Outcome of Covid 19 Patients Requiring Hemodialysis

ABSTRACT

Introduction: The aim of the study is to determine the patient's outcome and mortality rate of COVID-19 patients requiring hemodialysis in Anwar Khan Modern Medical College & Hospital. Method(s) Retrospective cohort study of medical record of patients with COVID-19 hospitalized at Anwar Khan Modern Medical College & Hospital during the months of September 2020 to January 2021. The dependent variable was in patient's outcome and mortality rate and independent variables included clinical conditions, physical examination results, oxygen requirements, diagnosis, clinical features, and complications. Result(s) Total 98 patients were included. Among them 97 patients were treated with hemodialysis and 1 was pre-dialysis patient. Median age was 59 years and 52 (53.06%) were male and 46 (46.94%) were female. The most frequent comorbidities were chronic kidney disease (CKD), hypertension (HTN), and diabetes mellitus (DM). Patients were diagnosed with different clinical manifestation when they arrived at hospital. Major manifestations were cough, breathlessness, fatigue, fever and body ache. The patients showed some other complications including fluctuated blood pressure (50.1%), vomiting (19.38%), shivering (37.76%), chest pain (16.33%).Treatment was given according to WHO and Bangladesh Government Covid-19 treatment guideline. We observed lower mortality rate. 11 (11.23%) patients died during this observation period. Mortality rate of male patients were 7(7.14%) and female patient were 4(4.08%). Another 87(88.79%) patients were alive according to the observations. Conclusion(s) We found low mortality rate in our cohort study. Dead patients had severe clinical manifestations and complications i.e. DM, HTN, CKD with cough, breathlessness and fatigue. Close monitoring, guideline medication and patient care reduces mortality. No conflict of interestCopyright © 2023