Your browser doesn't support javascript.
Long-term impact of COVID-19 among maintenance haemodialysis patients.
Chawki, Sylvain; Buchard, Albert; Sakhi, Hamza; Dardim, Karim; El Sakhawi, Karim; Chawki, Mokhtar; Boulanger, Henri; Kofman, Tomek; Dahmane, Djamal; Rieu, Philippe; Attaf, David; Ahriz-Saksi, Salima; Masoumi, Afshin; Diddaoui, Ali Zineddine; Fromentin, Luc; Michaut, Patrick; Nebbad, Rachida; Desassis, Jean-François; Nicolet, Laurence; Sohier-Attias, Julie; Besson, Frederic; Boula, Remy; Hafi, Ali; Ghazali, Abderrahmane; Lamriben, Larbi; Arezki, Adem; Dupuis, Emmanuel; Rifard, Mohamad-Khair; Joly, Dominique; Attias, Philippe; El Karoui, Khalil.
  • Chawki S; Institut National de la Santé et de la Recherche Médicale Unité U944, Université de Paris, Paris, France.
  • Buchard A; BIOS Health, Cambridge, UK.
  • Sakhi H; Assistance Publique des Hôpitaux de Paris, Hôpitaux Universitaires Henri Mondor, Service de Néphrologie et Transplantation, Centre de Référence Maladie Rare Syndrome Néphrotique Idiopathique, Fédération Hospitalo-Universitaire Innovative Therapy for Immune Disorders, Créteil, France.
  • Dardim K; Université Paris-Est Créteil, Institut National de la Santé et de la Recherche MédicaleU955, Institut Mondor de Recherche Biomédicale, Créteil, France.
  • El Sakhawi K; ALURAD Isle, Isle, France.
  • Chawki M; Assistance Publique des Hôpitaux de Paris, Hôpitaux Universitaires Henri Mondor, Service de Néphrologie et Transplantation, Centre de Référence Maladie Rare Syndrome Néphrotique Idiopathique, Fédération Hospitalo-Universitaire Innovative Therapy for Immune Disorders, Créteil, France.
  • Boulanger H; Department of Nephrology and Dialysis, Clinique Claude Bernard, Ermont, France.
  • Kofman T; Department of Nephrology and Dialysis, Clinique de l'Estrée, Stains, France.
  • Dahmane D; ANDRA, Paris, France.
  • Rieu P; Assistance Publique des Hôpitaux de Paris, Hôpitaux Universitaires Henri Mondor, Service de Néphrologie et Transplantation, Centre de Référence Maladie Rare Syndrome Néphrotique Idiopathique, Fédération Hospitalo-Universitaire Innovative Therapy for Immune Disorders, Créteil, France.
  • Attaf D; Université Paris-Est Créteil, Institut National de la Santé et de la Recherche MédicaleU955, Institut Mondor de Recherche Biomédicale, Créteil, France.
  • Ahriz-Saksi S; Departement of Nephrology and Dialysis, Hôpital Privé Nord Parisien, Sarcelles, France.
  • Masoumi A; Frensenius, Paris, France.
  • Diddaoui AZ; Department of Nephrology and Dialysis, Clinique de l'Estrée, Stains, France.
  • Fromentin L; ANDRA, Paris, France.
  • Michaut P; Department of Nephrology and Dialysis, Clinique Claude Bernard, Ermont, France.
  • Nebbad R; Department of Nephrology and Dialysis, Clinique Claude Bernard, Ermont, France.
  • Desassis JF; Department of Nephrology and Dialysis, Clinique Internationale du Parc Monceaux, Paris, France.
  • Nicolet L; Centre d'Autodialyse le Figuier, Drancy, France.
  • Sohier-Attias J; Department of Nephrology and Dialysis, Centre Edouard Rist, Paris, France.
  • Besson F; Department of Nephrology and Dialysis, Centre Edouard Rist, Paris, France.
  • Boula R; Centre de Néphrologie SIRTA, Argenteuil, France.
  • Hafi A; Department of Dialysis, Clinique Lambert, La Garenne-Colombes, France.
  • Ghazali A; Department of Dialysis, Clinique Lambert, La Garenne-Colombes, France.
  • Lamriben L; Department of Dialysis, Clinique Lambert, La Garenne-Colombes, France.
  • Arezki A; Department of Dialysis, Groupe Hospitalier Public Sud de l'Oise, Creil, France.
  • Dupuis E; Department of Dialysis, Clinique les Martinets, Rueil Malmaison, France.
  • Rifard MK; Department of Dialysis, Clinique les Martinets, Rueil Malmaison, France.
  • Joly D; Department of Nephrology and Dialysis, American Hospital of Paris, Neuilly-sur-Seine, France.
  • Attias P; Department of Nephrology and Dialysis, Centre Hospitalier des Quatre Villes, Saint Cloud, France.
  • El Karoui K; Department of Adult Nephrology, Assistance Publique des Hôpitaux de Paris, Hôpital Necker-Enfants Malades, Paris, France.
Clin Kidney J ; 15(2): 262-268, 2022 Feb.
Article in English | MEDLINE | ID: covidwho-1684567
ABSTRACT

BACKGROUND:

Maintenance haemodialysis (MHD) patients have a high risk of initial mortality from coronavirus disease 2019 (COVID-19). However, long-term consequences of this disease in the MHD population are poorly described. We report the clinical presentation, outcome and long-term follow-up of MHD patients affected by COVID-19 in a multicentric cohort from the Paris, France area.

METHODS:

We conducted a retrospective analysis of clinical presentation and long-term follow-up of MHD patients affected by COVID-19 in 19 MHD centres in the Paris, France area.

RESULTS:

In this cohort of 248 patients with an initial mortality rate of 18%, age, comorbidities, dyspnoea and previous immunosuppressive treatment were associated with death at <30 days. Among the 203 surviving patients following the acute phase, long-term follow-up (median 180 days) was available for 189 (93%) patients. Major adverse events occurred in 30 (16%) patients during follow-up, including 12 deaths (6%) after a median of 78 days from onset of symptoms. Overall, cardiovascular events, infections and gastrointestinal bleeding were the main major adverse events. Post-COVID-19 cachexia was observed in 25/189 (13%) patients. Lower initial albuminaemia was significantly associated with this cachexia. No reinfection with severe acute respiratory syndrome coronavirus 2 was observed.

CONCLUSIONS:

This work demonstrates the long-term consequences of COVID-19 in MHD patients, highlighting both initial and long-term severity of the disease, including severe cachexia.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Language: English Journal: Clin Kidney J Year: 2022 Document Type: Article Affiliation country: Ckj

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study Topics: Long Covid Language: English Journal: Clin Kidney J Year: 2022 Document Type: Article Affiliation country: Ckj