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Renal Failure Patients in Disasters

Published online by Cambridge University Press:  06 May 2019

Kenneth D. Lempert Open the ORCID record for Kenneth D. Lempert [Opens in a new window]  and
Jeffrey B. Kopp
Kenneth D. Lempert*
Affiliation:
Department of Medicine, College of Human Medicine, Michigan State University, East Lansing, MI
Jeffrey B. Kopp
Affiliation:
National Institute of Diabetes and Digestive and Kidney Diseases, Kidney Diseases Branch, National Institutes of Health, Bethesda, MD
*
Correspondence and reprint requests to Dr Kenneth D. Lempert, 5261 Carlingfort Drive, Toledo, OH 43623-1519 (e-mail: [email protected]).
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Abstract

Disasters occur regularly, and frequently large numbers of patients treated with maintenance dialysis or with the recent onset of acute kidney injury are put at risk owing to the lack of access to dialysis care precipitating also a kidney failure disaster. The absence of necessary dialysis treatments can result in excessive emergency department visits, hospitalizations, morbidity, or an early death. Those with kidney failure are often evaluated in disaster medical locations or hospitals without nephrologists in attendance. Here we offer guidance for medical personnel evaluating such patients so that dialysis-dependent individuals can be properly assessed and managed with the need for urgent dialysis recognized. A disaster dialysis triage system is proposed. (Disaster Med Public Health Preparedness. 2019;13:782–790)

Keywords

dialysisESRDtriagedisasterkidney
Type
Concepts in Disaster Medicine
Information
Disaster Medicine and Public Health Preparedness , Volume 13 , Issue 4 , August 2019 , pp. 782 - 790
Copyright
Copyright © 2019 Society for Disaster Medicine and Public Health, Inc. 

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References

REFERENCES

Hartmann, EH, Creel, N, Lepard, J, et al. Mass casualty following unprecedented tornadic events in the Southeast: natural disaster outcomes at a Level I trauma center. Am Surg. 2012;78(7):770-773.Google Scholar
Chan, KE, Thadhani, RI, Maddux, FW. Adherence barriers to chronic dialysis in the United States. J Am Soc Nephrol. 2014;25(11):2642-2648.CrossRefGoogle ScholarPubMed
Sever, MS, Vanholder, R. Management of crush victims in mass disasters: highlights from recently published recommendations. Clin J Am Soc Nephrol. 2013;8(2):328-335.CrossRefGoogle ScholarPubMed
Johnson, DW, Hayes, B, Gray, NA, et al. Renal services disaster planning: lessons learnt from the 2011 Queensland floods and North Queensland cyclone experiences. Nephrology (Carlton). 2013;18(1):41-46.CrossRefGoogle ScholarPubMed
Howard, D, Zhang, R, Huang, Y, et al. Hospitalization rates among dialysis patients during Hurricane Katrina. Prehosp Disaster Med. 2012;27(4):325-329.CrossRefGoogle ScholarPubMed
Kelman, J, Finne, K, Bogdanov, A, et al. Dialysis care and death following Hurricane Sandy. Am J Kidney Dis. 2015;65(1):109-115.CrossRefGoogle ScholarPubMed
Mani, MK. The nephrotoxicity of the tsunami. Natl Med J India. 2007;20(3):154-155.Google ScholarPubMed
American Kidney Fund. American Kidney Fund extends disaster relief assistance to dialysis patients affected by Northern California Fires. Cision PR Newswire Website. https://www.prnewswire.com/news-releases/american-kidney-fund-extends-disaster-reliefassistance-to-dialysis-patients-affected-by-northern-california-wildfires-300536581.html. Published October 13, 2017. Accessed April 18, 2018.Google Scholar
Stewart, IJ, Snow, BD, Clemens, MS, et al. Hyperkalemia in combat casualties: implications for delayed evacuation. Mil Med. 2017;182(11):e2046-e2051.CrossRefGoogle ScholarPubMed
Isreb, MA, Kaysi, S, Rifai, AO, et al. The effect of war on Syrian refugees with end-stage renal disease. Kidney Int Rep. 2017;2(5):960-963.CrossRefGoogle ScholarPubMed
Berger, T, Eisenkraft, A, Bar-Haim, E, et al. Toxins as biological weapons for terror-characteristics, challenges and medical countermeasures: a mini-review. Disaster Mil Med. 2016;2:7.CrossRefGoogle ScholarPubMed
Stewart, IJ, Faulk, TI, Sosnov, JA, et al. Rhabdomyolysis among critically ill combat casualties: associations with acute kidney injury and mortality. J Trauma Acute Care Surg. 2016;80(3):492-498.CrossRefGoogle ScholarPubMed
Kamei, D, Kuno, T, Sato, S, et al. Impact of the Fukushima Daiichi Nuclear Power Plant accident on hemodialysis facilities: an evaluation of radioactive contaminants in water used for hemodialysis. Ther Apher Dial. 2012;16(1):87-90.CrossRefGoogle ScholarPubMed
Kobayashi, M. Experience of infrastructure damage caused by the Great East Japan Earthquake and countermeasures against future disasters. IEEE Commun Mag. 2014;52(3):23-29.CrossRefGoogle Scholar
Oh, EH, Deshmukh, A, Hastak, M. Disaster impact analysis based on inter-relationship of critical infrastructure and associated industries – a winter flood disaster event. Int J Disaster Resil Built Environ. 2010;1(1):25-49.CrossRefGoogle Scholar
McClelland, E, Amlot, R, Rogers, MB, et al. Psychological and physical impacts of extreme events on older adults: implications for communications. Disaster Med Public Health Prep. 2017;11(1):127-134.CrossRefGoogle ScholarPubMed
Rodriguez, H, Aguirre, BE. Hurricane Katrina and the healthcare infrastructure: a focus on disaster preparedness, response, and resiliency. Front Health Serv Manage. 2006; 23(1):13-23; discussion 25-30.CrossRefGoogle ScholarPubMed
Gibney, RT, Sever, MS, Vanholder, RC. Disaster nephrology: crush injury and beyond. Kidney Int. 2014;85(5):1049-1057.CrossRefGoogle ScholarPubMed
Sever, MS, Vanholder, R, Lameire, N. Management of crush-related injuries after disasters. N Engl J Med. 2006;354(10):1052-1063.CrossRefGoogle ScholarPubMed
Sever, MS, Lameire, N, Van Biesen, W, et al. Disaster nephrology: a new concept for an old problem. Clin Kidney J. 2015;8(3):300-309.CrossRefGoogle ScholarPubMed
Irvine, J, Buttimore, A, Eastwood, D, et al. The Christchurch earthquake: dialysis experience and emergency planning. Nephrology (Carlton). 2014;19(5):296-303.CrossRefGoogle ScholarPubMed
Murakami, N, Siktel, HB, Lucido, D, et al. Disaster preparedness and awareness of patients on hemodialysis after Hurricane Sandy. Clin J Am Soc Nephrol. 2015;10(8):1389-1396.CrossRefGoogle ScholarPubMed
Sever, MS, Lameire, N, Vanholder, R. Renal disaster relief: from theory to practice. Nephrol Dial Transplant. 2009;24(6):1730-1735.CrossRefGoogle ScholarPubMed
Kopp, JB, Ball, LK, Cohen, A, et al. Kidney patient care in disasters: emergency planning for patients and dialysis facilities. Clin J Am Soc Nephrol. 2007;2(4):825-838.CrossRefGoogle ScholarPubMed
Portilla, D, Shaffer, RN, Okusa, MD, et al. Lessons from Haiti on disaster relief. Clin J Am Soc Nephrol. 2010;5(11):2122-2129.CrossRefGoogle ScholarPubMed
Sever, MS, Vanholder, R. Recommendation for the management of crush victims in mass disasters. Nephrol Dial Transplant. 2012;27(Suppl 1):i1-67.CrossRefGoogle ScholarPubMed
Daily, E. Defining the skills of disaster responders. Prehosp Disaster Med. 2017;32(2):231-232.CrossRefGoogle ScholarPubMed
Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group. KDIGO 2012 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease Chapter 1: Definition and classification of CKD. Kidney Int Suppl 2013;3(1):19-62.Google Scholar
Hsu, RK, Hsu, CY. The role of acute kidney injury in chronic kidney disease. Semin Nephrol. 2016;36(4):283-292.CrossRefGoogle ScholarPubMed
Kidney Disease: Improving Global Outcomes (KDIGO) Acute Kidney Injury Work Group. KDIGO Clinical Practice Guideline for Acute Kidney Injury. Chapter 2:1 Definition and classification of AKI. Kidney Int Suppl. 2012;2(1):19-36.Google Scholar
Waikar, SS, Bonventre, JV. Creatinine kinetics and the definition of acute kidney injury. J Am Soc Nephrol. 2009;20(3):672-679.CrossRefGoogle ScholarPubMed
Chen, S. Retooling the creatinine clearance equation to estimate kinetic GFR when the plasma creatinine is changing acutely. J Am Soc Nephrol. 2013;24(6):877-888.CrossRefGoogle ScholarPubMed
Heung, M, Steffick, DE, Zivin, K, et al. Acute kidney injury recovery pattern and subsequent risk of CKD: an analysis of Veterans Health Administration data. Am J Kidney Dis. 2016;67(5):742-752.CrossRefGoogle ScholarPubMed
Lempert, KD, Kopp, JB. Hurricane Sandy as a kidney failure disaster. Am J Kidney Dis. 2013;61(6):865-868.CrossRefGoogle ScholarPubMed
Culleton, BF, Asola, MR. The impact of short daily and nocturnal hemodialysis on quality of life, cardiovascular risk and survival. J Nephrol. 2011;24(4):405-415.CrossRefGoogle ScholarPubMed
Yuan, CM, Perkins, RM. Renal replacement therapy in austere environments. Int J Nephrol. 2011;2011:748053.CrossRefGoogle ScholarPubMed
United States Renal Data System. 2017 USRDS annual data report: epidemiology of kidney disease in the United States. National Institutes of Health, National Institute of National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD; 2017.Google Scholar
Harambat, J, Ekulu, PM. Inequalities in access to pediatric ESRD care: a global health challenge. Pediatr Nephrol. 2016;31(3):353-358.CrossRefGoogle ScholarPubMed
Sethi, SK, Bunchman, T, Srivastava, RN. Earthquakes and pediatric nephrology: are we prepared? Pediatr Nephrol. 2010;25(12):2543-2544.CrossRefGoogle ScholarPubMed
Byrne, C, Caskey F, Castledine, C, et al. UK Renal Registry. 19th Annual Report of the Renal Association: Chapter 2 UK Renal Replacement Therapy Prevalence in 2015: national and centre-specific analyses. Nephron. 2017;137(Suppl 1):45-72.Google Scholar
Canadian Institute for Health Information (CIHI). Canadian Organ Replacement Register: final modality for end stage renal disease (ESRD) patients, QuickStats. https://apps.cihi.ca/mstrapp/asp/Main.aspx?Server=apmstrextprd_i&project=Quick%20Stats&uid=pce_pub_en&pwd=&evt=2048001&visualizationMode=0&documentID=C0C7015F4326A4B3C881C89B3B8E6F98. Published 2018. Accessed April 17, 2018.Google Scholar
Bello, AK, Levin, A, Tonelli, M, et al. Assessment of global kidney health care status. JAMA. 2017;317(18):1864-1881.CrossRefGoogle ScholarPubMed
Koshiba, T, Nishiuchi, T, Akaihata, H, et al. Evaluating the imbalance between increasing hemodialysis patients and medical staff shortage after the Great East Japan Earthquake: report from a hemodialysis center near the Fukushima Nuclear Power Plants. Ther Apher Dial. 2016;20(2):127-134.CrossRefGoogle ScholarPubMed
Dossabhoy, NR, Qadri, M, Beal, LM. Nephrologic impact of Hurricanes Katrina and Rita in areas not directly affected. J La State Med Soc. 2015;167(6):254-256.Google Scholar
Anderson, AH, Cohen, AJ, Kutner, NG, et al. Missed dialysis sessions and hospitalization in hemodialysis patients after Hurricane Katrina. Kidney Int. 2009;75(11):1202-1208.CrossRefGoogle ScholarPubMed
Kutner, NG, Muntner, P, Huang, Y, et al. Effect of Hurricane Katrina on the mortality of dialysis patients. Kidney Int. 2009;76(7):760-766.CrossRefGoogle ScholarPubMed
Medicare and Medicaid Programs. Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers FR, 81 (180) September 16, 2016. Department of Health and Human Services, Centers for Medicare & Medicaid Services, to be coded at 42 CFR Parts 403, 416, 418.Google Scholar
Howard, E, Wiseman, K. Emergency and disaster planning: patient education and preparation. Nephrol Nurs J. 2001;28(5):527-528.Google ScholarPubMed
The Renal Network. Disaster preparedness: a guide for chronic dialysis facilities, 2nd ed. http://www.therenalnetwork.org/home/resources/Disaster_Preparedness__A_Guide_for_Chronic_Dialysis_Facilities_-_Second_Edition.pdf. Published 2011. Accessed August 3, 2018.Google Scholar
Kidney community emergency response. KCER. https://www.kcercoalition.com/. Accessed August 3, 2018.Google Scholar
Lurie, N, Finne, K, Worrall, C, et al. Early dialysis and adverse outcomes after Hurricane Sandy. Am J Kidney Dis. 2015;66(3):507-512.CrossRefGoogle ScholarPubMed
System USRD. 2017 USRDS annual data report: incidence, prevalence, patient characteristics, and treatment modalities. National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD; 2017.Google Scholar
Mailloux, LU, Napolitano, B, Bellucci, AG, et al. Renal vascular disease causing end-stage renal disease, incidence, clinical correlates, and outcomes: a 20-year clinical experience. Am J Kidney Dis. 1994;24(4):622-629.CrossRefGoogle ScholarPubMed
Harnett, JD, Foley, RN, Kent, GM, et al. Congestive heart failure in dialysis patients: prevalence, incidence, prognosis and risk factors. Kidney Int. 1995;47(3):884-890.CrossRefGoogle ScholarPubMed
Kubota, M, Ishida, H, Kojima, Y, et al. Impact of mobile clinical analyzers on disaster medicine: a lesson from crush syndrome in the 1995 Hanshin-Awaji earthquake. Biomed Instrum Technol. 2003;37(4):259-262.Google ScholarPubMed
Louie, RF, Ferguson, WJ, Curtis, CM, et al. Vulnerability of point-of-care test reagents and instruments to environmental stresses: implications for health professionals and developers. Clin Chem Lab Med. 2014;52(3):325-335.CrossRefGoogle ScholarPubMed
Palevsky, PM. Renal replacement therapy (dialysis) in acute kidney injury in adults: indications, timing, and dialysis dose. Berns JS, ed. UpToDate. http://uptodate.com. Published 2018. Accessed August 3, 2018.Google Scholar
Baluarte, JH. Neurological complications of renal disease. Semin Pediatr Neurol. 2017;24(1):25-32.CrossRefGoogle ScholarPubMed
Luft, FC, Gilman, JK, Weyman, AE. Pericarditis in the patient with uremia: clinical and echocardiographic evaluation. Nephron. 1980;25(4):160-166.CrossRefGoogle ScholarPubMed
Vanholder, R, Van Biesen, W, Lameire, N, et al. The role of the International Society of Nephrology/Renal Disaster Relief Task Force in the rescue of renal disaster victims. Contrib Nephrol. 2007;156:325-332.CrossRefGoogle ScholarPubMed
Merin, O, Ash, N, Levy, G, et al. The Israeli field hospital in Haiti – ethical dilemmas in early disaster response. N Engl J Med. 2010;362(11):e38.CrossRefGoogle ScholarPubMed
Ponce, D, Zorzenon, C de P, dos Santos, NY, et al. Early nephrology consultation can have an impact on outcome of acute kidney injury patients. Nephrol Dial Transplant. 2011;26(10):3202-3206.CrossRefGoogle ScholarPubMed
Daugirdas, JT, Greene, T, Rocco, MV, et al. Effect of frequent hemodialysis on residual kidney function. Kidney Int. 2013;83(5):949-958.CrossRefGoogle ScholarPubMed
Forbes, SH, McCafferty, K, Lawson, T, et al. Is lack of suitable housing a barrier to home-based dialysis therapy for patients with end-stage renal disease? A cohort study. BMJ Open. 2013;3(2):1-6.CrossRefGoogle ScholarPubMed
Curtis, CM, Louie, RF, Vy, JH, et al. Innovations in point-of-care testing for enhanced United States disaster caches. Am J Disaster Med. 2013;8(3):181-204.CrossRefGoogle ScholarPubMed
Campese, VM, Adenuga, G. Electrophysiological and clinical consequences of hyperkalemia. Kidney Int Suppl. 2016;6:16-19.CrossRefGoogle ScholarPubMed
Wilson, NS, Hudson, JQ, Cox, Z, et al. Hyperkalemia-induced paralysis. Pharmacotherapy. 2009;29(10):1270-1272.CrossRefGoogle ScholarPubMed
Meaney, CJ, Beccari, MV, Yang, Y, et al. Systematic review and meta-analysis of patiromer and sodium zirconium cyclosilicate: a new armamentarium for the treatment of hyperkalemia. Pharmacotherapy. 2017;37(4):401-411.CrossRefGoogle ScholarPubMed
Watson, M, Abbott, KC, Yuan, CM. Damned if you do, damned if you don’t: potassium binding resins in hyperkalemia. Clin J Am Soc Nephrol. 2010;5(10):1723-1726.CrossRefGoogle Scholar
Flinn, RB, Merrill, JP, Welzant, WR. Treatment of the oliguric patient with a new sodium-exchange resin and sorbitol; a preliminary report. N Engl J Med. 1961;264:111-115.CrossRefGoogle ScholarPubMed
LaRue, HA, Peksa, GD, Shah, SC. A comparison of insulin doses for the treatment of hyperkalemia in patients with renal insufficiency. Pharmacotherapy. 2017;37(12):1516-1522.CrossRefGoogle ScholarPubMed
Blumberg, A, Weidmann, P, Ferrari, P. Effect of prolonged bicarbonate administration on plasma potassium in terminal renal failure. Kidney Int. 1992;41(2):369-374.CrossRefGoogle ScholarPubMed
Bushinsky, DA, Hostetter, T, Klaerner, G, et al. Randomized, controlled trial of TRC101 to increase serum bicarbonate in patients with CKD. Clin J Am Soc Nephrol. 2018;13(1):26-35.CrossRefGoogle ScholarPubMed
Aslam, S, Friedman, EA, Ifudu, O. Electrocardiography is unreliable in detecting potentially lethal hyperkalaemia in haemodialysis patients. Nephrol Dial Transplant. 2002;17(9):1639-1642.CrossRefGoogle ScholarPubMed
Putcha, N, Allon, M. Management of hyperkalemia in dialysis patients. Semin Dial. 2007;20(5):431-439.CrossRefGoogle ScholarPubMed
Bragg-Gresham, JL, Fissell, RB, Mason, NA, et al. Diuretic use, residual renal function, and mortality among hemodialysis patients in the Dialysis Outcomes and Practice Pattern Study (DOPPS). Am J Kidney Dis. 2007;49(3):426-431.CrossRefGoogle Scholar
Latus, J, Braun, N, Alscher, MD, et al. Life-threatening hyperkalemia – an overlooked acute kidney injury with a serum creatinine rise in the “normal” range. BMJ Case Rep. 2012, 2012 bcr0120125691; doi: 10.1136/bcr.01.2012.5691Google Scholar
Bots, CP, Brand, HS, Veerman, EC, et al. Interdialytic weight gain in patients on hemodialysis is associated with dry mouth and thirst. Kidney Int. 2004;66(4):1662-1668.CrossRefGoogle Scholar
Chronopoulos, A, Rosner, MH, Cruz, DN, et al. Acute kidney injury in the elderly: a review. Contrib Nephrol. 2010;165:315-321.CrossRefGoogle ScholarPubMed
Burgert, JM. Intraosseous vascular access in disasters and mass casualty events: a review of the literature. Am J Disaster Med. 2016;11(3):149-166.CrossRefGoogle ScholarPubMed
Bush, RL, Lin, PH, Lumsden, AB. Management of thrombosed dialysis access: thrombectomy versus thrombolysis. Semin Vasc Surg. 2004;17(1):32-39.CrossRefGoogle ScholarPubMed
Foy, M, Sperati, CJ. What the non-nephrologist needs to know about dialysis. Semin Dial. 2018;31(2):183-192.CrossRefGoogle ScholarPubMed
Munar, MY, Singh, H. Drug dosing adjustments in patients with chronic kidney disease. Am Fam Physician. 2007;75(10):1487-1496.Google ScholarPubMed
Hong, R, Sierzenski, PR, Bollinger, M, et al. Does the simple triage and rapid treatment method appropriately triage patients based on trauma injury severity score? Am J Disaster Med. 2008;3(5):265-271.Google ScholarPubMed
Veenema, TG, Thornton, CP, Lavin, RP, et al. Climate change-related water disasters’ impact on population health. J Nurs Scholarsh. 2017;49(6):625-634.CrossRefGoogle ScholarPubMed
Kuehn, B. Back-to-back disasters put response systems to the test. Kidney News. 2017;9(12):1-2.Google Scholar