People with kidney failure who receive dialysis treatments in clinics (called central dialysis) are especially vulnerable to COVID-19, with mortality rates exceeded by 20% in recent studies; however, there has been a lack of specific information for patients performing dialysis sessions at home. A new study appearing in an upcoming issue of JASN indicates that these patients are equally vulnerable to becoming infected with the virus that causes COVID-19 and dying from the disease.
For the study, a team led by Caroline M. Hsu, MD and Eduardo Lacson Jr., MD, MPH (Tufts Medical Center and Dialysis Clinic, Inc.), examined information about all patients who received home dialysis through the Dialysis Clinic, Inc. (a national non-profit dialysis provider that treats approximately 2,000 patients with home dialysis) from February 22, 2020 to December 31, 2020. The information was compared with data on patients receiving dialysis from the center. .
The researchers found that 4.5% of home dialysis patients had COVID-19 between February and September, with black race, Hispanic ethnicity, and residency in the long-term care facility being the factors. significant risk. From October to December, 6.4% of patients on home dialysis had COVID-19.
“At the start of the pandemic, patients receiving dialysis treatments at the center had higher rates of COVID-19 compared to those receiving home care. dialysis treatments; however, with the growing community diffusion of COVID-19, included in rural areas, month home dialysis “Patients became infected and infection rates increased,” Dr. Lacson. “In contrast, COVID-19 infection rates among center patients decreased slightly over time, which we believe reflects both increased testing capacity nationwide and the implementation of rigorous infection practices. control in health settings, including nursing homes “.
The researchers noted that patients undergoing dialysis, regardless of the site of dialysis treatment, had higher rates of COVID-19 compared to the general population. “More importantly, its mortality rate of approximately 13%, although lower than that previously occurred in the pandemic, remains devastating,” Drs. Hsu. “Therefore, we strongly urge all dialysis patients to be vaccinated and to continue practicing social distancing, the use of masks, and other public health precautions.”
“COVID-19 in patients on home dialysis: epidemiology and outcomes compared to patients on dialysis at the center.” Journal of the American Society of Nephrology, DOI: 10.1681 / ASN.2020111653
American Society of Nephrology
Citation: Study Examines COVID-19 Among Patients Receiving Home Dialysis (2021, June 9) Retrieved June 9, 2021 at https://medicalxpress.com/news/2021-06-covid-patients-home- dialysis.html
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