The overall activity of nephrology clinics and dialysis centers was affected by the lockdown measures. It reported a 28-day mortality of 21.3% for the COVID-19 confirmed patients among the kidney transplant recipients and 25% for the dialysis patients. The Renal Association COVID-19 Database (ERACODA), founded in March 2020, deals with risk calculation and mortality rate assessment of the patients with CKD stage 5 and kidney transplants. The patients with chronic kidney disease (CKD), diabetes, and cardiovascular pathology were most affected and had an unfavorable outcome. For example, 30% of the patients with severe forms of COVID-19 developed acute kidney failure, and approximately 25вЂ“30% required hemodialysis. In nephrology, the COVID-19 pandemic affected not only the patients already diagnosed with kidney impairment. The medical system was dichotomized to deal with emergencies and provide medical care for COVID-19 and non-COVID-19 patients. Only emergencies were admitted during the lockdowns, chronic pathologies were rescheduled, and some hospitals were entirely transformed into COVID-19 facilities. Nationally, the medical system was subjected to specific measures to optimize the need to provide optimal and immediate care for the COVID-19 patients. In the last one and a half years, numerous publications have dealt with the effect of the pandemic on medical activity, especially in fields such as oncology, cardiology, dermatology, plastic surgery, bariatric surgery, cardiac surgery, and transplant surgery. The evolution of the COVID-19 pandemic affected social life, daily activities, and healthcare systems. Д®volution of the number of patients newly diagnosed with COVID-19 in Romania (Reprinted from Ref. The evolution of the pandemic has recorded three waves of maximum numbers of infected people, as follows: the first one from October 2020 until January 2021, where the first maximum number of cases in 24 h was on 18 November 2020 (10,269) the second wave took place in MarchвЂ“June 2021, with a maximum of infected patients recorded on 25 March 2021 (6651), and the third wave occurred in SeptemberвЂ“November 2021, with a maximum of 18,863 patients registered on 18 October 2021 ( Figure 1). Until 24 December 2021, Romania registered 1801,081 confirmed cases and 58,463 fatalities. Until 14 March 2020, our country registered 100 confirmed cases, most of whom came from the countries severely afflicted by the pandemic. The first confirmed case in Romania was declared on 26 February 2020 in Gorj county. Consequently, WHO recommended a set of restrictions to avoid spreading the virus, such as wearing masks, quarantining the people who tested positive with mild symptoms, and isolating the contacts. It spread globally in an alert rhythm, which led to the official declaration of the pandemic on 11th of March 2020 by the World Health Organization (WHO). The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), caused by the Coronavirus 19 Virus (COVID-19), was first diagnosed in December 2019 in Wuhan, China. In contrast, the need for emergency dialysis increased significantly. The number of chronic and patientвЂ™s access to one-day hospitalization decreased in order to minimalize the exposure and the risk of infection. Conclusions: The COVID-19 pandemic accelerated kidney pathology and worsened the outcomes of nephrology patients in our center. Acute kidney injury (AKI) and urosepsis were the diagnoses that increased the most among in-patients during the pandemic, while all other nephrology diagnoses decreased. Moreover, we observed a statistically significant increase in the number of dialysis sessions per patient and a statistically significant increase in the number of hospitalization days in the pandemic interval. An overall increase in the number of patients requiring dialysis during the pandemic was recorded, as of the number of dialysis sessions performed. Results: In the COVID-19 period, there were fewer one-day hospitalizations registered, 77.27% more dialysis catheters were installed, and 43.75% more arteriovenous fistulas were performed. Methods: We examined the activity of the Nephrology Department from TГўrgu-MureИ™ County Emergency Hospital retrospectively, comparing two periods: June 2020вЂ“November 2021 (COVID-19 period) and June 2018вЂ“November 2019 (non-COVID-19 period). The patients with chronic kidney disease (CKD), diabetes, and cardiovascular disease were most affected and had an unfavorable outcome. Background: The evolution of the COVID-19 pandemic affected healthcare systems worldwide.

Eliza ong age 2020