Русский
Principles for the organization of renal replacement therapy in emergency medicine of the Moscow healthcare department
DOI: https://dx.doi.org/10.18565/nephrology.2019.4.11-16
S.I. Rey, N.V. Vasin, L.V. Marchenkov, O.N. Kotenko
1) N.V. Sklifosovsky Research Institute of Emergency Medicine of the Moscow Healthcare Department, Moscow, Russia; 2) Research Institute of Healthcare Organization and Medical Management of the Moscow Healthcare Department, Moscow, Russia; 3) City Clinical Hospital №. 52 of the Moscow Healthcare Department, Moscow, Russia
Material and methods. The annual reports of the chief external expert in nephrology for 2016–2018 were used. The data was obtained from 41 medical organizations where RRT methods are used.
Results. In the last three years, the number of patients receiving RRT in the intensive care unit (ICU) has increased: by 12.6% in 2017 and 37.5% in 2018, which amounted to 522.9 per 1 million people, or 1.81% of all patients in ICU in 2018. Compared to 2016, in 2017 and 2018 the number of patients with acute kidney injury increased by 23.3 and 94.4%, respectively, which amounted to 246.3 per 1 million people in 2018; the number of patients with “extrarenal indications for RRT” increased: by 16 and 19.1%, respectively. At the same time, the number of patients with chronic kidney disease who underwent RRT increased slightly: by 3.1% in 2017 and 4.3% in 2018, respectively. There has been a significant increase in the number of continuous RRT procedures, an annual increase by 19.3% in 2017 and 37.1% in 2018. The total number of RRT procedures in 2018 was 19,946, of which 18.1% were prolonged procedures, 31.9% – long-term procedures, and 49.9% – intermittent procedures. Hemodiafiltration was used in 55.8% of cases. The mortality rate of patients who underwent RRT in the ICU remains high and amounted to 32% in 2018.
About the Autors
Sergey I. Rey – PhD in Medical Sciences, Senior Researcher at the N.V. Sklifosovsky Research Institute of Emergency Medicine of the Moscow Healthcare Department, Leading Specialist at the Research Institute of Healthcare Organization and Medical Management of the Moscow Healthcare Department; Moscow, Russia. E-mail: fanwal@mail.ru
Nadezhda V. Vasina – PhD in Medical Sciences, Head of the Organizational and Methodological Department for Nephrology, Research Institute of Healthcare Organization and Medical Management of the Moscow Healthcare Department; Moscow, Russia. E-mail: vasina-olimp@mail.ru
Lyudmila V. Marchenkova – PhD in Medical Sciences, Specialist at the Research Institute of Healthcare Organization and Medical Management of the Moscow Healthcare Department; Moscow, Russia. E-mail: marchen16@mail.ru
Oleg N. Kotenko – PhD in Medical Sciences, Chief External Expert in Nephrology of the Moscow Healthcare Department, Head of the Moscow City Scientific and Practical Center for Nephrology and Transplant Kidney Pathology, City Clinical Hospital № 52 of the Moscow Healthcare Department; Moscow, Russia. E-mail: olkotenko@yandex.ru
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