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Rising From the Storm: Applying Lessons From Disasters.

Kyung Don Yoo1, Hassan Hatim2, Ali K Abu-Alfa3

  • 1Division of Nephrology, Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea; Basic-Clinical Convergence Research Institute, University of Ulsan, Ulsan, Republic of Korea.

Advances in Kidney Disease and Health
|April 22, 2026
PubMed
Summary
This summary is machine-generated.

Disasters severely affect kidney disease patients, especially those on dialysis. Improved disaster preparedness, including patient education and international collaboration, is crucial for mitigating risks and enhancing survival during catastrophes.

Keywords:
Acute kidney injury (AKI)Chronic kidney disease (CKD)Crush syndromeDialysisDisaster preparedness

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Area of Science:

  • Nephrology
  • Disaster Medicine
  • Public Health

Background:

  • Chronic kidney disease (CKD) impacts 10% of the global population, increasing vulnerability during disasters.
  • Disruptions in healthcare systems and limited access to therapies during catastrophes pose significant risks to kidney patients.
  • Acute kidney injury (AKI), including crush-related AKI, is a common consequence of disasters.

Purpose of the Study:

  • To synthesize lessons from past disasters to improve outcomes for kidney patients.
  • To identify critical gaps in disaster preparedness and response for individuals with kidney diseases.
  • To propose strategies for mitigating risks and enhancing survival for vulnerable kidney patients during future crises.

Main Methods:

  • Review of lessons learned from past natural and man-made disasters (e.g., earthquakes, hurricanes, conflicts).
  • Analysis of case studies highlighting challenges in dialysis and transplantation during emergencies.
  • Synthesis of experiences to inform future disaster response strategies for nephrology.

Main Results:

  • Past disasters underscore the need for early dialysis initiation and efficient logistical planning.
  • Crush-related AKI management, particularly hyperkalemia, is critical in earthquake scenarios.
  • Vulnerabilities of dialysis-dependent patients were exposed even in well-developed healthcare systems during Hurricane Katrina.

Conclusions:

  • Enhanced disaster preparedness, including patient education and healthcare provider training, is essential.
  • Robust international collaboration and transparent resource allocation are vital for effective crisis management.
  • Proactive strategies based on past experiences can significantly improve survival rates for kidney patients during disasters.