Open AccessSituation of the Covid-19 epidemic in patients on peritoneal dialysis on 2020/05/15 in France : RDPLF data-base
Author(s) -
Mathilde Nouvier,
Christian Verger,
Denis Fouque
Publication year - 2020
Publication title -
bulletin de la dialyse à domicile
Language(s) - English
Resource type - Journals
ISSN - 2607-9917
DOI - 10.25796/bdd.v3i2.55433
Subject(s) - medicine , peritoneal dialysis , hemodialysis , dialysis , pandemic , covid-19 , incidence (geometry) , diabetes mellitus , mortality rate , comorbidity , pediatrics , emergency medicine , intensive care medicine , disease , infectious disease (medical specialty) , physics , optics , endocrinology
Numerous studies have shown that chronic renal failure, whatever the treatment, is an important risk factor during the SARS-Cov2 pandemic. We present the incidence of COVID-19 infection, and its lethality, in France according to data from the French Language Peritoneal Dialysis Registry (RDPLF), during the period of the epidemic peak between March 1 and May 15, 2020.
Of the 3,104 patients treated with PD during this period, from 156 centers, 59 contracted COVID-19, ie 1.8%, a percentage significantly lower than that observed in center hemodialysis. Diabetes was found in 64% of infected patients while it was only present in 36% of uncontaminated patients. The mode of contamination was attributed to a hospital stay in 19% of the cases, a family infection in 17% of the cases, treatment in nursing homes in 15% of the cases, unknown in 44% of the cases. Sixty-two percent of the infected patients were on assisted PD, without identifying the source of contamination. The mortality rate was high at 40%, comparable to other countries in PD. A comparison with hemodialysis could only be made after adjustment for comorbidities and patient profiles: data on hemodialysis are not available in the RDPLF.
Home peritoneal dialysis decreases the risk of Covid-19 contamination, but associated comorbidities and age are the source of high mortality. Non-autonomous patients have a higher risk of contamination.