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Year : 2022  |  Volume : 32  |  Issue : 3  |  Page : 197--205

A unified citywide dashboard for allocation and scheduling dialysis for COVID-19 patients on maintenance hemodialysis

Viswanath Billa1, Santosh Noronha2, Shrirang Bichu1, Jatin Kothari3, Rajesh Kumar4, Kalpana Mehta5, Tukaram Jamale6, Nikhil Bhasin7, Sayali Thakare6, Smriti Sinha5, Geeta Sheth8, Narayan Rangaraj2, Venugopal Pai2, Amaldev Venugopal2, Akshay Toraskar2, Zaheer Virani9, Mayuri Trivedi10, Divya Bajpai6, Shrikant Khot12, Rasika Sirsat12, Alan Almeida12, Niwrutti Hase11, Sundaram12, Hariharan12, Swapnil Hiremath13, Iqbal Singh Chahal14, on behalf of the 'Project Victory' consortium15 
1 Division of Nephrology, Bombay Hospital; Apex Kidney Foundation, Indian Institute of Technology, Mumbai, Maharashtra, India
2 Tata Centre for Technology and Design/Department of Industrial Engineering and Operations Research, Indian Institute of Technology, Mumbai, Maharashtra, India
3 Apex Kidney Foundation, Indian Institute of Technology, Mumbai, Maharashtra, India; Division of Nephrology, PD Hinduja Hospital, USA
4 Apex Kidney Foundation, Indian Institute of Technology, Mumbai, Maharashtra, India; Division of Nephrology, Dr. LH Hiranandani Hospital, USA
5 Division of Nephrology, BYL Nair Charitable Hospital, USA
6 Division of Nephrology, King Edward Memorial Hospital, USA
7 Division of Nephrology, Seven Hills Hospital, USA
8 Division of Nephrology, Sir JJ Group of Hospitals, USA
9 Division of Nephrology, Saifee Hospital, USA
10 Division of Nephrology, Lokmanya Tilak Municipal General Hospital, USA
11 Division of Nephrology, Jupiter Hospital, USA
12 Division of Transplantation, University of Pittsburgh Medical Center, USA
13 Division of Nephrology, Ottawa Hospital, University of Ottawa, Canada
14 Municipal Corporation of Greater Mumbai, India
15 The Project Victory Consortium

Correspondence Address:
Viswanath Billa
Department of Nephrology, R. No. 6, 2nd Floor, New Wing, Bombay Hospital, Mumbai - 400 020, Maharashtra
India

Introduction: The coronavirus disease 2019 (COVID-19) pandemic has caused significant global disruption, especially for chronic care like hemodialysis treatments. Approximately 10,000 end-stage kidney disease (ESKD) patients are receiving maintenance hemodialysis (MHD) at 174 dialysis centers in Greater Mumbai. Because of the fear of transmission of infection and inability to isolate patients in dialysis centers, chronic hemodialysis care was disrupted for COVID-19-infected patients. Hence, we embarked on a citywide initiative to ensure uninterrupted dialysis for these patients. Materials and Methods: The Municipal Corporation of Greater Mumbai (MCGM) designated 23 hemodialysis facilities as COVID-positive centers, two as COVID-suspect centers, and the rest continued as COVID-negative centers to avoid transmission of infection and continuation of chronic hemodialysis treatment. Nephrologists and engineers of the city developed a web-based-portal so that information about the availability of dialysis slots for COVID-infected patients was easily available in real time to all those providing care to chronic hemodialysis patients. Results: The portal became operational on May 20, 2020, and as of December 31, 2020, has enrolled 1,418 COVID-positive ESKD patients. This initiative has helped 97% of enrolled COVID-infected ESKD patients to secure a dialysis slot within 48 hours. The portal also tracked outcomes and as of December 31, 2020, 370 (27%) patients died, 960 patients recovered, and 88 patients still had an active infection. Conclusions: The portal aided the timely and smooth transfer of COVID-19-positive ESKD patients to designated facilities, thus averting mortality arising from delayed or denied dialysis. Additionally, the portal also documented the natural history of the COVID-19 pandemic in the city and provided information on the overall incidence and outcomes. This aided the city administration in the projected resource needs to handle the pandemic.

How to cite this article:
Billa V, Noronha S, Bichu S, Kothari J, Kumar R, Mehta K, Jamale T, Bhasin N, Thakare S, Sinha S, Sheth G, Rangaraj N, Pai V, Venugopal A, Toraskar A, Virani Z, Trivedi M, Bajpai D, Khot S, Sirsat R, Almeida A, Hase N, Sundaram, Hariharan, Hiremath S, Chahal IS, on behalf of the 'Project Victory' consortium. A unified citywide dashboard for allocation and scheduling dialysis for COVID-19 patients on maintenance hemodialysis.Indian J Nephrol 2022;32:197-205

How to cite this URL:
Billa V, Noronha S, Bichu S, Kothari J, Kumar R, Mehta K, Jamale T, Bhasin N, Thakare S, Sinha S, Sheth G, Rangaraj N, Pai V, Venugopal A, Toraskar A, Virani Z, Trivedi M, Bajpai D, Khot S, Sirsat R, Almeida A, Hase N, Sundaram, Hariharan, Hiremath S, Chahal IS, on behalf of the 'Project Victory' consortium. A unified citywide dashboard for allocation and scheduling dialysis for COVID-19 patients on maintenance hemodialysis. Indian J Nephrol [serial online] 2022 [cited 2022 Jul 4 ];32:197-205
Available from: https://www.indianjnephrol.org/article.asp?issn=0971-4065;year=2022;volume=32;issue=3;spage=197;epage=205;aulast=Billa;type=0