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Coronavirus Disease 2019 in Patients With End-Stage Kidney Disease on Hemodialysis in Guatemala.
Sosa, Regina; Garcia, Pablo; Cipriano, Ever O; Hernández, Agualuz; Hernández, Elmer E; Chavez, Paola I; Manchinelli, Angélica; Morales, Oscar A; Flores, Lourdes E; Romero, Hair J; Raquec, Yulany; Sapón, Byron F; Soch, Kevin E; Anand, Shuchi; Sánchez-Polo, Vicente.
  • Sosa R; Department of Nephrology, Guatemalan Institute of Social Security, Guatemala City, Guatemala.
  • Garcia P; Stanford University School of Medicine, Palo Alto, California, USA.
  • Cipriano EO; Department of Nephrology, Guatemalan Institute of Social Security, Guatemala City, Guatemala.
  • Hernández A; Department of Nephrology, Guatemalan Institute of Social Security, Guatemala City, Guatemala.
  • Hernández EE; Department of Nephrology, Guatemalan Institute of Social Security, Guatemala City, Guatemala.
  • Chavez PI; Department of Nephrology, Guatemalan Institute of Social Security, Guatemala City, Guatemala.
  • Manchinelli A; Department of Nephrology, Guatemalan Institute of Social Security, Guatemala City, Guatemala.
  • Morales OA; Department of Nephrology, Guatemalan Institute of Social Security, Guatemala City, Guatemala.
  • Flores LE; Department of Nephrology, Guatemalan Institute of Social Security, Guatemala City, Guatemala.
  • Romero HJ; Department of Nephrology, Guatemalan Institute of Social Security, Guatemala City, Guatemala.
  • Raquec Y; Department of Nephrology, Guatemalan Institute of Social Security, Guatemala City, Guatemala.
  • Sapón BF; Department of Nephrology, Guatemalan Institute of Social Security, Guatemala City, Guatemala.
  • Soch KE; Department of Nephrology, Guatemalan Institute of Social Security, Guatemala City, Guatemala.
  • Anand S; Stanford University School of Medicine, Palo Alto, California, USA.
  • Sánchez-Polo V; Department of Nephrology, Guatemalan Institute of Social Security, Guatemala City, Guatemala.
Kidney Int Rep ; 6(4): 1110-1117, 2021 Apr.
Article in English | MEDLINE | ID: covidwho-1056579
ABSTRACT

Introduction:

Coronavirus disease 2019 (COVID-19) is public health concern across the world. Data on the epidemiology among patients on hemodialysis in Latin America and low- and middle-income countries are limited.

Methods:

Using electronic medical records from the second largest dialysis network in Guatemala, we performed a retrospective analysis of all adult patients on hemodialysis with the diagnosis of COVID-19 to estimate incidence of infection and to describe the demographics, comorbidities, and outcomes. We stratified incidence rate by region. We reviewed data from May 1 to July 31, 2020, with outcome data ascertained up to August 28, 2020.

Results:

Of 3201 patients undergoing hemodialysis, 325 patients were diagnosed with COVID-19 (incidence rate 102/1000 patients on hemodialysis, compared with 3/1000 in the general population). Incidence was higher in the Central region (207/1000) and lowest in the Southeast region (33/1000), and unlike in the general population, the incidence was lower in Guatemala City. The mean age of patients diagnosed with COVID-19 was 51.1 years (standard deviation [SD] 14.8 years), and 84 (25.8%) were female. The median length of hospital stay was 12 days (interquartile range [IQR] 10-16 days). Two hundred twenty-nine (69.8%) of the patients recovered, 90 patients died (27.7%), and 6 (1.8%) patients were still in the hospital at the time of last follow-up.

Conclusion:

The incidence of diagnosed COVID-19 in Guatemalan patients on hemodialysis was much higher than reported in the general population, with outcomes similar to those described in high-income countries. Rural regions had higher incidence rates than the major metropolitan area.
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Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Language: English Journal: Kidney Int Rep Year: 2021

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Full text: Available Collection: International databases Database: MEDLINE Document Type: Article Language: English Journal: Kidney Int Rep Year: 2021
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