但它到底有多环保呢?计算血液透析中肾脏护理环境优化的环境足迹。

IF 4.6 2区 医学 Q1 UROLOGY & NEPHROLOGY
Clinical Kidney Journal Pub Date : 2025-08-11 eCollection Date: 2025-09-01 DOI:10.1093/ckj/sfaf220
Brett Duane, James Larkin, Marialuisa Caiazzo, Marta Arenas, Anita Griffin, Juilia Audije-Gil, Frances Mortimer, Harriet Attwell, Aycan Yasar, Rodrigo Martínez-Cadenas, Marta Arias-Guillén, Miguel Gomez, Abass Fehintola, Ingeborg Steinbach, Alberto Ortiz
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引用次数: 0

摘要

背景:作为欧盟共同资助的KitNewCare项目的一部分,对肾脏护理中的环境优化进行了分析。方法:使用Ecoinvent数据库和OpenLCA软件进行生命周期评估(LCA),量化优化资源利用(如透析机、降低流量、增量透析)、节能措施(如太阳能、高效照明)和减少旅行(如家庭透析、远程医疗)。废物管理方面的工作包括将医疗废物转变为生活废物流、回收和热解。节水措施包括回收水用于非饮用用途和有效的处理系统。结果:LCA量化了这些干预措施,揭示了显著的环境,特别是在减少旅行和资源使用方面。行程优化产生了最显著的二氧化碳当量节约,而增量透析也节约了水,减少了温室气体排放。结论:该研究强调了优先考虑有效干预措施的重要性,以尽量减少慢性肾脏疾病护理的环境足迹,同时保持临床疗效。挑战包括使战略适应当地情况、确保经济可行性以及基于区域能源组合整合可再生能源。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
But how green is it actually? Calculating the environmental footprint of kidney care environmental optimizations within haemodialysis.

Background: Environmental optimizations in kidney care have been analysed as part of the European Union co-funded KitNewCare project.

Methods: Life Cycle Assessments (LCA) using Ecoinvent database and OpenLCA software quantified optimizing resource use (e.g. dialysis machines, reducing flow rates, incremental dialysis), energy-saving measures (e.g. solar energy, efficient lighting) and travel reduction (e.g. home dialysis, telemedicine). Efforts in waste management involve transitioning clinical waste to domestic waste streams, recycling and pyrolysis. Water-saving practices include reclaiming water for non-potable uses and efficient treatment systems.

Results: LCA quantified these interventions, revealing significant environmental particularly in reducing travel and resource use. Travel optimizations yielded the most significant CO2 equivalent savings, while incremental dialysis also conserved water and reduced greenhouse gas emissions.

Conclusion: The study underlines the importance of prioritizing impactful interventions to minimize the environmental footprint of chronic kidney disease care while maintaining clinical efficacy. Challenges include adapting strategies to local contexts, ensuring economic feasibility and integrating renewable energy sources based on regional energy mixes.

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来源期刊
Clinical Kidney Journal
Clinical Kidney Journal Medicine-Transplantation
CiteScore
6.70
自引率
10.90%
发文量
242
审稿时长
8 weeks
期刊介绍: About the Journal Clinical Kidney Journal: Clinical and Translational Nephrology (ckj), an official journal of the ERA-EDTA (European Renal Association-European Dialysis and Transplant Association), is a fully open access, online only journal publishing bimonthly. The journal is an essential educational and training resource integrating clinical, translational and educational research into clinical practice. ckj aims to contribute to a translational research culture among nephrologists and kidney pathologists that helps close the gap between basic researchers and practicing clinicians and promote sorely needed innovation in the Nephrology field. All research articles in this journal have undergone peer review.
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