COVID-19 对巴西肾移植活动的影响：一项描述性研究。
The impact of COVID-19 on kidney transplant activities in Brazil: a descriptive study.
机构信息
RN, MSc. Nurse, Department of Nursing, Hospital Universitário, Universidade Estadual do Oeste do Paraná (UNIOSTE), Cascavel (PR), Brazil.
Medicine Student, Center for Medical and Pharmaceutical Sciences, Universidade Estadual do Oeste do Paraná (UNIOSTE), Cascavel (PR), Brazil.
出版信息
Sao Paulo Med J. 2023 Jan-Feb;141(1):60-66. doi: 10.1590/1516-3180.2021.0956.R1.29042022.
BACKGROUND
The coronavirus 19 (COVID-19) pandemic has reached services, systems, and world society. Despite its certified efficiency, the Brazilian National Transplant System is not exempt from the side effects of COVID-19.
OBJECTIVE
To compare kidney transplantation activity registered in Brazil between the pandemic (2020) and pre-pandemic (2019) periods.
DESIGN AND SETTING
A descriptive study was conducted in March 2021. The annual reports of the Brazilian Transplantation Registry for 2019 and 2020 were included in this study.
METHODS
We conducted a descriptive study of kidney transplant activity in Brazil in 2019 and 2020.
RESULTS
A 23.9% decrease in kidney transplants per million population was observed during the pandemic period (22.9 in 2020 versus 30.1 in 2019). Kidney transplants with a living donor (-58.8%) and in the North Region (-79.5%) experienced the greatest declines. The pandemic waiting list increased by 6.8%, and deaths during the waiting period increased by 36.8%. The number of patients on the waiting list and transplant teams decreased by 31.3% and 9.5%, respectively.
CONCLUSION
The COVID-19 pandemic drastically affected Brazil and had a significant negative impact on KT activities in the country.
背景
冠状病毒 19（COVID-19）大流行已波及服务、系统和世界社会。尽管巴西国家移植系统已得到认证，但它也不能幸免于 COVID-19 的副作用。
目的
比较 2020 年大流行期间和 2019 年大流行前巴西的肾脏移植活动。
设计与设置
本研究于 2021 年 3 月进行，该研究纳入了 2019 年和 2020 年巴西移植登记处的年度报告。
方法
本研究对 2019 年和 2020 年巴西的肾脏移植活动进行了描述性研究。
结果
大流行期间，每百万人的肾脏移植数量下降了 23.9%（2020 年为 22.9 例，2019 年为 30.1 例）。活体供体肾移植（-58.8%）和北部地区肾移植（-79.5%）下降幅度最大。大流行期间，等候名单增加了 6.8%，等候期间的死亡人数增加了 36.8%。等候名单上的患者和移植团队的数量分别减少了 31.3%和 9.5%。
结论
COVID-19 大流行对巴西产生了巨大影响，并对该国的 KT 活动产生了重大负面影响。
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