Important study published in @KIReports. The 1st report from the developing world 🇮🇳 looking at the outcome of dialysis in #COVID19 positive patients.
▶️Majority of patients were male and older and had been on dialysis for some time.
▶️And presented with symptoms necessitating a #COVID19 test.
▶️A good 30% were referred because their home unit didn't have facilities to dialyse Covid+ve patients.
▶️ The prevalence of #Covid19 was 20% higher in dialysis pts than the general population for the same time period
▶️ Close to a quarter of Covid+ve dialysis pts died
▶️ The usual suspect co-morbidities predicted worse outcomes; diabetes,HTN, Older age, longer dialysis vintage
This is an important paper because it underlines how at risk dialysis patients are. They must be encouraged to get vaccinated and the Indian govt @PMOIndia@MoHFW_INDIA should remove the age restriction for vaccination in this population at the earliest. kireports.org/article/S2468-…
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Check out this excellent review in @KIReports of a very important topic relevant to all clinicians involved in the care of CKD pts.
▶️Pts with CKD are at ⬆️sed risk of CAD with ⬇️ing eGFR
▶️Many CKD pts have atypical presentations of CAD; presenting more often with MI directly and more NSTEMI
▶️Risk stratification calculators like the Framingham criteria are inadequate and underestimate the risk in CKD pts
▶️Addition of eGFR/albuminuria/biomarkers can improve sensitivity but remains suboptimal
▶️Dialysis is an independent risk factor; ⬆️Sudden Cardiac Death⬆️CHF