Epidemiological Characteristics and Mortality Risk Factors Comparison in Dialysis and Non-Dialysis CKD Patients with COVID-19-A Single Center Experience.
Andrei NiculaeIleana PerideAna-Maria NechitaLucian Cristian PetcuMirela TiglisIonel Alexandru ChecheritaPublished in: Journal of personalized medicine (2022)
(1) Background: Despite some controversies between studies, chronic kidney disease (CKD) has a negative impact on COVID-19 outcomes, with patients presenting a higher mortality risk than in the general population. Studies have shown an association between COVID-19 severe cases and different inflammatory biomarkers. The aim of this study was to emphasize the epidemiological characteristics of CKD patients diagnosed with COVID-19 and to determine if the risk of mortality, and the severity of this infection might be influenced by different parameters. (2) Methods: Our retrospective study included CKD patients with COVID-19-362 in the non-dialysis group and 132 in the dialysis group. (3) Results: There were significant statistical differences between our groups regarding age ( p < 0.001), hemoglobin ( p < 0.001), interleukin-6 ( p < 0.001), serum albumin ( p = 0.016), procalcitonin ( p = 0.002), ferritin ( p < 0.001), and of course serum creatinine ( p < 0.001). Even if the risk of death was higher in the dialysis group (Exp(b) = 1.839), the survival proportions were similar in both groups. (4) Conclusions: High values of hemoglobin, serum creatinine, and LDH at admission, age, length of hospital stay ≤ 10 days, and a pulmonary impairment > 25% are responsible for an adverse outcome in non-dialysis and dialysis patients diagnosed with COVID-19.
Keyphrases
- end stage renal disease
- chronic kidney disease
- peritoneal dialysis
- coronavirus disease
- sars cov
- risk factors
- healthcare
- ejection fraction
- type diabetes
- emergency department
- pulmonary hypertension
- oxidative stress
- cardiovascular events
- cardiovascular disease
- skeletal muscle
- patient reported outcomes
- early onset
- coronary artery disease
- case control
- glycemic control
- free survival