Ann Acad Med Singap
-
Ann Acad Med Singap · Dec 2020
Strategies for Management of Peritoneal Dialysis Patients in Singapore during COVID-19 Pandemic.
Peritoneal dialysis (PD) is the only well-established home-based dialysis therapy in Singapore. As it is a home-based modality, PD should be considered as a preferred mode of kidney replacement therapy (KRT) for patients with kidney failure during this COVID-19 pandemic as it avoids frequent visits to hospitals and/or satellite dialysis centres. The highly infectious nature of this virus has led to the implementation of the Disease Outbreak Response System Condition orange status in Singapore since early February 2020. This paper summarises the strategies for management of several aspects of PD in Singapore during this COVID-19 pandemic, including PD catheter insertion, PD training, home visit and assisted PD, outpatient PD clinic, inpatient management of PD patients with or without COVID-19 infection, PD as KRT for COVID-19 patients with acute kidney injury, management of common complications in PD (peritonitis and fluid overload), and management of PD inventory.
-
Ann Acad Med Singap · Dec 2020
Maternal and Fetal Outcomes in Systemic Lupus Erythematosus Pregnancies.
To describe the maternal and fetal outcomes in systemic lupus erythematosus (SLE) pregnancies followed-up in a single tertiary referral centre. ⋯ Although the majority had quiescent SLE disease activity at baseline, SLE pregnancies were associated with high rates of adverse fetal and maternal outcomes.
-
Ann Acad Med Singap · Dec 2020
Risk Stratification of Paediatric Sports Injuries Seen at a Tertiary Hospital.
In this study, we described paediatric sports injuries seen in the paediatric emergency department of a large, tertiary paediatric hospital in Singapore and evaluated risk factors for severe sports injuries. ⋯ Predictors for severe sports injuries identified may aid in risk stratification and resource allocation.