Organization of renal replacement therapy in emergency medicine in the context of new Coronaviral infection
- Authors: Rey S.I.1,2, Vasina N.V.2, Berdnikov G.A.1, Marchenkova L.V.2, Kotenko O.N.3
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Affiliations:
- N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department
- Research Institute for Healthcare Organization and Medical Management of the Moscow Healthcare Department
- City Clinical Hospital № 52 of the Moscow Department of Healthcare
- Issue: Vol 13, No 2 (2021)
- Pages: 20-26
- Section: Articles
- URL: https://journals.eco-vector.com/2075-3594/article/view/273731
- DOI: https://doi.org/10.18565/nephrology.2021.2.20-26
- ID: 273731
Cite item
Open Access
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Abstract
Objective. Provision of information on the organization of renal replacement therapy (RRT) in emergency medicine in hospitals of the Moscow Healthcare Department in the context of a pandemic of the novel coronavirus infection SARS-CoV2 (COVID-19). Materials and methods. The annual reports of the Chief External Expert in Nephrology for 2019-2020 were used. Data were obtained from 43 healthcare organizations (HCO) that use RRT methods, of which 33 HCO used RRT methods for patients with COVID-19. Results and conclusion. The COVID-19 pandemic led to a significant increase in the number of patients receiving RRT in the ICU, amounting to 9434 (of which with COVID-19 - 34.7%), which is 20.7% more than in 2019. Also, the number of patients with acute kidney injury (AKI) and “extrarenal indications” receiving RRT increased in 2020; an increase compared to 2019 amounted to 39.3 and 38.9%, respectively. There were 33.6 and 32.4% patients with COVID-19 in these groups, respectively. At the same time, the number of patients with CKD (55.2% - patients with COVID-19) who underwent RRT in the ICU decreased by 8.1% compared to 2019. The total number of RRT procedures in 2020 increased by 15% compared to 2019, with 34% of the total number for the year performed in patients with COVID-19 Compared to 2019, there was a statistically significant increase in mortality among ICU patients who received RRT in 2020, which amounted to 33.6% and 46.6%, respectively. The mortality rate of patients with COVID-19 was 62.5%, without COVID-19 - 38.1%.
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About the authors
Sergey I. Rey
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department; Research Institute for Healthcare Organization and Medical Management of the Moscow Healthcare Department
Email: fanwal@mail.ru
Cand. Sci. (Med.), Senior Researcher; Leading Specialist a Moscow, Russia; Moscow, Russia
Nadezhda V. Vasina
Research Institute for Healthcare Organization and Medical Management of the Moscow Healthcare Department
Email: vasina-olimp@mail.ru
Cand. Sci. (Med.), Head of the Organizational and Methodological Department for Nephrology Moscow, Russia
Gennady A. Berdnikov
N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Healthcare Department
Email: berdnikovga@sklif.mos.ru
Cand. Sci. (Med.), Senior Researcher Moscow, Russia
Lyudmila V. Marchenkova
Research Institute for Healthcare Organization and Medical Management of the Moscow Healthcare Department
Email: marchen16@mail.ru
Cand. Sci. (Med.), Specialist Moscow, Russia
Oleg N. Kotenko
City Clinical Hospital № 52 of the Moscow Department of Healthcare
Email: olkotenko@yandex.ru
Cand. Sci. (Med.), Chief External Expert in Nephrology of the Moscow Healthcare Department, Head Moscow, Russia
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