The Adverse Effect of COVID Pandemic on the Care of Patients With Kidney Diseases in India
The Adverse Effect of COVID Pandemic on the Care of Patients With Kidney Diseases in India
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DOI：
10.1016/j.ekir.2020.06.034
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发表时间：
2020-09-01
影响因子：
6
通讯作者：
Jha, Vivekanand
中科院分区：
文献类型：
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作者：
Prasad, Narayan;Bhatt, Mansi;Jha, Vivekanand
简介：2019 年冠状病毒病 (COVID-19) 大流行影响了非传染性疾病患者的护理，包括患有肾脏相关疾病的患者。包括印度在内的世界许多地区都采取了封锁措施来遏制疾病的社区传播。封锁影响了交通、医疗保健设施、药品和消耗品的供应以及门诊和住院服务。我们旨在分析因 COVID-19 大流行而实施的封锁对印度肾病患者护理的影响。方法：我们调查了 19 家主要医院（8 家公立医院和 11 家私营医院），以确定封锁对肾病患者护理的影响，包括封锁前 3 周后接受透析的患者。结果：这些中心的透析患者总数从 2517 人减少到 2404 人。约 710 人(28.2%) 患者错过 1 次或多次透析，69 例 (2.74%) 需要紧急透析，104 例 (4.13%) 停止报告透析，9 例 (0.36%) 被确认死亡。调查医院门诊量下降92.3%，住院量减少61%。远程会诊已经启动，但只有少数患者参与。结论：封锁前缺乏准备导致医疗保健服务中断，并对印度透析患者和肾病患者的治疗结果造成直接不利影响。对不太严重的肾脏疾病患者健康的长期影响仍不清楚。 (C) 2020 年国际肾脏病学会。由 Elsevier Inc. 出版。这是一篇遵循 CC BY-NC-ND 许可证 (http://creativecommons.org/licenses/by-nc-nd/4.0/) 的开放获取文章。
Introduction: The coronavirus disease 2019 (COVID-19) pandemic has affected the care of patients with noncommunicable diseases, including those suffering from kidney-related ailments. Many parts of the world, including India, adopted lockdown to curb community transmission of disease. The lockdown affected transportation, access to health care facilities, and availability of medicines and consumables as well as outpatient and inpatient services. We aimed to analyze the effect of lockdown imposed due to the COVID-19 pandemic on the care of patients with kidney diseases in India.Methods: We surveyed 19 major hospitals (8 in the public and 11 in the private sector) to determine the effect of lockdown on the care of patients with kidney disease, including those on dialysis after the first 3 weeks of lockdown.Results: The total number of dialysis patients in these centers came down from 2517 to 2404. Approximately 710 (28.2%) patients missed 1 or more dialysis sessions, 69 (2.74%) required emergency dialysis sessions, 104 (4.13%) stopped reporting for dialysis, and 9 (0.36%) were confirmed to have died. Outpatient attendance in the surveyed hospital came down by 92.3%, and inpatient service reduced by 61%. Tele-consultation was started but was accessed by only a small number of patients.Conclusion: Lack of preparedness before lockdown resulted in an interruption in health care services and posed an immediate adverse effect on the outcome of dialysis patients and patients with kidney disease in India. The long-term impact on the health of patients with less severe forms of kidney disease remains unknown. (C) 2020 International Society of Nephrology. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).