УДК: 616.6
ББК: 54.14
Кичигин В.А., Козлов Д.О., Ких О.В., Волкова Т.А.
Выживаемость пациентов, получающих программный гемодиализ (обзор)
Ключевые слова: гемодиализ, летальность, индекс массы тела, сердечно-сосудистые заболевания, парадокс ожирения, анемия, коморбидность
Изучены данные литературы по факторам выживаемости и риска наступления летального исхода пациентов, находящихся на гемодиализе. Основными причинами смерти являются сердечно-сосудистые заболевания и инфекции. Факторами риска летального исхода являются дефицит массы тела, низкая доза диализа, наличие тяжелых сопутствующих заболеваний, анемия, пожилой возраст, сахарный диабет, гипертрофия левого желудочка. Результаты исследования показали, что ожирение и избыточная масса тела увеличивают продолжительность жизни у диализных пациентов.
Kichigin V., Kozlov D., Kikh O., Volkova T.
Survival rate of patients receiving maintenance long term hemodialysis (review)
Keywords: hemodialysis, mortality, body mass index, cardiovascular disease, obesity paradox, anemia, comorbidity
Literature data on survival factors and mortality risk in patients receiving hemodialysis was studied. The main causes of death are cardiovascular diseases and infections. Main risk factors for death are body mass deficiency, low dose of dialysis, incidence of severe comorbidities, anemia, advanced age, diabetes, left ventricular hypertrophy. The study results showed that obesity and overweight increased life expectancy in dialysis patients.
Литература
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- Eknoyan G., Beck G.J., Cheung A.K. et al. Effect of dialysis dose and membrane flux in maintenance hemodialysis. N Engl J Med, 2002, no. 347, pp. 2010–2019.
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- Goodkin D.A., Bragg-Gresham J.L., Koenig K.G. et al. Association of comorbid conditions and mortality in hemodialysis patients in Europe, Japan, and the United States: the Dialysis Outcomes and Practice Patterns Study (DOPPS). J Am Soc Nephrol., 2003, no. 14, pp. 3270–3277.
- Grassmann A., Gioberge S., Moeller S., Brown G. ESRD patients in 2004: Global overview of patient numbers, treatment modalities and associated trends. Nephrol Dial Transplant., 2005, no. 20, pp. 2587–2593.
- Hanson J.A., Hulbert-Shearon T.E., Ojo A.O. et al. Prescription of twice-weekly hemodialysis in the USA. Am J Nephrol., 1999, no. 19, pp. 625–633.
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- Hsu C.Y., Vittinghoff E., Lin F., Shlipak M.G. The incidence of end-stage renal disease is increasing faster than the prevalence of chronic renal insufficiency. Ann Intern Med., 2004, no. 141, pp. 95–101.
- Iseki K., Shinzato T., Nagura Y. et al. Factors influencing long-term survival in patients on chronic dialysis. Clin Exp Nephrol, 2004, no. 8, p. 89. Available at: https://doi.org/10.1007/s10157-004-0285-z.
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Сведения об авторах
- Кичигин Вадим Александрович
- кандидат медицинских наук, заведующий отделением, Центр диализа, Россия, Чебоксары (vadim-kichigin@mail.ru; )
- Козлов Денис Олегович
- ассистент кафедры факультетской и госпитальной терапии, Чувашский государственный университет, Россия, Чебоксары (denis.kozlov_cheb@mail.ru; )
- Ких Оксана Владимировна
- врач-нефролог, заведующая центром амбулаторного диализа, Б. Браун Авитум Руссланд Клиникс, Россия, Канаш (oksana.kikh@yandex.ru; )
- Волкова Тамара Александровна
- врач-нефролог, Б. Браун Авитум Руссланд Клиникс, Россия, Чебоксары )
Ссылка на статью
Кичигин В.А., Козлов Д.О., Ких О.В., Волкова Т.А. Выживаемость пациентов, получающих программный гемодиализ (обзор) [Электронный ресурс] // Acta medica Eurasica. – 2018. – №1. – С. 22-35. – URL: https://acta-medica-eurasica.ru/single/2018/1/4/.