Survival study and factors associated with mortality in Chilean patients on peritoneal dialysis infected with SARS-CoV-2.

The Covid-19 pandemic has been responsible for millions of deaths worldwide. Patients with comorbidities- such as those on peritoneal dialysis (PD)- present higher morbidity and mortality than the general population. We prospectively evaluated all Chilean patients on PD (48 centres) and followed those who had Covid-19 from the beginning of the Covid-19 pandemic in Chile (March 2020) to January 2021 (start of vaccination campaign). We described demographic history, comorbidities, factors related to infection, need for hospitalisation and death due to Covid-19. During the study period, 106 adults on PD were infected by SARS-CoV-2, with a mean age of 53.1 (±16.3) and of which 53.9% were female. From that group, 54.8% required hospitalisation and 24.5% (n = 26) died due to Covid-19. Most of the patients (63.4%) were infected at home and 22.8% during hospitalisation for other reasons. There was a significant association for Covid-19 mortality with: being ≥60 years old, diabetes, time on PD ≥5 years, need for hospitalisation and hospital-acquired infection. At 90 days of follow-up, all deaths associated to Covid-19 occurred before 40 days. We conclude that patients on PD without Covid-19 vaccination have a high mortality and need for hospitalisation associated to Covid-19. To avoid this negative outcome, it is necessary to intensify strategies to avoid contagion, especially in those ≥60 years old, with diabetes and/or ≥5 years spent on PD.

Renal health in Chile.

The prevalence of 20 diseases was studied in a representative sample of 3619 individuals in Chile. Twelve percent of the participants were younger than 25, 63% were 25-64 years old, and 25% were at least 65 years old. Thirty-four percent had high blood pressure, 60% were aware of their condition, 36% received treatment, and 12% reached their goal blood pressure. Renal function was assessed by serum creatinine and glomerular filtration rate, as estimated by the Cockroft-Gault formula. In all, 6.7% had elevated creatinine, 14% showed proteinuria, and 0.2% showed advanced renal damage. The results of this study will contribute to the prevention of renal diseases in Chile.