Risk factors and action thresholds for the novel coronavirus pandemic. Insights from the Italian Society of Nephrology COVID-19 Survey

Background and aim Over 80% (365/454) of the nation’s centers participated in the Italian Society of Nephrology COVID-19 Survey. Out of 60,441 surveyed patients, 1368 were infected as of April 23rd, 2020. However, center-specific proportions showed substantial heterogeneity. We therefore undertook n...

Full description

Saved in:
Bibliographic Details
Published in:Journal of nephrology 2021-04, Vol.34 (2), p.325-335
Main Authors: Nordio, Maurizio, Reboldi, Gianpaolo, Di Napoli, Anteo, Quintaliani, Giuseppe, Alberici, Federico, Postorino, Maurizio, Aucella, Filippo, Messa, Piergiorgio, Brunori, Giuliano
Format: Article
Language:English
Subjects:
COVID-19 - epidemiology
Female
Humans
Italy - epidemiology
Male
Medicine
Medicine & Public Health
Nephrology
Original
Original Article
Pandemics
Risk Assessment - methods
Risk Factors
Societies, Medical
Surveys and Questionnaires
Urology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background and aim Over 80% (365/454) of the nation’s centers participated in the Italian Society of Nephrology COVID-19 Survey. Out of 60,441 surveyed patients, 1368 were infected as of April 23rd, 2020. However, center-specific proportions showed substantial heterogeneity. We therefore undertook new analyses to identify explanatory factors, contextual effects, and decision rules for infection containment. Methods We investigated fixed factors and contextual effects by multilevel modeling. Classification and Regression Tree (CART) analysis was used to develop decision rules. Results Increased positivity among hemodialysis patients was predicted by center location [incidence rate ratio (IRR) 1.34, 95% confidence interval (CI) 1.20–1.51], positive healthcare workers (IRR 1.09, 95% CI 1.02–1.17), test-all policy (IRR 5.94, 95% CI 3.36–10.45), and infected proportion in the general population (IRR 1.002, 95% CI 1.001–1.003) (all p 
ISSN:1121-8428
1724-6059
DOI:10.1007/s40620-020-00946-3