Clinical Profiles in Renal Patients with COVID-19.

COVID-19 RT-PCR SARS-CoV-2 hemodialysis kidney transplantation pneumonia

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
18 Aug 2020
Historique:
received: 07 06 2020
revised: 08 07 2020
accepted: 11 08 2020
entrez: 23 8 2020
pubmed: 23 8 2020
medline: 23 8 2020
Statut: epublish

Résumé

The COVID-19 pandemic has led to frequent referrals to the emergency department on suspicion of this infection in maintenance hemodialysis (MHD) and kidney transplant (KT) patients. We aimed to describe their clinical features comparing confirmed and suspected non-confirmed COVID-19 cases during the Spanish epidemic peak. Confirmed COVID-19 ((+)COVID-19) corresponds to patient with positive RT-PCR SARS-CoV-2 assay. Non-confirmed COVID-19 ((-)COVID-19) corresponds to patients with negative RT-PCR. COVID-19 was suspected in 61 patients (40/803 KT (4.9%), 21/220 MHD (9.5%)). Prevalence of (+)COVID-19 was 3.2% in KT and 3.6% in MHD patients. Thirty-four (26 KT and 8 MHD) were (+)COVID-19 and 27 (14 KT and 13 MHD) (-)COVID-19. In comparison with (-)COVID-19 patients, (+)COVID-19 showed higher frequency of typical viral symptoms (cough, dyspnea, asthenia and myalgias), pneumonia (88.2% vs. 14.3%) and LDH and CRP while lower phosphate levels, need of hospital admission (100% vs. 63%), use of non-invasive mechanical ventilation (36% vs. 11%) and mortality (38% vs. 0%) (

Identifiants

pubmed: 32824683
pii: jcm9082665
doi: 10.3390/jcm9082665
pmc: PMC7464139
pii:
doi:

Types de publication

Journal Article

Langues

eng

Références

J Med Virol. 2020 Jun;92(6):568-576
pubmed: 32134116
N Engl J Med. 2020 Mar 26;382(13):1199-1207
pubmed: 31995857
N Engl J Med. 2020 Apr 30;382(18):1708-1720
pubmed: 32109013
Lancet Infect Dis. 2020 Jun;20(6):656-657
pubmed: 32199493
Nature. 2020 May;581(7809):465-469
pubmed: 32235945
Int Urol Nephrol. 2020 Jun;52(6):1193-1194
pubmed: 32222883
J Am Soc Nephrol. 2020 Jul;31(7):1387-1397
pubmed: 32385130
JAMA Cardiol. 2020 Mar 27;:
pubmed: 32219363
Kidney Int. 2020 Jul;98(1):20-26
pubmed: 32437768
Kidney Int. 2020 Jul;98(1):27-34
pubmed: 32437770
Kidney Int. 2006 Sep;70(6):1135-41
pubmed: 16871243
Kidney Int Rep. 2020 May 01;5(6):905-909
pubmed: 32363253
JAMA. 2020 Mar 23;:
pubmed: 32203977
Am J Transplant. 2020 Jul;20(7):1849-1858
pubmed: 32301155
Am J Transplant. 2020 Jul;20(7):1941-1943
pubmed: 32233067
Kidney Int. 2020 Jun;97(6):1076-1082
pubmed: 32354637
Lancet. 2020 Mar 28;395(10229):1054-1062
pubmed: 32171076
Kidney Int. 2020 Jun;97(6):1074-1075
pubmed: 32354635
Otolaryngol Head Neck Surg. 2020 Jul;163(1):3-11
pubmed: 32369429
Travel Med Infect Dis. 2020 Mar - Apr;34:101623
pubmed: 32179124
Nefrologia. 2020 May - Jun;40(3):258-264
pubmed: 32340751
Nefrologia. 2020 May - Jun;40(3):279-286
pubmed: 32456944
JAMA. 2020 Feb 7;:
pubmed: 32031570
JAMA. 2020 Apr 22;:
pubmed: 32320003
Am J Transplant. 2020 May 29;:
pubmed: 32471001
Am J Kidney Dis. 2020 Jul;76(1):141-143
pubmed: 32240718
Lancet. 2020 Feb 15;395(10223):497-506
pubmed: 31986264
Clin Infect Dis. 2020 Jul 28;71(15):756-761
pubmed: 32161968
Nefrologia. 2020 May - Jun;40(3):272-278
pubmed: 32389518
Kidney Int. 2020 Jun;97(6):1083-1088
pubmed: 32354634
Korean J Radiol. 2020 Apr;21(4):505-508
pubmed: 32174053
J Am Coll Cardiol. 2020 Jun 16;75(23):2950-2973
pubmed: 32311448
Kidney Int Rep. 2020 Apr 04;5(5):580-585
pubmed: 32292866
Nutrients. 2020 Apr 02;12(4):
pubmed: 32252338
Lancet. 2020 Mar 28;395(10229):1033-1034
pubmed: 32192578
Int J Biol Sci. 2020 Mar 15;16(10):1753-1766
pubmed: 32226295
Radiology. 2020 Apr;295(1):210-217
pubmed: 32027573
Nephrol Dial Transplant. 2011 Sep;26(9):2899-906
pubmed: 21273232
Korean J Radiol. 2020 Apr;21(4):494-500
pubmed: 32100485
J Clin Virol. 2020 Aug;129:104474
pubmed: 32504946

Auteurs

María Dolores Arenas (MD)

Department of Nephrology, Hospital del Mar, 08003 Barcelona, Spain.

Marta Crespo (M)

Department of Nephrology, Hospital del Mar, 08003 Barcelona, Spain.

María José Pérez-Sáez (MJ)

Department of Nephrology, Hospital del Mar, 08003 Barcelona, Spain.

Silvia Collado (S)

Department of Nephrology, Hospital del Mar, 08003 Barcelona, Spain.

Dolores Redondo-Pachón (D)

Department of Nephrology, Hospital del Mar, 08003 Barcelona, Spain.

Laura Llinàs-Mallol (L)

Department of Nephrology, Hospital del Mar, 08003 Barcelona, Spain.

María Milagro Montero (MM)

Department of Infectious Diseases, Hospital del Mar, 08003 Barcelona, Spain.

Judith Villar-García (J)

Department of Infectious Diseases, Hospital del Mar, 08003 Barcelona, Spain.

Carlos Arias-Cabrales (C)

Department of Nephrology, Hospital del Mar, 08003 Barcelona, Spain.

Francesc Barbosa (F)

Department of Nephrology, Hospital del Mar, 08003 Barcelona, Spain.

Anna Buxeda (A)

Department of Nephrology, Hospital del Mar, 08003 Barcelona, Spain.

Carla Burballa (C)

Department of Nephrology, Hospital del Mar, 08003 Barcelona, Spain.

Laia Sans (L)

Department of Nephrology, Hospital del Mar, 08003 Barcelona, Spain.

Susana Vázquez (S)

Department of Nephrology, Hospital del Mar, 08003 Barcelona, Spain.

Anna Oliveras (A)

Department of Nephrology, Hospital del Mar, 08003 Barcelona, Spain.

Marisa Mir (M)

Department of Nephrology, Hospital del Mar, 08003 Barcelona, Spain.

Sara Outón (S)

Department of Nephrology, Hospital del Mar, 08003 Barcelona, Spain.

Isabel Galcerán (I)

Department of Nephrology, Hospital del Mar, 08003 Barcelona, Spain.

Eulalia Solá (E)

Department of Nephrology, Hospital del Mar, 08003 Barcelona, Spain.

Adriana Sierra (A)

Department of Nephrology, Hospital del Mar, 08003 Barcelona, Spain.

Clara Barrios (C)

Department of Nephrology, Hospital del Mar, 08003 Barcelona, Spain.

Eva Rodríguez (E)

Department of Nephrology, Hospital del Mar, 08003 Barcelona, Spain.

Higini Cao (H)

Department of Nephrology, Hospital del Mar, 08003 Barcelona, Spain.

Roberto Güerri-Fernández (R)

Department of Infectious Diseases, Hospital del Mar, 08003 Barcelona, Spain.

Juan Pablo Horcajada (JP)

Department of Infectious Diseases, Hospital del Mar, 08003 Barcelona, Spain.

Julio Pascual (J)

Department of Nephrology, Hospital del Mar, 08003 Barcelona, Spain.

Classifications MeSH