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COVID-19 in Hospitalized Patients on Chronic Peritoneal Dialysis: A Case Series.

Identifieur interne : 000915 ( Main/Corpus ); précédent : 000914; suivant : 000916

COVID-19 in Hospitalized Patients on Chronic Peritoneal Dialysis: A Case Series.

Auteurs : Mala Sachdeva ; Nupur N. Uppal ; Jamie S. Hirsch ; Jia H. Ng ; Deepa Malieckal ; Steven Fishbane ; Kenar D. Jhaveri

Source :

RBID : pubmed:32731215

English descriptors

Abstract

BACKGROUND

The COVID-19 pandemic has affected the end-stage kidney disease (ESKD) population, with high mortality rates reported among patients on hemodialysis. However, the degree to which it has affected the peritoneal dialysis (PD) population in the United States has not yet been elucidated. In this report, we describe the clinical characteristics, presentations, clinical course, and outcomes of ESKD patients on PD hospitalized with COVID-19.

METHODS

We describe the characteristics, presentation, and outcomes of adult ESKD patients on chronic PD hospitalized with CO-VID-19 in our 13 major hospitals in the NY health system using descriptive statistical analysis.

RESULTS

Of 419 hospitalized patients with ESKD, 11 were on chronic PD therapy (2.6%). Among those 11, 3 patients required mechanical ventilation, 2 of whom died. Of the entire cohort, 9 of the 11 patients (82%) were discharged alive. While fever was a common presentation, more than half of our patients also presented with diarrhea. Interestingly, 3 patients were diagnosed with culture-negative peritonitis during their hospitalization. Seven patients reported positive SARS-CoV-2 exposure from a member of their household.

CONCLUSION

Hospitalized patients on PD with COVID-19 had a relatively mild course, and majority of them were discharged home.


DOI: 10.1159/000510259
PubMed: 32731215
PubMed Central: PMC7490491

Links to Exploration step

pubmed:32731215

Le document en format XML

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<term>Betacoronavirus (genetics)</term>
<term>Betacoronavirus (isolation & purification)</term>
<term>Coronavirus Infections (complications)</term>
<term>Coronavirus Infections (diagnosis)</term>
<term>Coronavirus Infections (epidemiology)</term>
<term>Coronavirus Infections (virology)</term>
<term>Electronic Health Records (statistics & numerical data)</term>
<term>Female (MeSH)</term>
<term>Hospital Mortality (MeSH)</term>
<term>Hospitalization (statistics & numerical data)</term>
<term>Humans (MeSH)</term>
<term>Kidney Failure, Chronic (complications)</term>
<term>Kidney Failure, Chronic (mortality)</term>
<term>Kidney Failure, Chronic (therapy)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>New York (epidemiology)</term>
<term>Pandemics (MeSH)</term>
<term>Peritoneal Dialysis (adverse effects)</term>
<term>Peritonitis (diagnosis)</term>
<term>Peritonitis (epidemiology)</term>
<term>Pneumonia, Viral (complications)</term>
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<term>Pneumonia, Viral</term>
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<term>Pneumonia, Viral</term>
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<term>Peritonitis</term>
<term>Pneumonia, Viral</term>
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<b>BACKGROUND</b>
</p>
<p>The COVID-19 pandemic has affected the end-stage kidney disease (ESKD) population, with high mortality rates reported among patients on hemodialysis. However, the degree to which it has affected the peritoneal dialysis (PD) population in the United States has not yet been elucidated. In this report, we describe the clinical characteristics, presentations, clinical course, and outcomes of ESKD patients on PD hospitalized with COVID-19.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>We describe the characteristics, presentation, and outcomes of adult ESKD patients on chronic PD hospitalized with CO-VID-19 in our 13 major hospitals in the NY health system using descriptive statistical analysis.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Of 419 hospitalized patients with ESKD, 11 were on chronic PD therapy (2.6%). Among those 11, 3 patients required mechanical ventilation, 2 of whom died. Of the entire cohort, 9 of the 11 patients (82%) were discharged alive. While fever was a common presentation, more than half of our patients also presented with diarrhea. Interestingly, 3 patients were diagnosed with culture-negative peritonitis during their hospitalization. Seven patients reported positive SARS-CoV-2 exposure from a member of their household.</p>
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<b>CONCLUSION</b>
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<p>Hospitalized patients on PD with COVID-19 had a relatively mild course, and majority of them were discharged home.</p>
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