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COVID-19 and Kidney Failure in the Acute Care Setting: Our Experience From Seattle

Published:April 07, 2020DOI:https://doi.org/10.1053/j.ajkd.2020.04.001
      For weeks we watched as Wuhan, China, was ravaged by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), wondering what the future had in store for us. On January 21, 2020, the first known case of coronavirus disease 2019 (COVID-19) on US soil was identified 20 miles north of Seattle in the town of Everett, WA. On Friday, February 28, the nation's first reported death due to COVID-19 infection was disclosed, followed by the second mortality case a mere 48 hours later. Both were patients with kidney failure dialyzing with Northwest Kidney Centers in our ambulatory clinics and subsequently under the care of our Hospital Services team. During the course of that weekend, our organization was brought to the forefront of the COVID-19 pandemic, mandating an immediate and coordinated response. Our approach to managing the threat in our outpatient facilities has been summarized elsewhere.
      • Watnick S.
      • McNamara E.
      On the frontline of the COVID-19 outbreak: keeping patients on long-term dialysis safe.
      This editorial focuses on the acute care setting by considering 3 key questions.
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