Impact of COVID-19 infection on the dialysis population prospective, observational, nationwide study.

Autor: AlSahow A; Division of Nephrology, Jahra Hospital, Jahra, Kuwait. alsahow@hotmail.com., AlQallaf A; Division of Nephrology, Jaber Hospital, AlSalam, Kuwait., AlYousef A; Division of Nephrology, Amiri Hospital, Kuwait City, Kuwait., Bahbahani H; Division of Nephrology, Jaber Hospital, AlSalam, Kuwait., Bahbahani Y; Division of Nephrology, Mubarak Hospital, Jabriya, Kuwait., AlHelal B; Division of Nephrology, Adan Hospital, Hadiya, Kuwait., AlRajab H; Division of Nephrology, Farwaniya Hospital, Sabah AlNasser, Kuwait., AlMuhaiteeb A; Division of Nephrology, Amiri Hospital, Kuwait City, Kuwait., Shalaby H; Division of Nephrology, Jahra Hospital, Jahra, Kuwait., Elabbadi M; Division of Nephrology, Farwaniya Hospital, Sabah AlNasser, Kuwait., Elsebaei M; Division of Nephrology, Amiri Hospital, Kuwait City, Kuwait., Abdallah E; Division of Nephrology, Adan Hospital, Hadiya, Kuwait., Ayoub M; Division of Nephrology, Mubarak Hospital, Jabriya, Kuwait., AbouTrabeh A; Division of Nephrology, Mubarak Hospital, Jabriya, Kuwait., AlSarrajji M; Division of Nephrology, Mubarak Hospital, Jabriya, Kuwait., AlAwadhi A; Division of Nephrology, Mubarak Hospital, Jabriya, Kuwait., Kumar R; BRA IRCH, AIIMS, Delhi, India.
Jazyk: angličtina
Zdroj: International urology and nephrology [Int Urol Nephrol] 2023 Mar; Vol. 55 (3), pp. 721-727. Date of Electronic Publication: 2022 Sep 22.
DOI: 10.1007/s11255-022-03368-1
Abstrakt: Introduction: Hemodialysis (HD) patients are at increased risk of severe COVID-19 infection but infection rates vary. Our objectives are to describe COVID-19 positive HD patients' characteristics, infection rates, and factors associated with mortality in HD COVID-19 cases in Kuwait.
Methods: Data on demographics, comorbidities, and treatments received, as well as mortality for HD patients admitted to hospitals for COVID-19, from 1/March to 31/July 2020, prospectively collected and analyzed.
Results: A total of 141 infected HD patients were admitted (Mean age 58 ± 16.1; Males 56%), representing 7% of the total HD population and 0.2% of all COVID-19 cases during the study period. Of those 141 infected HD patients, 27 (19%) died, and this represents 6% of total COVID-19-related mortality and 27% of the total HD mortality. In contrast, total covid-19-related mortality of all positive cases was only 0.7%, and total HD mortality during the study period was only 5%. COVID-19-positive HD patients who died were older and 59% were males. However, the differences were not statistically significant. Of the 61 infected HD patients who needed to be switched to continuous kidney replacement therapy (CKRT), 34% died, and of the 29 infected HD patients who needed admission to intensive care, 65% died.
Conclusion: HD population represents a small fraction of the total population; however, positive HD COVID-19 cases represent a sizable proportion of COVID-19 cases and a significant percentage of total COVID-19-related mortality, and total HD mortality.
(© 2022. The Author(s).)
Databáze: MEDLINE
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