The impact of Covid-19 pandemic on the chronic kidney disease patients in Mumbai Maharashtra, A observational study
Shabina Shaikh, Manisha Shrivastava
COVID_19 is first and foremost a human tragedy, Mumbai Maharashtra was the worst hit state due to COVID-19 Nursing homes, Government Hospitals soon became defunct. Chronic Kidney Failure (CKD) patients who were on dialysis were the most affected group during this pandemic. Sudden lockdown in Mumbai had disrupted 1.3 million people and limited the accessibility of CKD patients to the healthcare facility, patients started running from pillar to post to find a hospital for dialysis. Public transport local train service came to standstill. A observational cross-sectional study on a group of 68 participants who were diagnosed with CKD and were on dialysis registered with a tertiary care private- hospital in south Mumbai was conducted. Patient feedback was recorded in a semi structured format covering all the aspects of Individuals socio demographic logistic financial & clinical aspects. Out of 68 participants 38 (55.9%) were Male and 30 (44.1%) were female, aged between 25 to 72years.Results confirmed out of 68 cases, 59(86.8%) were married the mean age of the patients was 53.9 + 13.7 years, out of 68 (99.5%) almost every participant had complaints of on and off fever, cough, anxiety and weakness, Out of 68 participants 20 (29.4%) became COVID-19 positive. 19(27.9%) were taking dialysis 3 times per week and 49 (72.1%) were on twice a week dialysis.01 participant discontinued dialysis because of non-availability of transport financial constraint and other went to his hometown. Study concluded that there is an urgent need to establish a regional contingency plan for the treatment and management of CKD patients in the context of a major public health emergency.