Coronavirus Disease 2019 in Patients With End-Stage Kidney Disease on Hemodialysis in Guatemala

Kidney International Reports

Oscar A. Morales¹  Vicente Sánchez-Polo¹  Byron F. Sapón¹  Hair J. Romero¹  Lourdes E. Flores¹  Elmer E. Hernández¹  Paola I. Chavez¹  Ever O. Cipriano¹  Yulany Raquec¹  Regina Sosa¹  Agualuz Hernández¹  Angélica Manchinelli¹  Kevin E. Soch¹  Pablo Garcia²  Shuchi Anand² 

[1] Department of Nephrology, Guatemalan Institute of Social Security, Guatemala City, Guatemala;Stanford University School of Medicine, Palo Alto, California, USA;

关键词: CKD;    COVID-19;    dialysis;    ESKD;    global health;    Guatemala;   

DOI  :  

来源: DOAJ

【 摘 要 】

Introduction: Coronavirus disease 2019 (COVID-19) is public health concern across the world. Data on the epidemiology among patients on hemodialysis in Latin America and low- and middle-income countries are limited. Methods: Using electronic medical records from the second largest dialysis network in Guatemala, we performed a retrospective analysis of all adult patients on hemodialysis with the diagnosis of COVID-19 to estimate incidence of infection and to describe the demographics, comorbidities, and outcomes. We stratified incidence rate by region. We reviewed data from May 1 to July 31, 2020, with outcome data ascertained up to August 28, 2020. Results: Of 3201 patients undergoing hemodialysis, 325 patients were diagnosed with COVID-19 (incidence rate 102/1000 patients on hemodialysis, compared with 3/1000 in the general population). Incidence was higher in the Central region (207/1000) and lowest in the Southeast region (33/1000), and unlike in the general population, the incidence was lower in Guatemala City. The mean age of patients diagnosed with COVID-19 was 51.1 years (standard deviation [SD] 14.8 years), and 84 (25.8%) were female. The median length of hospital stay was 12 days (interquartile range [IQR] 10–16 days). Two hundred twenty-nine (69.8%) of the patients recovered, 90 patients died (27.7%), and 6 (1.8%) patients were still in the hospital at the time of last follow-up. Conclusion: The incidence of diagnosed COVID-19 in Guatemalan patients on hemodialysis was much higher than reported in the general population, with outcomes similar to those described in high-income countries. Rural regions had higher incidence rates than the major metropolitan area.

【 授权许可】

Unknown