Influencing factors of hospitalization in maintenance haemodialysis outpatients after a diagnosis of COVID-19

The clinical manifestations of maintenance haemodialysis (MHD) outpatients diagnosed with coronavirus disease 2019 (COVID-19) are highly heterogeneous. They are prone to progress to severe conditions, and they often require hospitalization. To better guide the management of MHD outpatients, this ret...

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Bibliographic Details
Published in:Annals of medicine (Helsinki) 2023, Vol.55 (2), p.2286638-2286638
Main Authors: Zhu, Yanlin, He, Jie, Li, Yunming, Cao, Mingyuan, Cheng, Yue, Zhang, Fan, Yang, Guchuan
Format: Article
Language:English
Subjects:
Ambulatory Care
COVID-19
COVID-19 - diagnosis
COVID-19 - epidemiology
COVID-19 - therapy
COVID-19 Testing
diabetes
Diabetes Mellitus - epidemiology
Diabetes Mellitus - etiology
Haemodialysis
Hospitalization
hospitalization rate
Humans
Kidney Failure, Chronic - epidemiology
Kidney Failure, Chronic - therapy
lymphocyte count
Renal Dialysis - adverse effects
Renal Dialysis - methods
Renal Dialysis - statistics & numerical data
Retrospective Studies
Risk Factors
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Summary:The clinical manifestations of maintenance haemodialysis (MHD) outpatients diagnosed with coronavirus disease 2019 (COVID-19) are highly heterogeneous. They are prone to progress to severe conditions, and they often require hospitalization. To better guide the management of MHD outpatients, this retrospective observational study assessed risk factors for hospitalization of MHD patients after a diagnosis of COVID-19. The demographic data, comorbidities, laboratory indicators and imaging data of 128 MHD outpatients at our haemodialysis centre with confirmed COVID-19 infection from December 2022 to January 2023 were collected. The relationships between these factors and hospitalization of patients were analyzed. Among the 128 patients, 25 (19.53%) were hospitalized. One of the 25 inpatients was mechanically ventilated, and two of them died. Multivariate logistic regression analysis showed that the hospitalization rate was correlated with age, comorbid diabetes and peripheral blood lymphocyte count. Older age, comorbid diabetes and lower lymphocyte count are important risk factors for hospitalization of MHD outpatients after a diagnosis of COVID-19. Focusing on these factors may help in early identification of patients who may need to be admitted due to potential disease progression.
ISSN:0785-3890
1365-2060
DOI:10.1080/07853890.2023.2286638