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The global impact of the Coronavirus 2019 pandemic on in-centre haemodialysis services: an International Society of Nephrology -Dialysis Outcomes Practice Patterns Study survey.


ABSTRACT:

Introduction

To assess the impact of the COVID-19 pandemic impact on haemodialysis centres, The Dialysis Outcomes and Practice Patterns Study and International Society of Nephrology (ISN) collaborated on a web-survey of centres.

Methods

A combined approach of random sampling and open invitation was used between March 2020 and March 2021. Responses were obtained from 412 centres in 78 countries and all 10 ISN regions.

Results

In 8 regions, rates of SARS-CoV-2 infection were <20% in most centres, but in North East Asia and Newly Independent States and Russia rates were ≥20% and ≥30%, respectively. Mortality was ≥10% in most centres in 8 regions, though lower in North America and Caribbean and North East Asia. Diagnostic testing was not available in 33%, 37%, and 61% of centres in Latin America, Africa, and East and Central Europe, respectively. Surgical masks were widely available, but severe shortages of particulate-air filter masks were reported in Latin America (18%) and Africa (30%). Rates of infection in staff ranged from 0% in 90% of centres in North East Asia to ≥50% in 63% of centres in the Middle East and 68% of centres in Newly Independent States and Russia. In most centres <10% of staff died, but in Africa and South Asia 2% and 6% of centres reported ≥50% mortality, respectively.

Conclusion

There has been wide global variation in SARS-CoV-2 infection rates amongst haemodialysis patients and staff, PPE availability, and testing, and the ways in which services have been redesigned in response to the pandemic.

SUBMITTER: Aylward R 

PROVIDER: S-EPMC8684834 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature

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Publications

The Global Impact of the COVID-19 Pandemic on In-Center Hemodialysis Services: An ISN-Dialysis Outcomes Practice Patterns Study Survey.

Aylward Ryan R   Bieber Brian B   Guedes Murilo M   Pisoni Ronald R   Tannor Elliot Koranteng EK   Dreyer Gavin G   Liew Adrian A   Luyckx Valerie V   Shah Dibya Singh DS   Phiri Chimota C   Evans Rhys R   Albakr Rehab R   Perl Jeffrey J   Jha Vivekanand V   Pecoits-Filho Roberto R   Robinson Bruce B   Caskey Fergus J FJ  

Kidney international reports 20211213 3


<h4>Introduction</h4>To assess the impact of the COVID-19 pandemic impact on hemodialysis (HD) centers, The Dialysis Outcomes and Practice Patterns Study and ISN collaborated on a web-survey of centers.<h4>Methods</h4>A combined approach of random sampling and open invitation was used between March 2020 and March 2021. Responses were obtained from 412 centers in 78 countries and all 10 ISN regions.<h4>Results</h4>In 8 regions, rates of SARS-CoV-2 infection were <20% in most centers, but in North  ...[more]

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