| [ Summary ] |
In this report, I speak about the physical and psychological influences and risks associated with travel in CKD patients, focusing on traveler's thrombosis, altitude sickness, traveler's diarrhea, and jet lag syndrome. Among CKD patients, the high risk of traveler's thrombosis is owing to the drop in estimated glomerular filtration rate and increase in urine protein.
High-altitude environments may promote the exacerbation of CKD. Urine protein increase and end-stage renal disease are risks of altitude sickness, and the risk of pulmonary edema increases in dialysis patients. CKD patients' decreased immunity exacerbates traveler's diarrhea, and dialysis patients are at high risk of vascular access closure and cardiovascular (CVD) events. Circadian rhythm disorders caused by differences in time are related to hypertension and CVD events. Therefore, I believe travel involves far greater risks for CKD patients than it does for general patients. |