Outpatient dialysis facilities have also reported challenges, including separating COVID-19 positive and negative patients and protecting their own workers.
When the COVID-19 crisis began, much of the media attention focused on the effects of the infection on the respiratory system and the critical need for ventilators to treat patients in respiratory distress.
It is not yet known whether the kidneys are a direct target of the virus, if the issues are secondary to other processes such as blood clots forming in the small blood vessels of the kidneys, or some combination of both. Researchers have found evidence that the virus may have an affinity for certain structures on both lung and kidney cells called ACE-2 receptors.
Dialysis treatments are common in people who suffer from chronic kidney disease , which according to the National Kidney Foundation affects an estimated 37 million U.S adults. Those whose kidneys become damaged over time can experience kidney failure, for which dialysis or a transplant would then be needed to stay alive.
When she spoke to Yahoo News two weeks ago, cases in the New York area were peaking. Her hospital’s dialysis resources were stretched to the breaking point. “You can’t separate the two because most patients that require dialysis are also on ventilators,” Yale’s Kliger said.
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