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The Adverse Effect of COVID Pandemic on the Care of Patients With Kidney Diseases
in India
#MMPMID32838077
Prasad N
; Bhatt M
; Agarwal SK
; Kohli HS
; Gopalakrishnan N
; Fernando E
; Sahay M
; Rajapurkar M
; Chowdhary AR
; Rathi M
; Jeloka T
; Lobo V
; Singh S
; Bhalla AK
; Khanna U
; Bansal SB
; Rai PK
; Bhawane A
; Anandh U
; Singh AK
; Shah B
; Gupta A
; Jha V
Kidney Int Rep
2020[Sep]; 5
(9
): 1545-1550
PMID32838077
show ga
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.
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