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10.1016/j.ekir.2021.01.028

http://scihub22266oqcxt.onion/10.1016/j.ekir.2021.01.028
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33532670!7844387!33532670
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suck abstract from ncbi

pmid33532670      Kidney+Int+Rep 2021 ; 6 (4): 1110-1117
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  • Coronavirus Disease 2019 in Patients With End-Stage Kidney Disease on Hemodialysis in Guatemala #MMPMID33532670
  • Sosa R; Garcia P; Cipriano EO; Hernandez A; Hernandez EE; Chavez PI; Manchinelli A; Morales OA; Flores LE; Romero HJ; Raquec Y; Sapon BF; Soch KE; Anand S; Sanchez-Polo V
  • Kidney Int Rep 2021[Apr]; 6 (4): 1110-1117 PMID33532670show ga
  • 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.
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