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- Title
Risk factors for the mortality of hemodialysis patients with COVID-19: A multicenter study from the overall hemodialysis population in Wuhan.
- Authors
Tang, Hui; Tu, Can; Xiong, Fei; Sun, Xin; Tian, Jian‐Bo; Dong, Jun‐Wu; Wang, Xiao‐Hui; Lei, Chun‐Tao; Liu, Jing; Zhao, Zheng; Qiu, Yang; Miao, Xiao‐Ping; Zhang, Chun; Tian, Jian-Bo; Dong, Jun-Wu; Wang, Xiao-Hui; Lei, Chun-Tao; Miao, Xiao-Ping
- Abstract
<bold>Introduction: </bold>Maintenance hemodialysis (MHD) patients are highly threatened in the novel coronavirus disease 2019 (COVID-19) pandemic, but evidence of risk factors for mortality in this population is still lacking.<bold>Methods: </bold>We followed outcomes of the overall MHD population of Wuhan, including 7154 MHD patients from 65 hemodialysis centers, from January 1 to May 4, 2020. Among them, 130 were diagnosed with COVID-19. The demographic and clinical data of them were collected and compared between survivors and nonsurvivors.<bold>Results: </bold>Compared to the corresponding period of last year, the all-cause mortality rate of the Wuhan MHD population significantly rose in February, and dropped down in March 2020. Of the 130 COVID-19 cases, 51 (39.2%) were deceased. Advanced age, decreased oxygen saturation, low diastolic blood pressure (DBP) on admission, and complications including acute cardiac injury (HR 5.03 [95% CI 2.21-11.14], p < 0.001), cerebrovascular event (HR 2.80 [95% CI 1.14-6.86], p = 0.025) and acute respiratory distress syndrome (HR 3.50 [95% CI 1.63-7.51], p = 0.001) were identified as independent risk factors for the death of COVID-19. The median virus shedding period of survivors was 25 days, longer than the general population.<bold>Conclusions: </bold>Maintenance hemodialysis patients are a highly vulnerable population at increased risk of mortality and prolonged virus shedding period in the ongoing COVID-19 pandemic. Advanced age, decreased oxygen saturation, low DBP on admission, and complications like acute cardiac injury are parameters independently associated with poor prognosis.
- Subjects
WUHAN (China); MORTALITY risk factors; HEMODIALYSIS patients; COVID-19; ADULT respiratory distress syndrome; DIASTOLIC blood pressure
- Publication
Seminars in Dialysis, 2022, Vol 35, Issue 1, p71
- ISSN
0894-0959
- Publication type
journal article
- DOI
10.1111/sdi.12995