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When the earth trembles in the Americas : the experience of Haiti and Chile 2010

Raymond Vanholder UGent, D Borniche, Stefaan Claus, R Correa-Rotter, R Crestani, MC Ferir, N Gibney, A Hurtado, VA Luyckx, D Portilla, et al. (2011) NEPHRON CLINICAL PRACTICE. 117(3). p.c184-c197
abstract
The response of the nephrological community to the Haiti and Chile earthquakes which occurred in the first months of 2010 is described. In Haiti, renal support was organized by the Renal Disaster Relief Task Force (RDRTF) of the International Society of Nephrology (ISN) in close collaboration with Médecins Sans Frontières (MSF), and covered both patients with acute kidney injury (AKI) and patients with chronic kidney disease (CKD). The majority of AKI patients (19/27) suffered from crush syndrome and recovered their kidney function. The remaining 8 patients with AKI showed acute-to-chronic renal failure with very low recovery rates. The intervention of the RDRTF-ISN involved 25 volunteers of 9 nationalities, lasted exactly 2 months, and was characterized by major organizational difficulties and problems to create awareness among other rescue teams regarding the availability of dialysis possibilities. Part of the Haitian patients with AKI reached the Dominican Republic (DR) and received their therapy there. The nephrological community in the DR was able to cope with this extra patient load. In both Haiti and the DR, dialysis treatment was able to be prevented in at least 40 patients by screening and adequate fluid administration. Since laboratory facilities were destroyed in Port-au-Prince and were thus lacking during the first weeks of the intervention, the use from the very beginning on of a point-of-care device (i-STAT(R)) was very efficient for the detection of aberrant kidney function and electrolyte parameters. In Chile, nephrological problems were essentially related to difficulties delivering dialysis treatment to CKD patients, due to the damage to several units. This necessitated the reallocation of patients and the adaptation of their schedules. The problems could be handled by the local nephrologists. These observations illustrate that local and international preparedness might be life-saving if renal problems occur in earthquake circumstances.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
journal title
NEPHRON CLINICAL PRACTICE
Nephron. Clin. Pract.
volume
117
issue
3
pages
c184 - c197
Web of Science type
Review
Web of Science id
000284576500002
JCR category
UROLOGY & NEPHROLOGY
JCR impact factor
2.038 (2011)
JCR rank
33/72 (2011)
JCR quartile
2 (2011)
ISSN
1660-2110
DOI
10.1159/000320200
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1068689
handle
http://hdl.handle.net/1854/LU-1068689
date created
2010-11-03 09:05:43
date last changed
2018-01-19 14:12:32
@article{1068689,
  abstract     = {The response of the nephrological community to the Haiti and Chile earthquakes which occurred in the first months of 2010 is described. In Haiti, renal support was organized by the Renal Disaster Relief Task Force (RDRTF) of the International Society of Nephrology (ISN) in close collaboration with M{\'e}decins Sans Fronti{\`e}res (MSF), and covered both patients with acute kidney injury (AKI) and patients with chronic kidney disease (CKD). The majority of AKI patients (19/27) suffered from crush syndrome and recovered their kidney function. The remaining 8 patients with AKI showed acute-to-chronic renal failure with very low recovery rates. The intervention of the RDRTF-ISN involved 25 volunteers of 9 nationalities, lasted exactly 2 months, and was characterized by major organizational difficulties and problems to create awareness among other rescue teams regarding the availability of dialysis possibilities. Part of the Haitian patients with AKI reached the Dominican Republic (DR) and received their therapy there. The nephrological community in the DR was able to cope with this extra patient load. In both Haiti and the DR, dialysis treatment was able to be prevented in at least 40 patients by screening and adequate fluid administration. Since laboratory facilities were destroyed in Port-au-Prince and were thus lacking during the first weeks of the intervention, the use from the very beginning on of a point-of-care device (i-STAT(R)) was very efficient for the detection of aberrant kidney function and electrolyte parameters. In Chile, nephrological problems were essentially related to difficulties delivering dialysis treatment to CKD patients, due to the damage to several units. This necessitated the reallocation of patients and the adaptation of their schedules. The problems could be handled by the local nephrologists. These observations illustrate that local and international preparedness might be life-saving if renal problems occur in earthquake circumstances.},
  author       = {Vanholder, Raymond and Borniche, D and Claus, Stefaan and Correa-Rotter, R and Crestani, R and Ferir, MC and Gibney, N and Hurtado, A and Luyckx, VA and Portilla, D and Rodriguez, S and Sever, MS and Vanmassenhove, Jill and Wainstein, R},
  issn         = {1660-2110},
  journal      = {NEPHRON CLINICAL PRACTICE},
  language     = {eng},
  number       = {3},
  pages        = {c184--c197},
  title        = {When the earth trembles in the Americas : the experience of Haiti and Chile 2010},
  url          = {http://dx.doi.org/10.1159/000320200},
  volume       = {117},
  year         = {2011},
}

Chicago
Vanholder, Raymond, D Borniche, Stefaan Claus, R Correa-Rotter, R Crestani, MC Ferir, N Gibney, et al. 2011. “When the Earth Trembles in the Americas : the Experience of Haiti and Chile 2010.” Nephron Clinical Practice 117 (3): c184–c197.
APA
Vanholder, R., Borniche, D., Claus, S., Correa-Rotter, R., Crestani, R., Ferir, M., Gibney, N., et al. (2011). When the earth trembles in the Americas : the experience of Haiti and Chile 2010. NEPHRON CLINICAL PRACTICE, 117(3), c184–c197.
Vancouver
1.
Vanholder R, Borniche D, Claus S, Correa-Rotter R, Crestani R, Ferir M, et al. When the earth trembles in the Americas : the experience of Haiti and Chile 2010. NEPHRON CLINICAL PRACTICE. 2011;117(3):c184–c197.
MLA
Vanholder, Raymond, D Borniche, Stefaan Claus, et al. “When the Earth Trembles in the Americas : the Experience of Haiti and Chile 2010.” NEPHRON CLINICAL PRACTICE 117.3 (2011): c184–c197. Print.