Desafíos ambientales en hemodiálisis: explorando la ruta hacia la sostenibilidad

IF 2 4区医学 Q2 UROLOGY & NEPHROLOGY

Nefrologia Pub Date : 2024-11-01 DOI:10.1016/j.nefro.2024.06.001

Marta Arias-Guillén , Rodrigo Martínez Cadenas , Miquel Gómez , Natalia Martín Vaquero , Gerard Pereda , Julia Audije-Gil , Jesús Portillo , Marta Quintela , Itziar Castaño , Antonio Luque , Francesc Maduell , Alberto Ortiz , Brett Duane , M. Dolores Arenas , en representación del Grupo de Trabajo de Hemodiálisis en Centro de la Sociedad Española de Nefrología y del Grupo de Trabajo de Sostenibilidad en Nefrología

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引用次数: 0

Abstract

Hemodialysis is a treatment with a significant environmental impact. One dialysis cycle is equivalent to the daily consumption of 3.5-4 people, and the average annual electricity consumption of a center is equivalent to that of approximately 2.5 to 3 households (9 kWh/day per household). The carbon footprint (kg CO₂ equivalent) measures direct and indirect greenhouse gas emissions and is influenced by the production of the various materials used, their transport, patients, and healthcare personnel. In this context, it is necessary to understand the real impact of each center on the environment and act sustainably. The aim of this review is to analyze the environmental footprint generated by dialysis, rethink processes, and propose management strategies to provide tools applicable to any unit to reduce the negative impact of this activity. Each center must measure and monitor indicators, set its own standards, design improvement plans, and carry out annual monitoring in a multidisciplinary manner.

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血液透析的环境挑战：探索可持续发展之路

血液透析是一种对环境影响很大的治疗方法。一个透析周期相当于 3.5-4 人的日消耗量，而一个透析中心的年平均耗电量约等于 2.5 到 3 个家庭的耗电量（每个家庭每天 9 千瓦时）。碳足迹（千克二氧化碳当量）衡量的是直接和间接的温室气体排放，受各种材料的生产、运输、病人和医护人员的影响。在这种情况下，有必要了解每个中心对环境的实际影响，并采取可持续的行动。本综述旨在分析透析产生的环境足迹，重新思考流程，并提出管理策略，提供适用于任何单位的工具，以减少透析活动的负面影响。每个中心都必须测量和监测指标，制定自己的标准，设计改进计划，并以多学科的方式进行年度监测。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nefrologia 医学-泌尿学与肾脏学

CiteScore

3.40

自引率

7.70%

发文量

148

审稿时长

47 days

期刊介绍： Nefrología is the official publication of the Spanish Society of Nephrology. The Journal publishes articles on basic or clinical research relating to nephrology, arterial hypertension, dialysis and kidney transplants. It is governed by the peer review system and all original papers are subject to internal assessment and external reviews. The journal accepts submissions of articles in English and in Spanish languages.