Epidemiological Characteristics and Mortality Risk Factors Comparison in Dialysis and Non-Dialysis CKD Patients with COVID-19-A Single Center Experience

被引:1
作者
Niculae, Andrei [1 ,2 ]
Peride, Ileana [1 ,2 ]
Nechita, Ana-Maria [2 ]
Petcu, Lucian Cristian [3 ]
Tiglis, Mirela [4 ]
Checherita, Ionel Alexandru [1 ]
机构
[1] Carol Davila Univ Med & Pharm, Clin Dept 3, Bucharest 050474, Romania
[2] St John Emergency Clin Hosp, Dept Nephrol & Dialysis, Bucharest 042122, Romania
[3] Ovidius Univ, Dept Biophys & Biostat, Fac Dent, Constanta 900684, Romania
[4] Carol Davila Univ Med & Pharm, Clin Dept 14, Bucharest 050474, Romania
来源
JOURNAL OF PERSONALIZED MEDICINE | 2022年 / 12卷 / 06期
关键词
COVID-19; CKD; chronic dialysis; biomarkers; mortality; CHRONIC KIDNEY-DISEASE; SERUM CREATININE; RENAL-DISEASE; BIOMARKERS; EVENTS; IMPACT;
D O I
10.3390/jpm12060966
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
(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.
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页数:17
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