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COVID-19 and ESKD, A Rapid Review
Ankur D Shah1, Nathan Calabro-Kailukaitis2
1Alpert Medical School of Brown University, Providence, RI; Division of Kidney Disease and Hypertension, Rhode Island Hospital; Division of Nephrology, Medicine Service, Providence Veterans Affairs Medical Center, Providence, RI.
Rhode Island Medical Journal (2013)
|September 9, 2020
Summary
The COVID-19 pandemic poses a heightened risk for patients with end-stage kidney disease (ESKD) due to compromised immunity and other health issues. This review covers COVID-19's impact on ESKD patients, dialysis care, and treatment strategies.
Area of Science:
- Nephrology
- Infectious Diseases
- Public Health
Background:
- The COVID-19 pandemic significantly impacted global health in 2020.
- Patients with end-stage kidney disease (ESKD) face elevated risks from COVID-19 due to factors like impaired immunity and frequent healthcare interactions.
Purpose of the Study:
- To review the key aspects of COVID-19 within the ESKD patient population.
- To examine the implications for dialysis unit management and patient care.
Main Methods:
- This study is a review of existing literature and data concerning COVID-19 in ESKD patients.
- It synthesizes information on infection risks, disease progression, and management strategies.
Main Results:
- ESKD patients exhibit a higher vulnerability to COVID-19 infection and severe outcomes.
- Significant adaptations in dialysis unit operations were necessary, including infection control and resource allocation.
- Investigational treatments and home dialysis modalities were explored as potential solutions.
Conclusions:
- COVID-19 presents unique challenges for individuals with ESKD, necessitating tailored clinical and operational responses.
- Effective management requires careful consideration of infection prevention, treatment access, and healthcare system capacity planning for this vulnerable group.
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