Lancet：中国急性肾损伤（AKI）现状，约占医院患者的1%

2015-10-18 MedSci MedSci原创

急性肾损伤 (AKI)是临床各科室最常见的急危重症之一。从轻微血肌酐升高到严重无尿性AKI，AKI程度和临床表现不一而足，AKI与患者病死率、慢性肾脏病(CKD)的发生以及维持性透析率密切相关。AKI现在已经成为全球公共健康问题之一

急性肾损伤 (AKI)是临床各科室最常见的急危重症之一。从轻微血肌酐升高到严重无尿性AKI，AKI程度和临床表现不一而足，AKI与患者病死率、慢性肾脏病(CKD)的发生以及维持性透析率密切相关。AKI现在已经成为全球公共健康问题之一，但是关于该疾病在中国的负担情况却不清楚，因此研究者进行了一项全国的横断面研究，评估AKI在中国疾病负担情况以及AKI的诊断和治疗。

该研究涉及中国主要的22个省市44家医院，对于可疑AKI患者者，研究者会根据病情、相关检查等对其进行排除或确诊。

2013年44家医院的2,223,230 名患者中，154,950 (7.0%)可疑AKI，其中26,086 名患者确诊为AKI。根据KDIGO中关于AKI的诊断标准，则中国AKI的检出率为 0.99% (3687/374,286) ；根据更宽范围的诊断标准，该数据则为2.03% (7604/374,286)，研究者估计2013年，中国有140万-290万的AKI病人住院治疗。现有数据来看，中国AKI非识别率为74.2% (5608/7555)。 21.4% (1625/7604)的AKI患者转诊， 59.3% (531/896)有适应症的患者进行了肾脏替代治疗。对AKI识别过完是住院期间死亡率的独立危险因素，对识别的AKI和死亡率，及时行肾脏疾病转诊则是独立的保护性因素。

研究数据表明，急性肾损伤 (AKI)已经成为中国巨大医疗负担，并且其不能被及时诊断和治疗。肾脏学家应该发起异常抗衡AKI的战斗了。

原始出处：

Yang L, Xing G,et al.Acute kidney injury in China: a cross-sectional survey.Lancet. 2015 Oct 10;386(10002):1465-71.

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#插入话题

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2016-05-27 howi

#Lancet#

32 0
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2015-12-16 医者仁心5432

好吧

90 0
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2015-11-26 fly635

收集数据应该挺不容易

165 0
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2015-11-04 herun

赞?

94 0
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2015-10-20 ms4468361851264128

#AKI#

24 0
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2015-10-20 智者为医08

#损伤#

29 0
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2015-10-19 fengzhigu

关注一下！

86 0
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2015-10-19 sunlong28

赞一个~

101 0
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2015-10-19 sunlong28

谢谢分享~

85 0
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2015-10-19 sunlong28

为了积分我也是拼了~

79 0

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