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COVID-19 in Patients on Maintenance Dialysis in the Paris Region
- Source :
- Kidney International Reports, Kidney International Reports, Elsevier, 2020, 5 (9), pp.1535-1544. ⟨10.1016/j.ekir.2020.07.016⟩, Kidney International Reports, 2020, 5 (9), pp.1535-1544. ⟨10.1016/j.ekir.2020.07.016⟩, Kidney International Reports, Vol 5, Iss 9, Pp 1535-1544 (2020)
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- International audience; Introduction: Coronavirus disease 2019 (COVID-19) represents a serious threat to patients on maintenance dialysis. The clinical setting, mortality rate, and prognostic factors in these patients have not been well established. Methods: We included all dialyzed patients with COVID-19 referred to our dialysis center between March 11 and April 11, 2020. Data were obtained through the review of the medical records and were censored at the time of data cutoff, on May 11, 2020. Results: Forty-four patients on maintenance dialysis with COVID-19 were referred to our dialysis unit during the COVID-19 epidemic. Median age was 61 years (interquartile range [IQR]: 51.5–72.5); 65.9% were men. Comorbidities included hypertension (97.7%), diabetes mellitus (50%), and chronic cardiac (38.6%) and respiratory (27.3%) diseases. Initial symptoms were fever (79.5%), shortness of breath (29.5%), cough (43.2%), and diarrhea (13.6%). Three profiles of severity were distinguished based on the World Health Organization (WHO) progression scale. Forty-one (93.2%) were hospitalized and only 3 were maintained on outpatient hemodialysis. Thirty-three (75%) patients required oxygen therapy, including 15 (45.5%) who were referred to the intensive care unit. Overall, 27.3% of patients died, and 58.5% were discharged from hospital, including only 2 (13.3%) of those admitted to the intensive care unit. By multivariate analysis, cough, thrombopenia 175 mg/l were significantly associated with death. Conclusion: A major outbreak of COVID-19 occurred in the Paris region, and spread among dialyzed patients. Our study underscores the severity of COVID-19 in these patients and identified prognostic markers.
- Subjects :
- kidney
medicine.medical_specialty
medicine.medical_treatment
coronavirus
030232 urology & nephrology
030204 cardiovascular system & hematology
lcsh:RC870-923
[SDV.MHEP.UN]Life Sciences [q-bio]/Human health and pathology/Urology and Nephrology
Article
Peritoneal dialysis
law.invention
03 medical and health sciences
0302 clinical medicine
[SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases
Interquartile range
law
Oxygen therapy
Internal medicine
medicine
Dialysis
[SDV.MHEP.ME] Life Sciences [q-bio]/Human health and pathology/Emerging diseases
[SDV.MHEP.ME]Life Sciences [q-bio]/Human health and pathology/Emerging diseases
hemodialysis
business.industry
Mortality rate
Medical record
COVID-19
lcsh:Diseases of the genitourinary system. Urology
[SDV.MHEP.UN] Life Sciences [q-bio]/Human health and pathology/Urology and Nephrology
Intensive care unit
3. Good health
peritoneal dialysis
[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie
Nephrology
[SDV.MHEP.MI] Life Sciences [q-bio]/Human health and pathology/Infectious diseases
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
Hemodialysis
business
Subjects
Details
- ISSN :
- 24680249
- Volume :
- 5
- Database :
- OpenAIRE
- Journal :
- Kidney International Reports
- Accession number :
- edsair.doi.dedup.....19daa793170d9ef706daf25d4664ee84