Table 1.

Multicenter Weekly Projection of CKRT Assets and Consumables Required, Based on Theoretical Surge in New COVID-19 Cases

	Predicted New COVID-19 Cases/wk
	3,000	5,000	10,000	15,000
				−Special Measuresa	+Special Measuresa
Routine CKRT volume
CKRT sessions per week	223	223	223	223	112
No. of corresponding HD sessions per week	112	112	112	112	56
Incident COVID-CKRT cases per weekb	30	50	100	150	150
Estimated CKRT days per case	6	6	6	6	5
No. of corresponding intermittent HD sessions per week	90	150	300	450	600
Total KRT (CKRT + intermittent HD) patients per week	67	87	137	187	169
Total CKRT session-days per week	403	523	823	1,123	862
Total HD sessions per week	202	262	412	562	656
No. of 5-L bags of isonatremic low-bicarbonate calcium-free fluid	736	955	1,502	2,049	1,468
No. of 5-L bags of conventional fluids	1,936	2,512	3,952	5,392	3,102
No. of 5-L bags of low-sodium low-bicarbonate calcium-free dialysate	194	251	395	539	310
No. of 0.5-L bags of ACDA	232	301	474	647	331
No. of 1.5-L bags of 4% TSC	65	84	132	180	90
No. of 5-L bags of 0.5% citrate fluid	1,162	1,507	2,371	3,235	1,654
No. of 5,000-IU vials of unfractionated heparin	755	980	1,541	2,103	1,124
No. of CKRT filters	302	392	617	842	648
No. of CKRT machines per day	58	75	118	160	107
No. of intermittent HD machines per day	34	44	69	94	109
No. of RO machines per dayc	34	44	69	94	109
No. of vascular cathetersd	134	174	274	374	241
No. of nurses for CKRT care per day	173	224	353	481	321
No. of nurses for HD care per day	50	65	103	140	109

Note: Assumptions used for calculating consumption levels in the absence of conservation strategies are shown in the top half of Box 1.

Abbreviations: ACDA, anticoagulant citrate dextrose A solution; CKRT, continuous kidney replacement therapy; COVID-19, coronavirus disease 2019; HD, hemodialysis; Qb, blood flow rate; RO, reverse osmosis; TSC, trisodium citrate.

^aSpecial measures for conservation of resources are depicted in the bottom half of Box 1.

^bBased on a 1% incidence rate.

^cA 1:1 ratio of HD machines to RO machines.

^dBased on 20 KRT days per patient.