CHARACTERISTICS AND SURVIVAL RESULTS OF PERITONEAL DIALYSIS PATIENTS SUFFERING FROM COVID-19 IN TURKEY: A MULTICENTER NATIONAL STUDY
Background: We aimed to study the characteristics of peritoneal dialysis (PD) patients with Coronavirus disease-19 (COVID-19), determine the short-term mortality and other medical complications, and delineate the factors associated with COVID-19 outcome. Methods: In this multicenter national study,...
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| Format: | Article |
| Language: | English |
| Published: |
Karger Publishers
2022-09-01
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| Series: | Kidney & Blood Pressure Research |
| Online Access: | https://www.karger.com/Article/FullText/526909 |
| _version_ | 1828133532118024192 |
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| author | Meltem Gursu Savas Ozturk Mustafa Arici Idris Sahin Sibel Gökçay Bek Murvet Yilmaz Sumeyra Koyuncu Semahat Karahisar Şirali Zeynep Ural Belda Dursun Enver Yuksel Sami Uzun Savaş Sipahi Elbis Ahbap Ayse Serra Artan Orcun Altunoren Onur Tunca Yavuz Ayar Ebru Gok-Oguz Zulfukar Yilmaz Serdar Kahvecioglu Ebru Asicioglu Aysegul Oruc Mehmet Riza Altiparmak Zeki Aydin Bulent Huddam Murside Esra Dolarslan Alper Azak Serkan Bakirdogen Ahmet Ugur Yalcin Serhat Karadag Memnune Sena Ulu Ozkan Gungor Elif Ari Bakir Ali Riza Odabas Nurhan Seyahi Alaattin Yildiz Kenan Ates |
| author_facet | Meltem Gursu Savas Ozturk Mustafa Arici Idris Sahin Sibel Gökçay Bek Murvet Yilmaz Sumeyra Koyuncu Semahat Karahisar Şirali Zeynep Ural Belda Dursun Enver Yuksel Sami Uzun Savaş Sipahi Elbis Ahbap Ayse Serra Artan Orcun Altunoren Onur Tunca Yavuz Ayar Ebru Gok-Oguz Zulfukar Yilmaz Serdar Kahvecioglu Ebru Asicioglu Aysegul Oruc Mehmet Riza Altiparmak Zeki Aydin Bulent Huddam Murside Esra Dolarslan Alper Azak Serkan Bakirdogen Ahmet Ugur Yalcin Serhat Karadag Memnune Sena Ulu Ozkan Gungor Elif Ari Bakir Ali Riza Odabas Nurhan Seyahi Alaattin Yildiz Kenan Ates |
| author_sort | Meltem Gursu |
| collection | DOAJ |
| description | Background: We aimed to study the characteristics of peritoneal dialysis (PD) patients with Coronavirus disease-19 (COVID-19), determine the short-term mortality and other medical complications, and delineate the factors associated with COVID-19 outcome.
Methods: In this multicenter national study, we included PD patients with confirmed COVID-19 from 27 centers. The baseline demographic, clinical, laboratory, and radiological data and outcomes at the end of the first month were recorded.
Results: We enrolled 142 COVID-19 patients (median age:52 years). 58.2% of patients had mild disease at diagnosis. Lung involvement was detected in 60.8% of patients. 83 (58.4%) patients were hospitalized, 31 (21.8%) patients were admitted to intensive care unit and 24 needed mechanical ventilation. 15 (10.5%) patients were switched to hemodialysis and hemodiafiltration was performed for four (2.8%) patients. Persisting pulmonary symptoms (n=27), lower respiratory system infection (n=12), rehospitalization for any reason (n=24), malnutrition (n=6), hypervolemia (n=13), peritonitis (n=7), ultrafiltration failure (n=7) and in PD modality change (n=8) were reported in survivors. 26 patients (18.31%) died in the first month of diagnosis. The non-survivor group was older, comorbidities were more prevalent. Fever, dyspnea, cough, serious-vital disease at presentation, bilateral pulmonary involvement, and pleural effusion were more frequent among non-survivors. Age (OR:1.102; 95%CI: 1.032-1.117; p: 0.004), moderate-severe clinical disease at presentation (OR:26.825; 95%CI: 4.578-157.172; p<0.001) and baseline CRP (OR:1.008; 95%CI; 1.000-1.016; p:0.040) were associated with first-month mortality in multivariate analysis.
Conclusions: Early mortality rate and medical complications are quite high in PD patients with COVID-19. Age, clinical severity of COVID-19, and baseline CRP level are the independent parameters associated with mortality. |
| first_indexed | 2024-04-11T17:20:09Z |
| format | Article |
| id | doaj.art-669ac925543544e8b4943c61299b588b |
| institution | Directory Open Access Journal |
| issn | 1420-4096 1423-0143 |
| language | English |
| last_indexed | 2024-04-11T17:20:09Z |
| publishDate | 2022-09-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Kidney & Blood Pressure Research |
| spelling | doaj.art-669ac925543544e8b4943c61299b588b2022-12-22T04:12:30ZengKarger PublishersKidney & Blood Pressure Research1420-40961423-01432022-09-0110.1159/000526909526909CHARACTERISTICS AND SURVIVAL RESULTS OF PERITONEAL DIALYSIS PATIENTS SUFFERING FROM COVID-19 IN TURKEY: A MULTICENTER NATIONAL STUDYMeltem GursuSavas Ozturkhttps://orcid.org/0000-0002-0961-3810Mustafa Aricihttps://orcid.org/0000-0002-4055-7896Idris Sahinhttps://orcid.org/0000-0002-8683-3737Sibel Gökçay Bekhttps://orcid.org/0000-0003-3325-5993Murvet YilmazSumeyra KoyuncuSemahat Karahisar ŞiraliZeynep Uralhttps://orcid.org/0000-0002-3162-8760Belda DursunEnver Yukselhttps://orcid.org/0000-0003-0302-932XSami UzunSavaş SipahiElbis AhbapAyse Serra ArtanOrcun AltunorenOnur Tuncahttps://orcid.org/0000-0003-1958-7617Yavuz Ayarhttps://orcid.org/0000-0003-4607-9220Ebru Gok-OguzZulfukar YilmazSerdar KahveciogluEbru Asiciogluhttps://orcid.org/0000-0002-5685-115XAysegul Oruchttps://orcid.org/0000-0002-0342-9692Mehmet Riza AltiparmakZeki AydinBulent HuddamMurside Esra Dolarslanhttps://orcid.org/0000-0002-8669-4212Alper AzakSerkan Bakirdogenhttps://orcid.org/0000-0002-3448-0490Ahmet Ugur YalcinSerhat KaradagMemnune Sena UluOzkan Gungorhttps://orcid.org/0000-0003-1861-5452Elif Ari Bakirhttps://orcid.org/0000-0001-9208-7972Ali Riza Odabashttps://orcid.org/0000-0002-5248-1390Nurhan SeyahiAlaattin YildizKenan AtesBackground: We aimed to study the characteristics of peritoneal dialysis (PD) patients with Coronavirus disease-19 (COVID-19), determine the short-term mortality and other medical complications, and delineate the factors associated with COVID-19 outcome. Methods: In this multicenter national study, we included PD patients with confirmed COVID-19 from 27 centers. The baseline demographic, clinical, laboratory, and radiological data and outcomes at the end of the first month were recorded. Results: We enrolled 142 COVID-19 patients (median age:52 years). 58.2% of patients had mild disease at diagnosis. Lung involvement was detected in 60.8% of patients. 83 (58.4%) patients were hospitalized, 31 (21.8%) patients were admitted to intensive care unit and 24 needed mechanical ventilation. 15 (10.5%) patients were switched to hemodialysis and hemodiafiltration was performed for four (2.8%) patients. Persisting pulmonary symptoms (n=27), lower respiratory system infection (n=12), rehospitalization for any reason (n=24), malnutrition (n=6), hypervolemia (n=13), peritonitis (n=7), ultrafiltration failure (n=7) and in PD modality change (n=8) were reported in survivors. 26 patients (18.31%) died in the first month of diagnosis. The non-survivor group was older, comorbidities were more prevalent. Fever, dyspnea, cough, serious-vital disease at presentation, bilateral pulmonary involvement, and pleural effusion were more frequent among non-survivors. Age (OR:1.102; 95%CI: 1.032-1.117; p: 0.004), moderate-severe clinical disease at presentation (OR:26.825; 95%CI: 4.578-157.172; p<0.001) and baseline CRP (OR:1.008; 95%CI; 1.000-1.016; p:0.040) were associated with first-month mortality in multivariate analysis. Conclusions: Early mortality rate and medical complications are quite high in PD patients with COVID-19. Age, clinical severity of COVID-19, and baseline CRP level are the independent parameters associated with mortality.https://www.karger.com/Article/FullText/526909 |
| spellingShingle | Meltem Gursu Savas Ozturk Mustafa Arici Idris Sahin Sibel Gökçay Bek Murvet Yilmaz Sumeyra Koyuncu Semahat Karahisar Şirali Zeynep Ural Belda Dursun Enver Yuksel Sami Uzun Savaş Sipahi Elbis Ahbap Ayse Serra Artan Orcun Altunoren Onur Tunca Yavuz Ayar Ebru Gok-Oguz Zulfukar Yilmaz Serdar Kahvecioglu Ebru Asicioglu Aysegul Oruc Mehmet Riza Altiparmak Zeki Aydin Bulent Huddam Murside Esra Dolarslan Alper Azak Serkan Bakirdogen Ahmet Ugur Yalcin Serhat Karadag Memnune Sena Ulu Ozkan Gungor Elif Ari Bakir Ali Riza Odabas Nurhan Seyahi Alaattin Yildiz Kenan Ates CHARACTERISTICS AND SURVIVAL RESULTS OF PERITONEAL DIALYSIS PATIENTS SUFFERING FROM COVID-19 IN TURKEY: A MULTICENTER NATIONAL STUDY Kidney & Blood Pressure Research |
| title | CHARACTERISTICS AND SURVIVAL RESULTS OF PERITONEAL DIALYSIS PATIENTS SUFFERING FROM COVID-19 IN TURKEY: A MULTICENTER NATIONAL STUDY |
| title_full | CHARACTERISTICS AND SURVIVAL RESULTS OF PERITONEAL DIALYSIS PATIENTS SUFFERING FROM COVID-19 IN TURKEY: A MULTICENTER NATIONAL STUDY |
| title_fullStr | CHARACTERISTICS AND SURVIVAL RESULTS OF PERITONEAL DIALYSIS PATIENTS SUFFERING FROM COVID-19 IN TURKEY: A MULTICENTER NATIONAL STUDY |
| title_full_unstemmed | CHARACTERISTICS AND SURVIVAL RESULTS OF PERITONEAL DIALYSIS PATIENTS SUFFERING FROM COVID-19 IN TURKEY: A MULTICENTER NATIONAL STUDY |
| title_short | CHARACTERISTICS AND SURVIVAL RESULTS OF PERITONEAL DIALYSIS PATIENTS SUFFERING FROM COVID-19 IN TURKEY: A MULTICENTER NATIONAL STUDY |
| title_sort | characteristics and survival results of peritoneal dialysis patients suffering from covid 19 in turkey a multicenter national study |
| url | https://www.karger.com/Article/FullText/526909 |
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