Open AccessCovid-19 in 40 dialysis facilities. A prospective multicenter cohort study in Spain
Author(s) -
Javier Deira,
Silvia González-Sanchidrián,
André Sousa Rocha,
Carlos G. Musso,
Rosa Ruiz-Calero,
Suleyka Puello,
Belén Mainar Gómez,
M. A. R. Ramos,
George Stefan,
Francisca Valera López,
E Torregrosa,
José Luis Lerma,
Jesús Grande,
Esther Montero Hernández,
Jesús Carbajo San Martín,
Antonio Gascón,
Pedro Dorado
Publication year - 2021
Publication title -
revista portuguesa de nefrologia e hipertensão
Language(s) - English
Resource type - Journals
eISSN - 2183-1289
pISSN - 0872-0169
DOI - 10.32932/pjnh.2021.10.140
Subject(s) - medicine , incidence (geometry) , covid-19 , pandemic , dialysis , cohort , prospective cohort study , cohort study , hemodialysis , satellite , university hospital , outbreak , pediatrics , emergency medicine , virology , disease , physics , engineering , infectious disease (medical specialty) , optics , aerospace engineering
Aims: Assess the incidence of COVID-19 during the first wave of the pandemic in 40 hemodialysis units in Spain. Material and methods: We analyzed 396 Rt-PCR performed March 14th to April 28th, 2020 in a cohort of 2398 hemodialysis (HD) patients corresponding to 19 hospital units and 21 satellite centers. Results: We performed Rt-PCR in 14% of the patients, with a marked variability depending on the location. The overall COVID-19 incidence was 3.2% (range 0-15.9%). It was significantly higher in the hospital units (4.5%) than in the satellite units (1.9%) (p=0.0003). There was a positive and significant correlation between the COVID-19 incidence in the units and their proximity to Madrid (R2=0.6235, p=0.0013), which was the main epidemic focus. Conclusion: Our study showed a low incidence of COVID-19 in HD, higher in hospital units and closer to Madrid.