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Assessment of Prevalence and Clinical Features of COVID-19 in Patients Undergoing Maintenance Hemodialysis: Reports from Two Hemodialysis Centers in Iran

Publish Year: 1403
Type: Journal paper
Language: English
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JR_TUMS-6-2_004

Index date: 7 October 2024

Assessment of Prevalence and Clinical Features of COVID-19 in Patients Undergoing Maintenance Hemodialysis: Reports from Two Hemodialysis Centers in Iran abstract

Introduction: Since the outbreak of COVID-19 in December 2019, patients with End-Stage Kidney Disease (ESKD) have been deemed one of the most vulnerable populations due to their numerous comorbidities.Methods: The study was a retrospective cohort study conducted between March 2nd, 2020, and September 21st, 2020. It included 240 patients who underwent MHD at Shahid Beheshti and Vali-Asr Hospitals affiliated with Abadan University of Medical Sciences. Out of these patients, 44 were diagnosed with COVID-19 based on their Reverse transcriptase polymerase chain reaction (rRT-PCR) test results or chest CT scan findings. Demographic, clinical, laboratory and radiologic findings of these patients were collected.Results: COVID-19 was diagnosed in 44 individuals, which accounts for 18.33%, and eight patients have died, which is 18.1% of the total COVID-19 cases. A total of 39 patients were tested through rRT-PCR, out of which 15 (34.09%) tested positive. Among the 44 patients, 26 were males (59.09%), and 18 were females (40.9%). The most common symptoms were fever (36.36%), shortness of breath (34.09%), cough (25%), and fatigue (13.63%). Additionally, 18.18% of patients were asymptomatic. Chest CT scans revealed ground glass opacity, consolidation, and pleural effusion in 54.83%, 48.38%, and 29.03% of cases, respectively. However, it was normal in 9.67% of patients. Peripheral and central pulmonary involvement was found in 70.96% and 19.35% of patients, respectively. The mean single pool KT/V (SpKT/V) was calculated as 1.10±0.39.Conclusions: Based on our findings, the COVID-19 outbreak is a significant cause for concern for in-center hemodialysis patients. These individuals are particularly vulnerable due to their underlying health conditions. Furthermore, the limitations in maintaining social distancing, increased public exposure, and pre-existing lung involvement in these patients can further complicate their management and potentially impact their overall outcome.

Assessment of Prevalence and Clinical Features of COVID-19 in Patients Undergoing Maintenance Hemodialysis: Reports from Two Hemodialysis Centers in Iran Keywords:

Assessment of Prevalence and Clinical Features of COVID-19 in Patients Undergoing Maintenance Hemodialysis: Reports from Two Hemodialysis Centers in Iran authors

Mohammad Mehdi Shadravan

Student Research Committee, Abadan University of Medical Sciences, Abadan, Iran

Reza Yahyavi Sahzabi

Student Research Committee, Abadan University of Medical Sciences, Abadan, Iran

Tina Eghdampanah Foumani

Student Research Committee, Abadan University of Medical Sciences, Abadan, Iran

Fatemeh Palizvan

Student Research Committee, Abadan University of Medical Sciences, Abadan, Iran

Amir Ali Alamdari

Student Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Shokrollah Salmanzadeh

Infectious and Tropical Diseases Research Center, Health Research Institute, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

Sara Mobarak

Infectious and Tropical Diseases Research Center, Abadan University of Medical Sciences, Abadan, Iran

Fatemeh Maghsoudi

Abadan Faculty of Medical Sciences, Public Health, Abadan, Iran

Majid Hajizadeh Farsani

Mehr Radiology Clinic, Abadan, Iran

Samaneh Hashemi

Internal Medicine Department, Abadan University of Medical Sciences, Abadan, Iran

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