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Negative Impact of the COVID-19 Pandemic on Kidney Disease Management—A Single-Center Experience in Romania

Background: The evolution of the COVID-19 pandemic affected healthcare systems worldwide. The patients with chronic kidney disease (CKD), diabetes, and cardiovascular disease were most affected and had an unfavorable outcome. Methods: We examined the activity of the Nephrology Department from Târgu-...

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Autores principales: Mureșan, Adrian Vasile, Russu, Eliza, Arbănași, Emil Marian, Kaller, Réka, Hosu, Ioan, Arbănași, Eliza Mihaela, Voidăzan, Septimiu Toader
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9104278/
https://www.ncbi.nlm.nih.gov/pubmed/35566576
http://dx.doi.org/10.3390/jcm11092452
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author Mureșan, Adrian Vasile
Russu, Eliza
Arbănași, Emil Marian
Kaller, Réka
Hosu, Ioan
Arbănași, Eliza Mihaela
Voidăzan, Septimiu Toader
author_facet Mureșan, Adrian Vasile
Russu, Eliza
Arbănași, Emil Marian
Kaller, Réka
Hosu, Ioan
Arbănași, Eliza Mihaela
Voidăzan, Septimiu Toader
author_sort Mureșan, Adrian Vasile
collection PubMed
description Background: The evolution of the COVID-19 pandemic affected healthcare systems worldwide. The patients with chronic kidney disease (CKD), diabetes, and cardiovascular disease were most affected and had an unfavorable outcome. Methods: We examined the activity of the Nephrology Department from Târgu-Mureș County Emergency Hospital retrospectively, comparing two periods: June 2020–November 2021 (COVID-19 period) and June 2018–November 2019 (non-COVID-19 period). Results: In the COVID-19 period, there were fewer one-day hospitalizations registered, 77.27% more dialysis catheters were installed, and 43.75% more arteriovenous fistulas were performed. An overall increase in the number of patients requiring dialysis during the pandemic was recorded, as of the number of dialysis sessions performed. Moreover, we observed a statistically significant increase in the number of dialysis sessions per patient and a statistically significant increase in the number of hospitalization days in the pandemic interval. Acute kidney injury (AKI) and urosepsis were the diagnoses that increased the most among in-patients during the pandemic, while all other nephrology diagnoses decreased. Conclusions: The COVID-19 pandemic accelerated kidney pathology and worsened the outcomes of nephrology patients in our center. The number of chronic and patient’s access to one-day hospitalization decreased in order to minimalize the exposure and the risk of infection. In contrast, the need for emergency dialysis increased significantly.
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spelling pubmed-91042782022-05-14 Negative Impact of the COVID-19 Pandemic on Kidney Disease Management—A Single-Center Experience in Romania Mureșan, Adrian Vasile Russu, Eliza Arbănași, Emil Marian Kaller, Réka Hosu, Ioan Arbănași, Eliza Mihaela Voidăzan, Septimiu Toader J Clin Med Article Background: The evolution of the COVID-19 pandemic affected healthcare systems worldwide. The patients with chronic kidney disease (CKD), diabetes, and cardiovascular disease were most affected and had an unfavorable outcome. Methods: We examined the activity of the Nephrology Department from Târgu-Mureș County Emergency Hospital retrospectively, comparing two periods: June 2020–November 2021 (COVID-19 period) and June 2018–November 2019 (non-COVID-19 period). Results: In the COVID-19 period, there were fewer one-day hospitalizations registered, 77.27% more dialysis catheters were installed, and 43.75% more arteriovenous fistulas were performed. An overall increase in the number of patients requiring dialysis during the pandemic was recorded, as of the number of dialysis sessions performed. Moreover, we observed a statistically significant increase in the number of dialysis sessions per patient and a statistically significant increase in the number of hospitalization days in the pandemic interval. Acute kidney injury (AKI) and urosepsis were the diagnoses that increased the most among in-patients during the pandemic, while all other nephrology diagnoses decreased. Conclusions: The COVID-19 pandemic accelerated kidney pathology and worsened the outcomes of nephrology patients in our center. The number of chronic and patient’s access to one-day hospitalization decreased in order to minimalize the exposure and the risk of infection. In contrast, the need for emergency dialysis increased significantly. MDPI 2022-04-27 /pmc/articles/PMC9104278/ /pubmed/35566576 http://dx.doi.org/10.3390/jcm11092452 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Mureșan, Adrian Vasile
Russu, Eliza
Arbănași, Emil Marian
Kaller, Réka
Hosu, Ioan
Arbănași, Eliza Mihaela
Voidăzan, Septimiu Toader
Negative Impact of the COVID-19 Pandemic on Kidney Disease Management—A Single-Center Experience in Romania
title Negative Impact of the COVID-19 Pandemic on Kidney Disease Management—A Single-Center Experience in Romania
title_full Negative Impact of the COVID-19 Pandemic on Kidney Disease Management—A Single-Center Experience in Romania
title_fullStr Negative Impact of the COVID-19 Pandemic on Kidney Disease Management—A Single-Center Experience in Romania
title_full_unstemmed Negative Impact of the COVID-19 Pandemic on Kidney Disease Management—A Single-Center Experience in Romania
title_short Negative Impact of the COVID-19 Pandemic on Kidney Disease Management—A Single-Center Experience in Romania
title_sort negative impact of the covid-19 pandemic on kidney disease management—a single-center experience in romania
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9104278/
https://www.ncbi.nlm.nih.gov/pubmed/35566576
http://dx.doi.org/10.3390/jcm11092452
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