基于共病的老年透析患者死亡预测模型的研究进展  

Research progress on the development of comorbidity-based mortality prediction models for elderly patients on maintenance dialysis

作　　者：裴小华[1,2] 王慧 王振[3] 赵卫红 Pei Xiaohua;Wang Hui;Wang Zhen;Zhao Weihong(Division of Nephrology,Department of Geriatrics,the First Affiliuted Hospilal of Nanjing Medical University,Nanjing 210029;Jiangsu Provincial Key Laboratory of Gerialrics,Nanjing210029;Nanjing Medical University,Nanjing 211166 China)

机构地区：[1]南京医科大学第一附属医院老年肾科,210029 [2]江苏省老年医学重点实验室,南京210029 [3]南京医科大学,211166

出　　处：《中华老年医学杂志》2021年第11期1453-1457,共5页Chinese Journal of Geriatrics

基　　金：国家重点研发计划(2018YFC2002100、2018YFC2002102);江苏省医学人才项目(QNRC2016592);江苏省333工程(BRA2017409);江苏省干部保健课题(BJ17018);江苏省人民医院511工程(JSPH-511A-2018-5)。

摘　　要：根据患者的人口社会学特点、共病的类型和严重程度等指标,建立共病指数模型来评估患者的疾病进展和死亡风险等,成为近年来国内外的研究热点.老年人已成为维持性透析患者的主要人群,且不断增加.老年人并发症多,透析龄短,死亡风险高,且难以预测,但目前却鲜有学者关注老年透析患者的共病指数模型研究.因此,笔者就目前国内外的相关研究进行综述和思考,以引起国内同行的重视,共同提高老年透析患者的生存率.The development of comorbidity-based disease progression and mortality prediction models incorporating demographic and sociological characteristics and the type and severity of comorbidities has been a hot topic in recent clinical studies.The elderly population now constitutes the majority of patients on maintenance dialysis(MHD)and is still rising.It is difficult to predict outcomes for elderly MHD patients,who are often associated with comorbidities,late start on hemodialysis and high mortality.However,very few researchers have closely followed the development of comorbidity-based predictive models for these patients.Therefore»this article reviews relevant studies and offers insights on this topic,in order to attract the attention of colleagues in this county and»as we work together,to improve the survival of elderly patients on dialysis.

关 键 词：血液净化 肾功能 死亡率 共病 

分 类 号：R692.5[医药卫生—泌尿科学]