Successful provision of hemodialysis to patients with confirmed COVID-19 in Korea: the role of a cooperative network between public and private medical systems

Choi, Ji-Young; Lim, Jeong-Hoon; Han, Seungyeup; Park, Seung-Chan; Jung, Hee-Yeon; Cho, Jang‐Hee; Kim, Chan-Duck; Kim, Yong-Lim; Park, Sun-Hee

doi:10.23876/j.krcp.22.102

Cited by 1 publication

(1 citation statement)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Finally, as isolation guidelines due to the COVID-19 outbreak changed over time, the characteristics of hospitalized patients may have changed accordingly. Hospitalization usually indicates a serious infection, but this may be slightly different in the early stages of COVID-19 pandemic as patients with ESKD sometimes needed hospitalization for the purpose of isolation even if they did not show serious symptoms of COVID-19 [29]. However, because the observation period was relatively short, it was not possible to split the data by period according to isolation guidelines.…”

Section: Discussionmentioning

confidence: 99%

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

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.

show abstract

Section: Discussionmentioning

confidence: 99%