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Background: Given the public health challenge and burden of chronic kidney disease, the Italian Society of Nephrology (SIN) promoted acensusof the renal and dialysis units to analyse structural and human resources, organizational aspects, activities and workload referring to theyear 2014.
Methods: An online questionnaire, including 64 items exploring structural and human resources, organization aspects, activities and epidemiological data referred to 2014, was sent to chiefs of any renal or dialysis unit.
Results: Renal and dialysis activity was performed by over 2718 physicians (45 pmp). The management of the acute renal failure was one of the most frequent activities in the public renal units (12,206 patients in ICU and 140.00 dialysis sessions). There were performed about 9000 AV fistulas and 1700 central vascular catheters insertions. In the census, there are a lot of data regarding organization, workforce and workload of the renal unit in Italy. The benchmark data derived from this census show interesting comparisons between centres, regions and groups of regions. These data realised the clinical management of renal disease in Italy.
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Clin J Am Soc Nephrol
September 2025
Nephrology and Hypertension, Vanderbilt University Medical Center, Nashville, TN, USA.
JAMA Netw Open
September 2025
Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock.
Importance: Patients with kidney failure (KF) receiving long-term dialysis have increased incidence of atrial fibrillation (AF). Patients with KF and AF have increased risk of stroke, death, and bleeding compared with age-matched cohorts. In KF, the use of oral anticoagulants (OACs) increases hemorrhage risk, offsetting potential benefits and making left atrial appendage occlusion (LAAO) a potentially promising solution for risk reduction in AF.
View Article and Find Full Text PDFNMR Biomed
October 2025
High-Field MR Center, Department of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna, Austria.
The human kidneys play a pivotal role in regulating blood pressure, water, and salt homeostasis, but assessment of renal function typically requires invasive methods. Deuterium metabolic imaging (DMI) is a novel, noninvasive technique for mapping tissue-specific uptake and metabolism of deuterium-labeled tracers. This study evaluates the feasibility of renal DMI at 7-Tesla (7T) to track deuterium-labeled tracers with high spatial and temporal resolution, aiming to establish a foundation for potential clinical applications in the noninvasive investigation of renal physiology and pathophysiology.
View Article and Find Full Text PDFASAIO J
September 2025
From Airlec Medical, Mérignac, France.
Long-distance aeromedical transport of critically ill patients is an increasingly important component of modern intensive care. However, the combination of veno-arterial extracorporeal membrane oxygenation (VA ECMO) and renal replacement therapy (RRT) during an intercontinental flight had never been previously documented. This case report describes the first known case of a 27 year old patient with fulminant viral myocarditis and multi-organ failure who was successfully repatriated from Bangkok (Thailand) to Paris (France) while receiving both VA ECMO and 6 hours of in-flight sustained low-efficiency dialysis (SLED).
View Article and Find Full Text PDFG Ital Nefrol
August 2025
Nephrology, Dialysis and Transplantation Unit, Department of Medicine, University of Padova, Italy.
Although renal ultrasound or computed tomography (CT) without contrast may allow the diagnosis of complicated acute pyelonephritis (PN), they may fail to diagnose renal abscesses and complicated PN, which is allowed by the upper level imaging: contrast CT or Nuclear Magnetic Resonance (MRI). We report three clinical cases of patients admitted to the Nephrology, Dialysis and Transplantation Unit at Padua University Hospital in which renal ultrasound (US) and Computed Tomography (CT) without contrast failed to allow diagnosis of PN complications, while contrast CT showed renal abscesses in two patients and Nuclear Magnetic Resonance (NMR) without contrast a frank PN in one. Contrast CT or MRI should be preferred to renal US and/or CT without contrast and are the most indicated imaging analyses to be prescribed in acute complicated PN, in particular in the presence of acute kidney injury.
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