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Clinical features of hemodialysis patients with COVID-19: a single-center retrospective study on 32 patients
- Source :
- Clinical and Experimental Nephrology
- Publication Year :
- 2020
- Publisher :
- Springer Science and Business Media LLC, 2020.
-
Abstract
- Objective We retrospectively analyzed the data of 32 hemodialysis patients with COVID-19 to clarify the epidemiological characteristics of this special population. Method The data of 32 hemodialysis patients with COVID-19, including epidemiological, demographic, clinical, laboratory, and radiological, were collected from the Blood Purification Department of Wuhan Fourth Hospital from February 3 to 16, 2020. Results Of the 32 patients, 23 were male, and the median age was 58 years; the median dialysis vintage was 33 months. Two groups were divided according to the patient’s primary renal disease: group 1 (16 patients with diabetic nephropathy), group 2 (12 patients with primary glomerulonephritis, 2 with obstructive kidney disease, 1 with hypertensive renal damage, and 1 with polycystic kidney). No significant differences were observed between the two groups in epidemiological characteristics, blood cell counts, and radiological performance. Hemodialysis patients are susceptible to COVID-19 at all ages, and patients with diabetes may be a high-risk population (50%). Common symptoms included fever (15 cases), cough (21 cases), and fatigue (7 cases). The blood lymphocyte count decreased in 84.6% of the patients (median: 0.765 × 109/L). Chest CT revealed ground-glass-like lesions in 18 cases, unilateral lung patchiness in 7 cases, bilateral lung patchiness in 7 cases, and pleural effusion in 2 cases. Conclusion Only 46.875% of the hemodialysis patients with COVID-19 had fever in the early stage; and diabetics may be the most susceptible population. A decrease in blood lymphocyte count and ground-glass opacity on chest CT scan is beneficial in identifying the high-risk population.
- Subjects :
- Nephrology
Adult
Male
medicine.medical_specialty
China
Chest CT scan
Pleural effusion
Physiology
medicine.medical_treatment
Population
Pneumonia, Viral
030232 urology & nephrology
030204 cardiovascular system & hematology
Diabetic nephropathy
03 medical and health sciences
Betacoronavirus
0302 clinical medicine
Internal medicine
Diabetes mellitus
Physiology (medical)
Medicine
Humans
Lymphocyte Count
education
Pandemics
Dialysis
Aged
Retrospective Studies
Aged, 80 and over
education.field_of_study
Coronavirus disease 2019
business.industry
SARS-CoV-2
Blood routine test
COVID-19
Clinical features
Middle Aged
medicine.disease
Hemodialysis
Kidney Failure, Chronic
Female
Radiography, Thoracic
Original Article
business
Coronavirus Infections
Kidney disease
Subjects
Details
- Language :
- English
- ISSN :
- 14377799 and 13421751
- Database :
- OpenAIRE
- Journal :
- Clinical and Experimental Nephrology
- Accession number :
- edsair.doi.dedup.....28c58d98038a4c7aa194e6e82dae058d
- Full Text :
- https://doi.org/10.1007/s10157-020-01904-w