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Regional differences in Acute Kidney Injury incidence and mortality in developing countries: recent trends

机译:急性肾脏损伤发病率和发展中国家死亡率的区域差异:最近的趋势

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Acute Kidney Injury (AKI) is a globalpublic health problem with short andlong-term consequences that affect patients’quality of life1-5. The widespreadavailability of electronic health recordsin developed countries has improved ourunderstanding of the epidemiology of AKIincidence, rates of recovery, and progression.However, in the developing world,lack of electronic health data has limitedcomprehensive assessments of the burdenof AKI. It is well recognized that the burdenof AKI is often underrepresented inthe developing world and has promptedinitiatives to improve awareness of AKIand develop strategies for its preventionand management6. Previous studies haveshown different etiologies and outcomesfollowing AKI in developed and developingcountries based on governmentalhealth service infrastructure and expenditures7.In a recent metanalysis, patients’characteristics were mostly similar in highand low and low middle-income countries,but outcomes were worse for patients indeveloping countries7. Nevertheless, veryheterogeneous outcomes can be foundwithin the same country as regional differencesin the availability of health careresources and access to care influence patientmanagement.
机译:急性肾损伤(AKI)是一种全球化的健康问题,短期后果,影响生命患者的患者。电子健康记录发达国家的广泛可利用性改善了厌氧,恢复率和进展的流行病学。然而,在发展中国家,缺乏电子卫生数据对均衡负担有有利的评估。众所周知,AKI的负担往往是发展中国家的批评,并提出了提高对其预防和管理的策略的认识。以前的研究,基于政府健康服务基础设施和支出的发达和发展中国家的Haveshown不同的病因和成果。在最近的元分析中,患者的特征在高于低于中等中等收入国家的特征,但对于国家的患者而言,结果较差7。尽管如此,在同一个国家可以在同一个国家的情况下发现非常差异的结果,因为区域差异是卫生理论和获得护理影响患者管理者的可用性。

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