Distribution, preparedness and management of Ukrainian adult refugees on dialysis-an international survey by the Renal Disaster Relief Task Force of the European Renal Association.

Autor:	Pawłowicz-Szlarska E; Department of Nephrology, Hypertension and Kidney Transplantation, Medical University of Łódź, Łódź, Poland., Vanholder R; Nephrology Section, Department of Internal Medicine and Pediatrics, Ghent University Hospital, Ghent, Belgium.; European Kidney Health Alliance, Brussels, Belgium., Sever MS; Department of Nephrology, Istanbul School of Medicine, Istanbul University, Istanbul, Turkey., Tuğlular S; Department of Nephrology, School of Medicine, Marmara University, Istanbul, Turkey., Luyckx V; Renal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.; Department of Paediatrics and Child Health, University of Cape Town, Cape Africa, South Africa.; Department of Public and Global Health, Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland., Eckardt KU; Department of Nephrology and Medical Intensive Care, Charité-Universitätsmedizin Berlin, Berlin, Germany., Gallego D; European Kidney Health Alliance, Brussels, Belgium.; European Kidney Patient Federation, Wien, Austria., Ivanov D; Department of Nephrology and RRT, Bogomolets National Medical University, Kyiv, Ukraine., Nistor I; Department of Internal Medicine, Nephrology and Geriatrics, Grigore T. Popa University of Medicine and Pharmacy, Iasi, Romania.; Department of Nephrology, Dr C. I. Parhon University Hospital, Iasi, Romania., Shroff R; Renal Unit, UCL Great Ormond Street Hospital and Institute of Child Health, London, UK., Škoberne A; Department of Nephrology, Division of Internal Medicine, University Medical Centre Ljubljana, Ljubljana, Slovenia.; Medical Faculty, University of Ljubljana, Ljubljana, Slovenia., Stuard S; Global Medical Office, Fresenius Medical Care, Bad Homburg, Germany., Gellert R; Department of Nephrology and Internal Medicine, Centre for Postgraduate Medical Education, Warsaw, Poland., Noruišiene E; European Kidney Health Alliance, Brussels, Belgium.; European Dialysis and Transplant Nurses Association - European Renal Care Association, Hergiswil, Switzerland., Sekkarie M; Nephrology and Hypertension Associates, Bluefield, WV, USA., Wiecek A; Department of Nephrology, Transplantation and Internal Medicine, Medical University of Silesia, Katowice, Poland.
Jazyk:	angličtina
Zdroj:	Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association [Nephrol Dial Transplant] 2023 Sep 29; Vol. 38 (10), pp. 2407-2415.
DOI:	10.1093/ndt/gfad073
Abstrakt:	Background: 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. Methods: 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. Results: 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. Conclusions: 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. (© The Author(s) 2023. Published by Oxford University Press on behalf of the ERA.)
Databáze:	MEDLINE
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