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亚洲急性肾损伤:疾病负担。

Acute Kidney Injury in Asia: Disease Burden.

机构信息

Renal Division, Department of Medicine, Peking University First Hospital, Beijing, China; Peking University Institute of Nephrology, Beijing, China; Key Laboratory of Renal Disease, Ministry of Health of China, Beijing, China.

Renal Division, Department of Medicine, Peking University First Hospital, Beijing, China; Peking University Institute of Nephrology, Beijing, China; Key Laboratory of Renal Disease, Ministry of Health of China, Beijing, China.

出版信息

Semin Nephrol. 2020 Sep;40(5):443-455. doi: 10.1016/j.semnephrol.2020.08.001.

Abstract

Acute kidney injury (AKI) is a common and critical clinical disorder with non-negligible morbidity and mortality and remains a large public health problem. Asia, as the world's largest and most populous continent, is crucial in eliminating unsatisfactory outcomes of AKI. The diversities in climate, customs, and economic status lead to various clinical features of AKI across Asia. In this review, we focus on the epidemiologic data and clinical features of AKI in different Asian countries and clinical settings, and we show the huge medical and economic burden of AKI in Asian countries. Drugs and sepsis are the most common etiologies for AKI, however, an adequate surveillance system has not been well established. There is significant undertreatment of AKI in many regions, and medical resources for renal replacement therapy are not universally available. Although substantial improvement has been achieved, health care for AKI still needs improvement, especially in developing regions.

摘要

急性肾损伤(AKI)是一种常见且严重的临床疾病,具有不可忽视的发病率和死亡率,仍然是一个重大的公共卫生问题。亚洲作为世界上最大和人口最多的大陆,对于消除 AKI 的不良结局至关重要。气候、习俗和经济状况的多样性导致亚洲各地 AKI 的临床特征各不相同。在这篇综述中,我们重点关注不同亚洲国家和临床环境中 AKI 的流行病学数据和临床特征,并展示了亚洲国家 AKI 带来的巨大医疗和经济负担。药物和脓毒症是 AKI 最常见的病因,但尚未建立完善的充分监测系统。在许多地区 AKI 的治疗不足,肾替代治疗的医疗资源并非普遍可得。尽管已经取得了实质性的改善,但 AKI 的医疗保健仍需改进,特别是在发展中地区。

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