相关:Q-Cohort研究 •3499名接受血液透析的患者,研究持续10年。 •在入组时,共有346名患者有骨折史。在中位随访8.8年的期间内,1730名(49.4%)患者去世。其...
Figure 1. Suggested algorithm for pulmonary hypertension (PH) identification and management in persons with nondialysis or dialysis-dependent chronic kidney disease (CKD). References: 1Galie et al 2; 2Vachiery et al.56 Abbreviations: AF, atri...