Risk of COVID-19 Disease, Dialysis Unit Attributes, and Infection Control Strategy among London In-Center Hemodialysis Patients.
COVID-19
hemodialysis
infection control
Journal
Clinical journal of the American Society of Nephrology : CJASN
ISSN: 1555-905X
Titre abrégé: Clin J Am Soc Nephrol
Pays: United States
ID NLM: 101271570
Informations de publication
Date de publication:
08 2021
08 2021
Historique:
received:
02
03
2021
accepted:
27
04
2021
pubmed:
3
6
2021
medline:
17
8
2021
entrez:
2
6
2021
Statut:
ppublish
Résumé
Patients receiving in-center hemodialysis treatment face unique challenges during the coronavirus disease 2019 (COVID-19) pandemic, specifically the need to attend for treatment that prevents self-isolation. Dialysis unit attributes and isolation strategies that might reduce dialysis center COVID-19 infection rates have not been previously examined. We explored the role of variables, including community disease burden, dialysis unit attributes (size and layout), and infection control strategies, on rates of COVID-19 among patients receiving in-center hemodialysis in London, United Kingdom, between March 2, 2020 and May 31, 2020. The two outcomes were defined as ( Data on 5755 patients dialyzing in 51 units were analyzed; 990 (17%) tested positive and 465 (8%) were admitted with suspected COVID-19 between March 2 and May 31, 2020. Outcomes were associated with age, diabetes, local community COVID-19 rates, and dialysis unit size. A greater number of available side rooms and the introduction of mask policies for asymptomatic patients were inversely associated with outcomes. No association was seen with sex, ethnicity, or deprivation indices, nor with any of the different isolation strategies. Rates of COVID-19 in the in-center hemodialysis population relate to individual factors, underlying community transmission, unit size, and layout.
Sections du résumé
BACKGROUND AND OBJECTIVES
Patients receiving in-center hemodialysis treatment face unique challenges during the coronavirus disease 2019 (COVID-19) pandemic, specifically the need to attend for treatment that prevents self-isolation. Dialysis unit attributes and isolation strategies that might reduce dialysis center COVID-19 infection rates have not been previously examined.
DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS
We explored the role of variables, including community disease burden, dialysis unit attributes (size and layout), and infection control strategies, on rates of COVID-19 among patients receiving in-center hemodialysis in London, United Kingdom, between March 2, 2020 and May 31, 2020. The two outcomes were defined as (
RESULTS
Data on 5755 patients dialyzing in 51 units were analyzed; 990 (17%) tested positive and 465 (8%) were admitted with suspected COVID-19 between March 2 and May 31, 2020. Outcomes were associated with age, diabetes, local community COVID-19 rates, and dialysis unit size. A greater number of available side rooms and the introduction of mask policies for asymptomatic patients were inversely associated with outcomes. No association was seen with sex, ethnicity, or deprivation indices, nor with any of the different isolation strategies.
CONCLUSIONS
Rates of COVID-19 in the in-center hemodialysis population relate to individual factors, underlying community transmission, unit size, and layout.
Identifiants
pubmed: 34074636
pii: 01277230-202108000-00015
doi: 10.2215/CJN.03180321
pmc: PMC8455047
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1237-1246Investigateurs
Asgari Elham
(A)
Ashby Damien
(A)
Banerjee Debasish
(B)
Blakey Sarah
(B)
Bramham Kate
(B)
Brewster Rosalind
(B)
Briade-Azikwe Dandisonba
(BA)
Cairns Hugh
(C)
Caplin Ben
(C)
Chowdhury Paramit
(C)
Clark Grace
(C)
Cole Nicholas
(C)
Corbett Richard
(C)
Cove-Smith Andrea
(CS)
Cronin Helen
(C)
Davari Maria
(D)
Dias Abigail
(D)
Evans Kevin
(E)
Forbes Suzanne
(F)
Ford Martin
(F)
Frankel Andrew
(F)
Gnansampanthan Sahana
(G)
Goodlad Catriona
(G)
Hayes Nathan
(H)
Hendra Heidy
(H)
Hull Richard
(H)
Kumar Nicola
(K)
Lioudaki Eirini
(L)
Loucaidou Marina
(L)
Makanjuola David
(M)
Manson Bethia
(M)
McCafferty Kieran
(M)
McGuinness Daniel
(M)
Neradova Aegida
(N)
Phanish Mysore
(P)
Price Katherine
(P)
Rajakariar Ravi
(R)
Rankin Alex
(R)
Roper Tayeba
(R)
Roth Noam
(R)
Salama Alan
(S)
Sarnowski Alexander
(S)
Schott Cassim
(S)
Sharpe Claire
(S)
Srinivasa Vinay
(S)
Tandaric Damir
(T)
Thyagarajan Sujanita
(T)
Vajgel Gisele
(V)
Young Gregor
(Y)
Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2021 by the American Society of Nephrology.
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