Impact ofCOVID-19 on maintenance haemodialysis patients: The Indian scenario
Impact ofCOVID-19 on maintenance haemodialysis patients: The Indian scenario
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DOI：
10.1111/nep.13760
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发表时间：
2020-08-12
期刊：
影响因子：
2.5
通讯作者：
Ramachandran, Raja
中科院分区：
文献类型：
--
作者：
Trivedi, Mayuri;Shingada, Aakash;Ramachandran, Raja
缺乏数据描述新型冠状病毒 19 大流行对来自资源有限国家的慢性肾病 V 期透析 (CKD V-D) 患者的影响。越来越多的文献描述了 CKD V-D 对 COVID-19 的易感性增加，并导致严重疾病患者出现不良后果。在当前的回顾性报告中，我们阐明了印度孟买两个透析中心连续 37 名患有 COVID-19 的 CKD V-D 患者的结果。在该研究纳入的 37 名患者中，56.7% 的患者无症状或病情较轻，27% 的患者出现严重症状。治愈率为63%，重症患者全部死于感染。由于各种后勤和社会问题，百分之三十的患者需要延长透析时间。尽管在资源有限的情况下，该队列的总体临床表现和结果模仿了全球情况，但独特的社会和后勤问题给患者、护理人员和医疗机构带来了额外的负担，随着大流行的继续蔓延，这可能会使未来的结果恶化。
There is a lack of data describing the impact of the novel coronavirus 19 pandemic on the patients of chronic kidney disease stage V-dialysis (CKD V-D) from resource-limited countries. A growing body of literature describes an increased susceptibility of CKD V-D to COVID-19 with adverse outcomes in those with severe disease. In the current retrospective report, we elucidate the outcome in consecutive 37 CKD V-D patients with COVID-19 from two dialysis centres in Mumbai, India. Of the 37 patients included in the study, 56.7% of patients were asymptomatic or had mild disease and 27% presented with severe symptoms. The recovery rate was 63%, all those who presented with a severe disease succumbed to the infection. Thirty per cent of patients presented with an extended dialysis break due to various logistic and social issues. Though the overall clinical presentation and outcomes of this cohort from a limited resource setting mimic the global scenario, unique social and logistic issues are an additional burden to the patient, caregivers and the health-care facilities, which may worsen the outcomes in the future as the pandemic continues to spread.