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10.1016/j.nephro.2020.12.002

http://scihub22266oqcxt.onion/10.1016/j.nephro.2020.12.002
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suck abstract from ncbi


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pmid33563573      Nephrol+Ther 2021 ; 17 (4): 226-232
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  • Profil epidemiologique et clinique, et survie a 90 jours des patients incidents en hemodialyse chronique au cours de la pandemie a SARS-CoV2 au Cameroun : experience de l'hopital general de Douala #MMPMID33563573
  • Fouda Menye Epse Ebana HD; Halle MP; Mbele Onana C; Mbatchou BH; Luma Namme H; Ashuntantang Enow G
  • Nephrol Ther 2021[Aug]; 17 (4): 226-232 PMID33563573show ga
  • BACKGROUND: The effect of COVID-19 pandemic on end stage renal disease patient who should initiated dialysis are limited in Sub-Saharan Africa is unknown. We sought to describe the epidemiologic and clinical profile of newly admitted patient in chronic haemodialysis during the COVID-19 pandemic in Cameroon and evaluate their survival between 90days of dialysis initiation. MATERIAL AND METHOD: We conducted a cohort study of 6months from April to October 2020. End stage renal disease patients newly admitted in the haemodialysis facility of the General Hospital of Douala were included. Patients with confirmed or suspected COVID-19 were identified. Socio-demographic, clinical and biological data at dialysis initiation as well as mortality between the 90days of dialysis initiation were registered. RESULTS: A total of 57 incident patients were recorded from April to October 2020 with a monthly mean of 9.5 patients. The mean age was 46.95+/-13.12years. Twenty-four COVID-19 were identified with a frequency of 49% among emergency admission. Pulmonary oedema (79.2% vs. 42.4%; P=0.006) and uremic encephalopathy (83.4% vs. 53.6%; P=0.022) were more common in COVID-19. The overall survival at 90days was 48% with a tendency to poor survival among COVID-19 and patients with low socioeconomic level. In Cox regression, low socioeconomic level increase the risk of instant death by 3.08. CONCLUSION: SARS-CoV2 seem to increase nephrology emergency and poor survival in haemodialysis at 90days.
  • |*Hospitalization[MESH]
  • |*Renal Dialysis[MESH]
  • |Brain Diseases/epidemiology/etiology[MESH]
  • |COVID-19/*mortality[MESH]
  • |Cameroon/epidemiology[MESH]
  • |Female[MESH]
  • |Hospitals, General[MESH]
  • |Humans[MESH]
  • |Incidence[MESH]
  • |Kidney Failure, Chronic/*mortality/therapy[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Pandemics[MESH]
  • |Prospective Studies[MESH]
  • |Pulmonary Edema/epidemiology/virology[MESH]
  • |Social Class[MESH]


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