Document Type : Original research
Authors
1 FIBMS., Head of Dialysis Center, Kirkuk Teaching Hospital, Kirkuk, Iraq
2 FIBMS., Head of Dialysis Center, Kirkuk Teaching Hospital, Kirkuk, Iraq.
Abstract
Background: Coronavirus disease 2019 (COVID-19) is a new emerging disease caused by SARS-CoV-2, first discovered in Wuhan, China, in December 2019. Infected patients of all age groups with associated medical diseases such as chronic kidney disease (CKD) stage five -end stage renal disease (ESRD) on hemodialysis are likely to have a higher risk of developing severe COVID-19 compared to patients without disease. The study aimed to address morbidity and mortality related to SARS-CoV2 infection in hemodialysis patients at the Kirkuk dialysis centre.
Methods: A prospective observational study that enrolled 385 COVID-19 patients with CKD-stage 5 (ESRD), who were on a regular hemodialysis program in the dialysis center in Kirkuk city for a period of 6 months.
Results: In hemodialysis patients, the incidence of SARS-CoV2 infection was 80 (20.75%), among these 80 patients, 43(53.75%) required hospital admission due to the severity of the disease, 32 (40%) were admitted to the intensive care unit and received ventilation, 19 patients (23.75%) died from complications related to SARS-CoV-2.
Conclusion: There is a significant incidence of hospital admission and the need for ventilation among patients, as well as a notable mortality rate was observed in COVID-19 patients undergoing hemodialysis, with specific risk factors such as bronchial asthma, the presence of AV fistula, and type 2 diabetes mellitus contributing to a higher mortality percentage.
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