One-year impact of COVID-19 pandemic on renal replacement therapy and kidney transplantation in a tertiary center in Southern Brazil

Detalhes bibliográficos
Autor(a) principal: Teichmann,Pedro do Valle
Data de Publicação: 2022
Outros Autores: Moschetta,Marina Oliboni, Franco,Rodrigo Fontanive, Vicari,Alessandra Rosa, Nunes,Gérson Luiz da Silva, Lazzaretti,Maria Angela Kalil Nader, Gomes,Miriam Gressler, Dorigoni,Silvia Maria, Dall’Agnol,Paulo Roberto, Klafke,Adriana, Thomé,Fernando Saldanha, Spuldaro,Fabio, Agra,Homero, Almeida,Rafael de, Lara,Darlan Martins, Bauer,Andrea Carla, Karhol,Cristina, Manfro,Roberto Ceratti
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Jornal Brasileiro de Nefrologia
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002022005045404
Resumo: ABSTRACT Introduction: Patients on renal replacement therapy (RRT) and kidney transplant recipients (KTR) present multiple factors that may increase the risk of death from coronavirus disease 2019 (COVID-19). This study aimed to evaluate the incidence and impact of COVID-19 in RRT patients and KTRs. Methods: Between March 2020 and February 2021, we monitored the RRT population of thirteen dialysis facilities that refer patients for transplantation to our center, a tertiary hospital in Southern Brazil. In the same period, we also monitor COVID-19 incidence and mortality in our KTR population. Demographical, clinical, and COVID-19-related information were analyzed. Results: We evaluated 1545 patients in the dialysis centers, of which 267 (17.4%) were infected by COVID-19 and 53 (19.9%) died. Among 275 patients on the kidney transplant waiting list, 63 patients (22.9%) were infected and seven (11.1%) died. COVID-19 was the leading cause of death (29.2%) among patients on the waiting list. Within the population of 1360 KTR, 134 (9.85%) were diagnosed with COVID-19 and 20 (14.9%) died. The number of kidney transplants decreased by 56.7% compared with the same period in the previous twelve months. Conclusion: In the study period, patients on RRT and KTRs presented a high incidence of COVID-19 and high COVID-19-related lethality. The impact on the patients on the transplant waiting list was less pronounced. The lethality rate observed in both cohorts seems to be related to age, comorbidities, and disease severity.
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spelling One-year impact of COVID-19 pandemic on renal replacement therapy and kidney transplantation in a tertiary center in Southern BrazilKidney TransplantationSARS-CoV-2COVID-19Renal Replacement TherapyABSTRACT Introduction: Patients on renal replacement therapy (RRT) and kidney transplant recipients (KTR) present multiple factors that may increase the risk of death from coronavirus disease 2019 (COVID-19). This study aimed to evaluate the incidence and impact of COVID-19 in RRT patients and KTRs. Methods: Between March 2020 and February 2021, we monitored the RRT population of thirteen dialysis facilities that refer patients for transplantation to our center, a tertiary hospital in Southern Brazil. In the same period, we also monitor COVID-19 incidence and mortality in our KTR population. Demographical, clinical, and COVID-19-related information were analyzed. Results: We evaluated 1545 patients in the dialysis centers, of which 267 (17.4%) were infected by COVID-19 and 53 (19.9%) died. Among 275 patients on the kidney transplant waiting list, 63 patients (22.9%) were infected and seven (11.1%) died. COVID-19 was the leading cause of death (29.2%) among patients on the waiting list. Within the population of 1360 KTR, 134 (9.85%) were diagnosed with COVID-19 and 20 (14.9%) died. The number of kidney transplants decreased by 56.7% compared with the same period in the previous twelve months. Conclusion: In the study period, patients on RRT and KTRs presented a high incidence of COVID-19 and high COVID-19-related lethality. The impact on the patients on the transplant waiting list was less pronounced. The lethality rate observed in both cohorts seems to be related to age, comorbidities, and disease severity.Sociedade Brasileira de Nefrologia2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002022005045404Brazilian Journal of Nephrology n.ahead 2022reponame:Jornal Brasileiro de Nefrologiainstname:Sociedade Brasileira de Nefrologia (SBN)instacron:SBN10.1590/2175-8239-jbn-2022-0034eninfo:eu-repo/semantics/openAccessTeichmann,Pedro do ValleMoschetta,Marina OliboniFranco,Rodrigo FontaniveVicari,Alessandra RosaNunes,Gérson Luiz da SilvaLazzaretti,Maria Angela Kalil NaderGomes,Miriam GresslerDorigoni,Silvia MariaDall’Agnol,Paulo RobertoKlafke,AdrianaThomé,Fernando SaldanhaSpuldaro,FabioAgra,HomeroAlmeida,Rafael deLara,Darlan MartinsBauer,Andrea CarlaKarhol,CristinaManfro,Roberto Cerattieng2022-09-08T00:00:00Zoai:scielo:S0101-28002022005045404Revistahttp://www.bjn.org.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||jbn@sbn.org.br2175-82390101-2800opendoar:2022-09-08T00:00Jornal Brasileiro de Nefrologia - Sociedade Brasileira de Nefrologia (SBN)false
dc.title.none.fl_str_mv One-year impact of COVID-19 pandemic on renal replacement therapy and kidney transplantation in a tertiary center in Southern Brazil
title One-year impact of COVID-19 pandemic on renal replacement therapy and kidney transplantation in a tertiary center in Southern Brazil
spellingShingle One-year impact of COVID-19 pandemic on renal replacement therapy and kidney transplantation in a tertiary center in Southern Brazil
Teichmann,Pedro do Valle
Kidney Transplantation
SARS-CoV-2
COVID-19
Renal Replacement Therapy
title_short One-year impact of COVID-19 pandemic on renal replacement therapy and kidney transplantation in a tertiary center in Southern Brazil
title_full One-year impact of COVID-19 pandemic on renal replacement therapy and kidney transplantation in a tertiary center in Southern Brazil
title_fullStr One-year impact of COVID-19 pandemic on renal replacement therapy and kidney transplantation in a tertiary center in Southern Brazil
title_full_unstemmed One-year impact of COVID-19 pandemic on renal replacement therapy and kidney transplantation in a tertiary center in Southern Brazil
title_sort One-year impact of COVID-19 pandemic on renal replacement therapy and kidney transplantation in a tertiary center in Southern Brazil
author Teichmann,Pedro do Valle
author_facet Teichmann,Pedro do Valle
Moschetta,Marina Oliboni
Franco,Rodrigo Fontanive
Vicari,Alessandra Rosa
Nunes,Gérson Luiz da Silva
Lazzaretti,Maria Angela Kalil Nader
Gomes,Miriam Gressler
Dorigoni,Silvia Maria
Dall’Agnol,Paulo Roberto
Klafke,Adriana
Thomé,Fernando Saldanha
Spuldaro,Fabio
Agra,Homero
Almeida,Rafael de
Lara,Darlan Martins
Bauer,Andrea Carla
Karhol,Cristina
Manfro,Roberto Ceratti
author_role author
author2 Moschetta,Marina Oliboni
Franco,Rodrigo Fontanive
Vicari,Alessandra Rosa
Nunes,Gérson Luiz da Silva
Lazzaretti,Maria Angela Kalil Nader
Gomes,Miriam Gressler
Dorigoni,Silvia Maria
Dall’Agnol,Paulo Roberto
Klafke,Adriana
Thomé,Fernando Saldanha
Spuldaro,Fabio
Agra,Homero
Almeida,Rafael de
Lara,Darlan Martins
Bauer,Andrea Carla
Karhol,Cristina
Manfro,Roberto Ceratti
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Teichmann,Pedro do Valle
Moschetta,Marina Oliboni
Franco,Rodrigo Fontanive
Vicari,Alessandra Rosa
Nunes,Gérson Luiz da Silva
Lazzaretti,Maria Angela Kalil Nader
Gomes,Miriam Gressler
Dorigoni,Silvia Maria
Dall’Agnol,Paulo Roberto
Klafke,Adriana
Thomé,Fernando Saldanha
Spuldaro,Fabio
Agra,Homero
Almeida,Rafael de
Lara,Darlan Martins
Bauer,Andrea Carla
Karhol,Cristina
Manfro,Roberto Ceratti
dc.subject.por.fl_str_mv Kidney Transplantation
SARS-CoV-2
COVID-19
Renal Replacement Therapy
topic Kidney Transplantation
SARS-CoV-2
COVID-19
Renal Replacement Therapy
description ABSTRACT Introduction: Patients on renal replacement therapy (RRT) and kidney transplant recipients (KTR) present multiple factors that may increase the risk of death from coronavirus disease 2019 (COVID-19). This study aimed to evaluate the incidence and impact of COVID-19 in RRT patients and KTRs. Methods: Between March 2020 and February 2021, we monitored the RRT population of thirteen dialysis facilities that refer patients for transplantation to our center, a tertiary hospital in Southern Brazil. In the same period, we also monitor COVID-19 incidence and mortality in our KTR population. Demographical, clinical, and COVID-19-related information were analyzed. Results: We evaluated 1545 patients in the dialysis centers, of which 267 (17.4%) were infected by COVID-19 and 53 (19.9%) died. Among 275 patients on the kidney transplant waiting list, 63 patients (22.9%) were infected and seven (11.1%) died. COVID-19 was the leading cause of death (29.2%) among patients on the waiting list. Within the population of 1360 KTR, 134 (9.85%) were diagnosed with COVID-19 and 20 (14.9%) died. The number of kidney transplants decreased by 56.7% compared with the same period in the previous twelve months. Conclusion: In the study period, patients on RRT and KTRs presented a high incidence of COVID-19 and high COVID-19-related lethality. The impact on the patients on the transplant waiting list was less pronounced. The lethality rate observed in both cohorts seems to be related to age, comorbidities, and disease severity.
publishDate 2022
dc.date.none.fl_str_mv 2022-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002022005045404
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002022005045404
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/2175-8239-jbn-2022-0034en
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Nefrologia
publisher.none.fl_str_mv Sociedade Brasileira de Nefrologia
dc.source.none.fl_str_mv Brazilian Journal of Nephrology n.ahead 2022
reponame:Jornal Brasileiro de Nefrologia
instname:Sociedade Brasileira de Nefrologia (SBN)
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instname_str Sociedade Brasileira de Nefrologia (SBN)
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reponame_str Jornal Brasileiro de Nefrologia
collection Jornal Brasileiro de Nefrologia
repository.name.fl_str_mv Jornal Brasileiro de Nefrologia - Sociedade Brasileira de Nefrologia (SBN)
repository.mail.fl_str_mv ||jbn@sbn.org.br
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