Age and multimorbidities as poor prognostic factors for COVID-19 in hemodialysis: a Lebanese national study.
BMC Nephrol
; 22(1): 73, 2021 02 27.
Article
em En
| MEDLINE
| ID: mdl-33639881
ABSTRACT
BACKGROUND:
Hemodialysis patients with COVID-19 have been reported to be at higher risk for death than the general population. Several prognostic factors have been identified in the studies from Asian, European or American countries. This is the first national Lebanese study assessing the factors associated with SARS-CoV-2 mortality in hemodialysis patients.METHODS:
This is an observational study that included all chronic hemodialysis patients in Lebanon who were tested positive for SARS-CoV-2 from 31st March to 1st November 2020. Data on demographics, comorbidities, admission to hospital and outcome were collected retrospectively from the patients' medical records. A binary logistic regression analysis was performed to assess risk factors for mortality.RESULTS:
A total of 231 patients were included. Mean age was 61.46 ± 13.99 years with a sex ratio of 128 males to 103 females. Around half of the patients were diabetics, 79.2% presented with fever. A total of 115 patients were admitted to the hospital, 59% of them within the first day of diagnosis. Hypoxia was the major reason for hospitalization. Death rate was 23.8% after a median duration of 6 (IQR, 2 to 10) days. Adjusted regression analysis showed a higher risk for death among older patients (odds ratio = 1.038; 95% confidence interval 1.013, 1.065), patients with heart failure (odds ratio = 4.42; 95% confidence interval 2.06, 9.49), coronary artery disease (odds ratio = 3.27; 95% confidence interval 1.69, 6.30), multimorbidities (odds ratio = 1.593; 95% confidence interval 1.247, 2.036), fever (odds ratio = 6.66; 95% confidence interval 1.94, 27.81), CRP above 100 mg/L (odds ratio = 4.76; 95% confidence interval 1.48, 15.30), and pneumonia (odds ratio = 19.18; 95% confidence interval 6.47, 56.83).CONCLUSIONS:
This national study identified older age, coronary artery disease, heart failure, multimorbidities, fever and pneumonia as risk factors for death in patients with COVID-19 on chronic hemodialysis. The death rate was comparable to other countries and estimated at 23.8%.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Diálise Renal
/
Multimorbidade
/
COVID-19
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
Asia
Idioma:
En
Revista:
BMC Nephrol
Assunto da revista:
NEFROLOGIA
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Líbano