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https://hdl.handle.net/11499/46763
Title: | The Longitudinal Evolution of Post-COVID-19 Outcomes Among Hemodialysis Patients in Turkey | Authors: | Ozturk, Savas Turgutalp, Kenan Arici, Mustafa Gorgulu, Numan Tonbul, Halil Zeki Eren, Necmi Gencer, Vedat Ayli, Mehmet Deniz Pembegul, Irem Dolarslan, Murside Esra Ural, Zeynep Colak, Hulya Ozler, Tuba Elif Can, Ozgur Demir, Mehmet Emin Altunoren, Orcun Huddam, Bulent Onec, Kursad Demirelli, Bulent Aydin, Zeki Altun, Eda Alagoz, Selma Ayar, Yavuz Eser, Zeynep Ebru Berktas, Bayram Yilmaz, Zulfukar Ates, Eser Uslu Yuksel, Enver Sahin, Gizem Kumru Aktar, Merve Cebeci, Egemen Dursun, Belda Kocak, Sibel Yucel Yildiz, Abdulmecit Kazan, Sinan Gok, Mahmut Sengul, Erkan Tugcu, Murat Ozturk, Ramazan Kahvecioglu, Serdar Kara, Ekrem Kaya, Bulent Sahin, Garip Sakaci, Tamer Sipahi, Savas Kurultak, Ilhan Durak, Beyza Algul Altiparmak, Mehmet Riza Ecder, Sabahat Alisir Karadag, Serhat Dincer, Mevlut Tamer Ozer, Hakan Bek, Sibel Gokcay Ulu, Memnune Sena Gungor, Ozkan Bakir, Elif Ari Odabas, Ali Riza Seyahi, Nurhan Yildiz, Alaattin Ates, Kenan |
Keywords: | COVID-19 hemodialysis nationwide study outcome Mortality-Rates Covid-19 Transplant |
Publisher: | Elsevier Science Inc | Abstract: | Introduction: Hemodialysis (HD) patients have increased risk for short-term adverse outcomes of COVID-19. However, complications and survival at the post-COVID-19 period have not been published extensively.Methods: We conducted a national, multicenter observational study that included adult maintenance HD patients recovered from confirmed COVID-19. A control HD group without COVID-19 was selected from patients in the same center. We investigated the characteristics and outcomes in the follow-up of HD patients and compare them with the non-COVID-19 group.Results: A total of 1223 patients (635 patients in COVID-19 group, 588 patients in non-COVID-19 group) from 47 centers were included in the study. The patients' baseline and HD characteristics were almost similar. The 28th-day mortality and mortality between 28th day and 90th day were higher in the COVID-19 group than non-COVID-19 group (19 [3.0%] patients vs. none [0%]; 15 [2.4%] patients vs. 4 [0.7%] patients, respectively). The presence of respiratory symptoms, rehospitalization, need for home oxygen therapy, lower respiratory tract infection, and arteriovenous (AV) fistula thrombosis was significantly higher in the COVID-19 group in both the first 28 days and between 28 and 90 days. In the multivariable analysis, age (odds ratio [OR] [95% CI]: 1.029 [1.004-1.056]), group (COVID-19 group vs. non-COVID-19 group) (OR [95% CI]: 7.258 [2.538-20.751]), and vascular access type (tunneled catheter/AV fistula) (OR [95% CI]: 2.512 [1.249-5.051]) were found as independent parameters related to 90-day mortality.Conclusion: In the post-COVID-19 period, maintenance HD patients who have had COVID-19 have increased rehospitalization, respiratory problems, vascular access problems, and high mortality compared with the non-COVID-19 HD patients. | URI: | https://doi.org/10.1016/j.ekir.2022.03.017 https://hdl.handle.net/11499/46763 |
ISSN: | 2468-0249 |
Appears in Collections: | PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection Tıp Fakültesi Koleksiyonu WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection |
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