Resilience and challenges of peritoneal dialysis survivors in the aftermath of the 2023 Kahramanmaraş earthquake

Ther Apher Dial. 2024 Aug;28(4):648-656. doi: 10.1111/1744-9987.14130. Epub 2024 Apr 22.

Abstract

Introduction: Peritoneal dialysis (PD) remains understudied in disaster nephrology. This retrospective multicenter study explores the experiences of PD survivors following the February 6, 2023, Kahramanmaraş Earthquake.

Methods: Adult PD patients from 11 affected cities were analyzed to assess challenges faced during and postearthquake, alongside clinical outcomes.

Results: Among 101 participants (median age: 45 years, median PD duration: 24 months), 57 were female, with 79 on continuous ambulatory PD. Challenges included power outages and water shortages, with primary shelter in kin's houses (33%) and homes (28%). Twelve patients experienced PD program delays, and three lacked assistance postdisaster. Sixteen patients changed PD modalities, with seven experiencing postearthquake peritonitis. Clinical parameters remained stable, except for a slight decrease in hemoglobin levels.

Conclusion: Despite challenges, PD survivors exhibited resilience, highlighting the importance of addressing peritonitis and unusual pathogens in disaster preparedness initiatives.

Keywords: disaster; disaster nephrology; earthquake; peritoneal dialysis; peritonitis.

Publication types

  • Multicenter Study

MeSH terms

  • Adult
  • Aged
  • Disaster Planning
  • Disasters
  • Earthquakes*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Peritoneal Dialysis*
  • Peritonitis / epidemiology
  • Peritonitis / etiology
  • Resilience, Psychological
  • Retrospective Studies
  • Survivors* / psychology