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COVID‐19 is more lethal in hemodialysis chronic kidney disease patients with low physical capacity
Ist Teil von
Therapeutic apheresis and dialysis, 2024-02, Vol.28 (1), p.61-68
Ort / Verlag
Kyoto, Japan: John Wiley & Sons Australia, Ltd
Erscheinungsjahr
2024
Link zum Volltext
Quelle
Wiley Online Library
Beschreibungen/Notizen
Introduction
The mortality rate in patients on maintenance hemodialysis (HD) is high and is associated with low functional capacity (FC). We analyzed the association of FC and COVID‐19 lethality among HD patients.
Methods
A cohort study that included evaluations of FC in patients on HD was underway, and the association between FC and lethality was included as an ad‐hoc outcome.
Results
One hundred and twelve patients were submitted to a physical, 31 patients contracted symptomatic COVID‐19, 20 recovered and 11 died (lethality rate of 35.5%). There was a difference between survivors and non‐survivors on six‐minutes‐walking‐test (6MWT) 386.1 ± 112.8 versus 296.9 ± 103.3 meters (p = 0.04), 30 s sit‐to‐stand test (30CST) score 11.7 ± 3.1 versus 7.7 ± 4.1 (p = 0.006), and timed up and go test (TUG) 9.4 versus 13.6 s (p = 0.009). There was also an association between percentages of predicted 6MWT, 30CST, and TUG with COVID‐19 lethality.
Conclusion
Patients on maintenance HD with poorer physical performance presented the worst prognosis from COVID‐19 pandemic.