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- Title
COVID-19 in patients with end stage kidney disease at a large community hospital in Eastern Saudi Arabia. A prospective study.
- Authors
Alkhunaizi, Ahmed M.; Abd Elnabi, Hanaa; Amir, Abdulrazack; Anwar, Amber
- Abstract
Objectives: To report the outcome of patients with end stage kidney disease (ESKD) who were diagnosed with COVID-19 at a large community hospital in Eastern Saudi Arabia. Methods: A single center, prospective observational study at Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia. Patients with ESKD who were maintained on dialysis and developed COVID-19 between June 15, 2020 and October 31, 2021 were enrolled. Results: In total, 30 patients with ESKD were diagnosed with severe acute respiratory syndrome coronavirus 2 infection. Twenty two (73%) patients developed the disease prior to COVID-19 vaccine rollout. The median age of the cohort was 63 (55-75) years. Most patients were diabetic (73%), hypertensive (97%) and had a median body mass index of 28 kg/m². Twenty seven (90%) patients required admission, 16 (52%) patients developed pneumonia, and 5 (17%) patients required mechanical ventilation. Patients who developed pneumonia were older, and the majority had diabetes mellitus and coronary artery disease. Five patients died with a total mortality of 17%. Conclusion: Patients with ESKD who developed COVID-19 had a poor outcome with high mortality compared to the general population. Presence of diabetes mellitus, coronary artery disease and older age were associated with a higher risk of severe disease. There was a sharp decline in the number of positive cases following implementation of the vaccination program.
- Subjects
SAUDI Arabia; DHAHRAN (Saudi Arabia); COVID-19; CORONAVIRUS diseases; KIDNEY diseases
- Publication
Saudi Medical Journal, 2022, Vol 43, Issue 6, p633
- ISSN
0379-5284
- Publication type
Article
- DOI
10.15537/smj.2022.43.6.20220003