Department of Nephrology, Hypertension and Kidney Transplantation, Medical University of Łódź, Łódź, Poland.
Nephrology Section, Department of Internal Medicine and Pediatrics, Ghent University Hospital, Ghent, Belgium.
Nephrol Dial Transplant. 2023 Sep 29;38(10):2407-2415. doi: 10.1093/ndt/gfad073.
Due to the Russian-Ukrainian war, some of the about 10 000 adults requiring dialysis in Ukraine fled their country to continue dialysis abroad. To better understand the needs of conflict-affected dialysis patients, the Renal Disaster Relief Task Force of the European Renal Association conducted a survey on distribution, preparedness and management of adults requiring dialysis who were displaced due to the war.
A cross-sectional online survey was sent via National Nephrology Societies across Europe and disseminated to their dialysis centers. Fresenius Medical Care shared a set of aggregated data.
Data were received on 602 patients dialyzed in 24 countries. Most patients were dialyzed in Poland (45.0%), followed by Slovakia (18.1%), Czech Republic (7.8%) and Romania (6.3%). The interval between last dialysis and the first in the reporting center was 3.1 ± 1.6 days, but was ≥4 days in 28.1% of patients. Mean age was 48.1 ± 13.4 years, 43.5% were females. Medical records were carried by 63.9% of patients, 63.3% carried a list of medications, 60.4% carried the medications themselves and 44.0% carried their dialysis prescription, with 26.1% carrying all of these items and 16.1% carrying none. Upon presentation outside Ukraine, 33.9% of patients needed hospitalization. Dialysis therapy was not continued in the reporting center by 28.2% of patients until the end of the observation period.
We received information about approximately 6% of Ukrainian dialysis patients, who had fled their country by the end of August 2022. A substantial proportion were temporarily underdialyzed, carried incomplete medical information and needed hospitalization. The results of our survey may help to inform policies and targeted interventions to respond to the special needs of this vulnerable population during wars and other disasters in the future.
由于俄乌战争，约 10000 名需要透析的乌克兰成年人逃离该国，前往国外继续透析。为了更好地了解受冲突影响的透析患者的需求，欧洲肾脏病协会肾脏灾难救援工作组对因战争而流离失所的需要透析的成年人的分布、准备和管理情况进行了调查。
通过欧洲各国肾脏病学会对横断面在线调查进行了发送，并将其传播到各自的透析中心。费森尤斯医疗保健公司分享了一组汇总数据。
共收到来自 24 个国家的 602 名接受透析治疗患者的数据。大多数患者在波兰（45.0%）接受透析治疗，其次是斯洛伐克（18.1%）、捷克共和国（7.8%）和罗马尼亚（6.3%）。从上一个透析中心到报告中心的首次透析的间隔为 3.1±1.6 天，但在 28.1%的患者中，间隔≥4 天。平均年龄为 48.1±13.4 岁，43.5%为女性。有 63.9%的患者携带病历，63.3%携带药物清单，60.4%携带药物本身，44.0%携带透析处方，26.1%的患者携带所有这些物品，16.1%的患者则未携带任何物品。在乌克兰境外就诊时，33.9%的患者需要住院治疗。在观察期结束时，28.2%的患者在报告中心未继续进行透析治疗。
我们收到了截至 2022 年 8 月底逃离乌克兰的约 6%的乌克兰透析患者的信息。相当一部分患者暂时透析不充分，携带的医疗信息不完整，需要住院治疗。我们的调查结果可以帮助为未来的战争和其他灾害中这一弱势群体的特殊需求提供政策和有针对性的干预措施提供信息。
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