Important study published in @KIReports. The 1st report from the developing world 🇮🇳 looking at the outcome of dialysis in #COVID19 positive patients. Image
▶️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. ImageImage
▶️ 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 Image
While I suspect these numbers should be true everywhere else it would be interesting to get other perspectives @didemturgut_ @mhtwenge @Gawad_Nephro @AfricanAFRAN @acssjr @perinola21 @DTomacruzMD What's ur experience? Are your patients getting vaccinated? #ISNyoung
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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More from @ISNeducation

26 Mar
Check out this excellent review in @KIReports of a very important topic relevant to all clinicians involved in the care of CKD pts. Image
▶️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
Read 11 tweets
23 Mar
How many of your dialysis patients have well controlled blood pressure?📋
Admit it! Hypertension in dialysis patients is a universal problem!☹️
The next edition of Nuances in Nephrology will address this and more!
Register now! 🔗register.gotowebinar.com/register/21253…
But to give you a head start, here’s a #ISNtweetorial
#meded #tweetorials
❗Data suggests that approximately 50-60% of hemodialysis (HD) patients are hypertensive

‼️In a study of 2535 adult HD pts, 86% were found to be hypertensive🤯

pubmed.ncbi.nlm.nih.gov/12967694/

Even among peritoneal dialysis patients, >80% have hypertension 😳
pubmed.ncbi.nlm.nih.gov/10383021/
Read 16 tweets
20 Mar 20
#COVID19 for the Nephrologist- Real life experience from Italy @caioqualunque Webinar now available on the ISN Academy
@caioqualunque Thank you for sharing your experience with the ISN community. On the panel ISN President @vjha126 Moderator @arvindcanchi. ISN education highlights by @gag_aggarwal
@caioqualunque STORY OF THE EPIDEMIC-Feb14 38yr old Italian starts with symptoms after being asymptomatic for weeks->Feb 20 only 3cases->fast forward to 2 weeks later the country is in lockdown #COVID #COVID2019italia #COVID2019india #COVID2019 #nCoV2019 #Covid_19
Read 39 tweets

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