Yerram Preethi, Misra Madhukar
Division of Nephrology, Department of Medicine, University of Missouri, Columbia, MO.
Division of Nephrology, Department of Medicine, University of Missouri, Columbia, MO.
Adv Chronic Kidney Dis. 2020 Sep;27(5):442-446. doi: 10.1053/j.ackd.2020.07.001. Epub 2020 Jul 7.
The coronavirus disease 2019 pandemic has had a significant impact on patients with end-stage kidney disease and their care, especially given the potential for severe coronavirus disease 2019 in those with a depressed immune status. Patients receiving in-center hemodialysis have been particularly affected by this pandemic because of their need to travel multiple times a week to receive treatment. Although patients on home dialysis are able to avoid such exposure, they face their own unique challenges. In this review, we will discuss the challenges posed by the coronavirus disease 2019 pandemic for patients on home dialysis, the impact of coronavirus disease 2019 on various aspects of their care, and the resultant rapid adaptations in policy/health-care delivery mechanisms with implications for the future care of patients on home dialysis.
2019年冠状病毒病大流行对终末期肾病患者及其护理产生了重大影响，特别是考虑到免疫功能低下者感染严重2019年冠状病毒病的可能性。接受中心血液透析的患者受此次大流行影响尤为严重，因为他们每周需要多次前往接受治疗。虽然居家透析患者能够避免此类接触，但他们也面临着自身独特的挑战。在本综述中，我们将讨论2019年冠状病毒病大流行给居家透析患者带来的挑战、2019年冠状病毒病对其护理各个方面的影响，以及政策/医疗服务提供机制由此产生的快速调整及其对居家透析患者未来护理的影响。
