The impact of COVID-19 on people with kidney failure

This image shows a cross section of the kidney. Credit: Holly Fischer / Wikipedia

A new analysis reveals that individuals with renal failure faced particularly high hospitalizations and mortality during the COVID-19 pandemic.Survey results displayed in the next issue of JASN, Supports the prioritization of these patients in the COVID-19 vaccination program.

About 800,000 people are being treated kidney failure In the United States Dialysis Or live with a kidney transplant.Many patients undergo dialysis Medical facility It was not possible to evacuate to a given location multiple times a week and therefore during the COVID-19 pandemic. On the other hand, transplanted patients are more susceptible to infections because they are taking medications to prevent organ rejection.

Eric D. Weinhandl, Ph.D., MS (Chronic Disease Research Group, a division of the Hennepin Healthcare Research Institute and the Coordinating Center for the US Renal Data System) and his colleagues to investigate the effects of COVID-19 in these patients. Analyzed data from the Medicare & Medicaid Service Renal Management Information Systems Center before and during the COVID-19 pandemic.

The team found that COVID-19 hospitalization rates peaked between March 22 and April 25 among patients undergoing dialysis. “The COVID-19 hospitalization trajectory of dialysis patients followed the corresponding trajectory of the general population, but was approximate. The magnitude was 40 times higher,” he said. Dr. Wine Handle. Non-Hispanic black and Hispanic patients had a particularly high hospitalization rate, with patients undergoing peritoneal dialysis at home having a lower hospitalization rate than patients undergoing hemodialysis in the clinic.

The risk of dying from any cause is 17% between patients undergoing dialysis and those undergoing kidney transplantation from March 22 to July 4, respectively, compared to the 2017-2019 rate. Was 30% higher. Mortality was particularly high in non-Hispanic blacks, Hispanics, and Asians. Also, during this period, dialysis patients were hospitalized 17% less frequently than usual for reasons other than COVID-19.

“This study suggests that the early stages of a pandemic have serious effects on both dialysis and kidney transplant patients,” said Dr. Weinhandl. “In both dialysis and dialysis, mortality from all causes is significantly higher. Kidney transplant Patients in the second quarter of 2020 have clear grounds for prioritization. kidney Patients with a failed COVID-19 vaccination schedule promulgated by the state. “

The authors found that patients undergoing peritoneal dialysis had a lower COVID-19 hospitalization rate than patients undergoing hemodialysis, because the home environment provides protection from community infections of the virus. He said it would further support the benefits of home dialysis.

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For more information:
“ Early effects of new coronavirus disease in 2019 on patients with end-stage renal disease” DOI: 10.1681 / ASN.2021010009

Quote: Impact of COVID-19 on people with renal failure (April 8, 2021) from https: // 4 2021 Obtained on the 8th of March.

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