| 摘要: | 在美國腎臟資料系統(United States Renal Data System，USRDS)2010年度資料報告中指出2008年末期腎臟疾病（End-Stage Renal Disease，ESRD）的洗腎人口，台灣的發生率及盛行率分別在全世界排名第三及第一，在台灣累計到2011年1月底，申請重大傷病證明書為慢性腎衰竭需定期透析治療患者，有效領證為65,025人，這些數據皆顯示台灣人洗腎人口不在少數。洗腎病人在進行透析治療時，不免有導管或是血液的接觸，此時發生菌血症(Bacteremia)的機會可能也就會大幅增加，而造成洗腎病患罹病及死亡的重要原因。本研究的目的為找出影響住院洗腎病患在感染菌血症下死亡之相關危險因子，危險因子有糖尿病、血漿白蛋白、心血管疾病、使用免疫力之抑制劑、HCV和鈣，若在考慮有重複感人次的相關性下，死亡之相關危險因子有高血壓、心血管疾病、使用免疫力之抑制劑、HCV和血漿白蛋白，此外在感染後90天內死亡，女性的死亡風險比男性來的高，性別為預測住院洗腎病患死亡之重要因子，以上影響住院洗腎病患死亡之危險因子，可提供醫護人員在臨床上之參考指標。
In the United States Renal Data System 2010 annual data report points that the incidence and prevalence in Taiwan were ranked third and first in the world within 2008 End-Stage Renal Disease(ESRD) populations. Then, in the end of January 2011 in Taiwan, a major application for a certificate of injuries requiring regular dialysis for chronic renal failure patients treated, the effective licensing of 65,025 people, all these data showed there were plenty of dialysis patients in Taiwan. The patients in dialysis would have contact with blood or catheter then the occurrence of bacteremia may also be significant opportunities to increase, leading cause of morbidity and mortality in dialysis patients. The aim of study is to identify the impact for death of hospitalized patients who with bacteremia in dialysis. And the risk factors include diabetes mellitus, serum albumin, cardiovascular disease, immunosuppression, HCV, and calcium. If considered correlation in repeated infection patients in dialysis, the risk factors include hypertension, cardiovascular disease, immunosuppression, HCV, and serum albumin.In addition, patients who death within infection after 90 days, women’s death risk more higher then men, the sex is an important risk factor for death of infection bacteremia in dialysis patients. All of the risk factors for dialysis patients in our research could provide a reference for health care staff in clinical indicators. |
