澳大利亚腹膜透析的碳足迹。

IF 10.3 1区 医学 Q1 UROLOGY & NEPHROLOGY Journal of The American Society of Nephrology Pub Date : 2024-08-01 Epub Date: 2024-04-26 DOI:10.1681/ASN.0000000000000361
Scott McAlister, Ben Talbot, John Knight, Susan Blair, Forbes McGain, Stephen McDonald, Craig Nelson, Richard Knight, Katherine A Barraclough
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引用次数: 0

摘要

背景:随着气候变化的加剧和对健康影响的增加,医疗保健必须解决其碳足迹问题。关键的第一步是了解常用临床护理途径的排放来源和程度:方法:我们使用基于归因过程的生命周期分析方法,量化了澳大利亚百特家用自动腹膜透析(APD)和持续非卧床腹膜透析(CAPD)的二氧化碳排放当量:结果:腹膜透析(APD)和持续性非卧床腹膜透析(CAPD)的每位患者每年因腹膜透析液和消耗品的生产和处置而产生的碳排放量分别为 1,992 千克二氧化碳当量和 1,245 千克二氧化碳当量。运输影响因透析液和耗材生产地与患者家乡之间的距离而异。因此,提供腹膜透析的总影响也因澳大利亚各州而异,APD 为 2,350-4,503 千克二氧化碳当量排放,CAPD 为 1,455-2,716 千克二氧化碳当量排放。根据聚氯乙烯(PVC)废物产生地与回收中心之间的距离,回收聚氯乙烯(PVC)可使 APD 的排放量最多减少 14%,使 CAPD 的排放量最多减少 30%:这项研究表明,与 CAPD 相比,APD 患者的人均碳排放量更高,原因是对液体和消耗品的要求更高,因此对运输的影响也更大。聚氯乙烯的回收利用可以部分减少与腹腔穿刺相关的碳排放。
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The Carbon Footprint of Peritoneal Dialysis in Australia.
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来源期刊
Journal of The American Society of Nephrology
Journal of The American Society of Nephrology 医学-泌尿学与肾脏学
CiteScore
22.40
自引率
2.90%
发文量
492
审稿时长
3-8 weeks
期刊介绍: The Journal of the American Society of Nephrology (JASN) stands as the preeminent kidney journal globally, offering an exceptional synthesis of cutting-edge basic research, clinical epidemiology, meta-analysis, and relevant editorial content. Representing a comprehensive resource, JASN encompasses clinical research, editorials distilling key findings, perspectives, and timely reviews. Editorials are skillfully crafted to elucidate the essential insights of the parent article, while JASN actively encourages the submission of Letters to the Editor discussing recently published articles. The reviews featured in JASN are consistently erudite and comprehensive, providing thorough coverage of respective fields. Since its inception in July 1990, JASN has been a monthly publication. JASN publishes original research reports and editorial content across a spectrum of basic and clinical science relevant to the broad discipline of nephrology. Topics covered include renal cell biology, developmental biology of the kidney, genetics of kidney disease, cell and transport physiology, hemodynamics and vascular regulation, mechanisms of blood pressure regulation, renal immunology, kidney pathology, pathophysiology of kidney diseases, nephrolithiasis, clinical nephrology (including dialysis and transplantation), and hypertension. Furthermore, articles addressing healthcare policy and care delivery issues relevant to nephrology are warmly welcomed.
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