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Disasters and kidney care: pitfalls and solutions
Mehmet Sukru Sever1, Valerie Luyckx2,3,4, Marcello Tonelli5,6
1Istanbul University, Istanbul School of Medicine, Department of Nephrology, Istanbul, Turkey. mehmetsukrusever@gmail.com.
Nature Reviews. Nephrology
|July 21, 2023
Summary
Patients with kidney disease face significant risks during disasters due to reliance on infrastructure and medical care. Preparedness and training are crucial for mitigating these risks and improving patient outcomes.
Area of Science:
- Nephrology
- Disaster Medicine
- Public Health
Background:
- Patients with kidney disease, including acute kidney injury, chronic kidney disease, and kidney failure (on dialysis or transplant), are highly vulnerable during disasters.
- Disaster-related logistical challenges exacerbate health risks for these patients, particularly those who are displaced.
- Survival depends on critical infrastructure, advanced medical technology, essential medications, and skilled healthcare professionals.
Purpose of the Study:
- To highlight the heightened risks faced by kidney disease patients during disasters.
- To outline essential components of emergency response for kidney disease patients.
- To emphasize the importance of preparedness and ethical considerations in disaster management for this population.
Main Methods:
- This study is a retrospective review of disaster response strategies for kidney disease patients.
- It analyzes medical, surgical, mental health, dietary, and logistical interventions during emergencies.
- Ethical considerations such as resource allocation and harm reduction are discussed.
Main Results:
- Disasters pose severe threats to kidney disease patients due to infrastructure and supply chain disruptions.
- Preparedness, including training for patients, caregivers, and healthcare providers, can significantly mitigate risks.
- Post-disaster evaluation is necessary to detect and manage delayed complications.
Conclusions:
- Effective disaster response for kidney disease patients requires comprehensive planning and training.
- Addressing medical and logistical challenges is paramount for improving patient outcomes.
- Ethical resource distribution and harm limitation are critical during emergency situations.
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