Comparison of all renal replacement therapy modalities in terms of COVID‐19 infection rate &amp; mortality in the COVID‐19 pandemic and importance of home therapies

Kahvecioğlu, Serdar; BİLEN, Nurhan; Çelik, Hüseyin; Gül, Cuma Bülent; Usta, Mehmet; Aktaş, Nimet; Bilen, Yusuf

doi:10.1111/1744-9987.13930

Cited by 4 publications

(3 citation statements)

References 29 publications

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“…A greater number of patients in the HD group had a longer RRT duration. These factors may be related to higher COVID-19 hospitalization and mortality rates in patients on HD, and this result correlates with those of previous studies [13,14]. As relatively older patients with multiple comorbidities and those admitted to nursing hospitals tend to undergo HD rather than KT or PD, COVID-19 hospitalization and mortality rates are commonly highest in patients who underwent HD.…”

Section: Discussionsupporting

confidence: 85%

“…As patients who underwent HD visit the dialysis center multiple times a week, they might have the highest risk considering the contagious nature of COVID-19. Previous studies conducted in other countries reported that patients on in-center HD showed the highest incidence of COVID-19 among RRT modalities [13,14]. However, in our analysis, patients who underwent HD had a lower incidence of COVID-19 than those who underwent KT.…”

Section: Discussioncontrasting

confidence: 77%

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COVID-19 infection in patients with end-stage kidney disease undergoing renal replacement therapies in Korea

Choi,

Kim,

Park

et al. 2024

Kidney Res Clin Pract

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Background:The global coronavirus disease 2019 (COVID-19) pandemic has placed patients with end-stage kidney disease (ESKD) at heightened risk owing to their vulnerability to infections. Our study focused on patients with ESKD, examining COVID-19 incidence, hospitalization, and mortality in relation to their renal replacement therapy (RRT) type and identifying factors influencing COVID-19 hospitalization. Methods: We conducted a retrospective cohort study using health insurance claims data from the Health Insurance Review and Assessment Service for patients with ESKD between July 2017 and June 2022. COVID-19 data for the general population were sourced from the Korea Disease Control and Prevention Agency. Results: Patients undergoing hemodialysis (HD) constituted 90.7% of the cohort, followed by kidney transplantation (KT) recipients and peritoneal dialysis (PD). After adjusting for every 10,000 individuals, KT recipients exhibited the highest COVID-19 incidence, followed by those undergoing HD and PD, whereas the general population showed a higher infection rate of 43.64. Patients undergoing HD had the highest hospitalization rates, followed by KT recipients and those undergoing PD. The mortality rate per 10,000 individuals was highest in HD, followed by PD, the general population, and KT. Multivariate analysis indicated that age, RRT duration, residence in a nursing hospital, and comorbidities were associated with COVID-19 hospitalization. Conclusion: Among RRT modalities, KT recipients displayed the highest COVID-19 incidence, whereas those undergoing HD exhibited the highest hospitalization and mortality rates. This study contributes to our understanding of infectious diseases in patients on RRT and aids in preparedness for future infectious disease outbreaks.

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Section: Discussionsupporting

confidence: 85%

Section: Discussioncontrasting

confidence: 77%

COVID-19 infection in patients with end-stage kidney disease undergoing renal replacement therapies in Korea

Choi,

Kim,

Park

et al. 2024

Kidney Res Clin Pract

View full text Add to dashboard Cite

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“…The mortality rate for the cohort was 2.87% ( n : 39), with higher rates observed in center hemodialysis (CHD) at 3.87% ( n : 33), kidney transplant (Tx) at 1.47% ( n : 5), and peritoneal dialysis (PD) at 0.81% ( n : 1). The COVID‐19 infection rate among patients receiving home replacement therapy (HRT) ( n : 39) was significantly lower than that of those undergoing center hemodialysis (CHD) ( n : 139) ( P < 0.001) [58].…”

Section: Discussionmentioning

confidence: 99%

A meta‐analysis of risk factors for acute kidney injury in pneumonia: Effectiveness of nursing interventions

Yuan,

Mehmood,

Meng

2024

Ther Apher Dial

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IntroductionThe spread of coronavirus disease 2019 (COVID‐19) worldwide since November 2019 is of interest to understand its impact on various organs. COVID‐19 patients experience a higher incidence of acute kidney injury (AKI) compared with non‐COVID‐19 patients.MethodsA systematic literature search was conducted that covered the period from November 1, 2019 to February 28, 2021.ResultsThe analysis incorporated a comprehensive review of 19 studies of 21 362 patients. The older age (mean difference [MDs] = 5.11), cardiovascular disease (CVD) (odds ratio [OR] = 1.94), male sex (OR = 1.55), chronic kidney disease (CKD) (OR = 3.82), hypertension (OR = 2.15), diabetes (OR = 1.71), cancer (OR = 1.16), and chronic obstructive pulmonary disease (COPD) (OR = 1.40), mechanical ventilation (OR = 8.66), and vasopressor (OR = 6.30), were significantly associated with risk factor for AKI (P < 0.05).ConclusionThe analysis revealed independent risk factors for AKI.

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Patient screening and assessment for home dialysis therapies: A scoping review

Ting,

Borkum,

et al. 2024

Perit Dial Int

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Background Home dialysis therapies have limited uptake in most regions despite recognized benefits such as increasing patients’ independence, and several domains of quality of life with cost savings in some systems. Objective To perform a scoping review of published literature to identify tools and guides used in systematically screening and assessing patient suitability for home dialysis. A secondary objective was to explore barriers and enablers associated with the home dialysis assessment process. It is important to identify gaps in current research to pose pertinent questions for future work in the field. Design Online databases Embase, Medline (Ovid), and CINAHL were used to identify articles published between January 2007 to May 2023. A total of 23 peer-reviewed primary and secondary studies that investigated screening or selection for patients > 18 years old with kidney failure for home dialysis met the study inclusion criteria. Results The studies consisted of secondary studies (n = 10), observational studies (n = 8), and survey-based studies (n = 5). The major themes identified that influence patient screening and assessment for home dialysis candidacy included: screening tools and guidelines (n = 8), relative contraindications (n = 4), patient or program education (n = 9), and socioeconomic factors (n = 2). Limitations Consistent with the scoping review methodology, the methodological quality of included studies was not assessed. The possible omission of evidence in languages other than English is a limitation. Conclusion This scoping review identified tools and factors that potentially guide the assessment process for home dialysis candidacy. Patient screening and assessment for home dialysis requires a comprehensive evaluation of clinical, psychosocial, and logistical factors. Further research is required to validate and refine existing tools to establish standardized patient screening criteria and evaluation processes. Up-to-date training and education for healthcare providers and patients are needed to improve the utilization of home dialysis and ensure optimal outcomes.

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Comparison of all renal replacement therapy modalities in terms of COVID‐19 infection rate & mortality in the COVID‐19 pandemic and importance of home therapies

Cited by 4 publications

References 29 publications

COVID-19 infection in patients with end-stage kidney disease undergoing renal replacement therapies in Korea

COVID-19 infection in patients with end-stage kidney disease undergoing renal replacement therapies in Korea

A meta‐analysis of risk factors for acute kidney injury in pneumonia: Effectiveness of nursing interventions

Patient screening and assessment for home dialysis therapies: A scoping review

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