Impact of the pandemic by COVID-19 on the profile of critical patients assisted by a hemodialysis service
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , |
Tipo de documento: | preprint |
Idioma: | por |
Título da fonte: | SciELO Preprints |
Texto Completo: | https://preprints.scielo.org/index.php/scielo/preprint/view/3429 |
Resumo: | Introduction and objective: Critically ill patients with COVID-19 often progress to acute kidney injury and need for hemodialysis. The aim of this study was to compare the care profile of critically ill patients undergoing renal replacement therapy before and during the COVID-19 pandemic. Methods: Observational study carried out at a university hospital in the city of São Paulo, Brazil. Critical patients undergoing hemodialysis from April to June 2019 and April to June 2020 participated in the study. Data were collected from hemodialysis care documents and electronic medical records. The Chi-square, Mann-Whitney, Shapiro-Wilk, Fisher's exact test were used (5% significance). Results: 212 patients participated, 50 in 2019 and 171 in 2020. In 2019, 30.0% of patients were hospitalized due to acute renal changes, 90.0% had increased entry creatinine, were referred to intensive care after 4.62± 6.38 days and started hemodialysis after 17.26±24.53 days. In 2020, 66.7% were hospitalized for COVID-19, 77.7% had increased entry creatinine, were referred to intensive care after 2.21±3.63 days and started hemodialysis after 10.24±11.99 days . 212 hemodialysis sessions were performed in 2019 and 873 in 2020. There were more deaths in 2020 (p=0.01) and patients with COVID-19 (p=0.014) and hemodynamic instability (p=0.016) were the most affected. Conclusion: In 2020, there was an increase of 3.42 times in the number of critical patients on hemodialysis and an increase of 4.11 times in the number of sessions compared to the year 2019. |
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Impact of the pandemic by COVID-19 on the profile of critical patients assisted by a hemodialysis serviceImpacto da pandêmica pela covid-19 não perfil de pacientes críticos tratados pela um serviço de hemodiáliseImpacto da pandemia pela COVID-19 no perfil de pacientes críticos atendidos por um serviço de hemodiáliseCuidados CríticosCOVID-19Diálise RenalLesão Renal AgudaInsuficiência Renalcuidados críticoslesão renal agudainsuficiencia renaldiálise renalCOVID-19cuidados críticoslesión renal agudainsuficiencia renalDiálisis renalCOVID-19Introduction and objective: Critically ill patients with COVID-19 often progress to acute kidney injury and need for hemodialysis. The aim of this study was to compare the care profile of critically ill patients undergoing renal replacement therapy before and during the COVID-19 pandemic. Methods: Observational study carried out at a university hospital in the city of São Paulo, Brazil. Critical patients undergoing hemodialysis from April to June 2019 and April to June 2020 participated in the study. Data were collected from hemodialysis care documents and electronic medical records. The Chi-square, Mann-Whitney, Shapiro-Wilk, Fisher's exact test were used (5% significance). Results: 212 patients participated, 50 in 2019 and 171 in 2020. In 2019, 30.0% of patients were hospitalized due to acute renal changes, 90.0% had increased entry creatinine, were referred to intensive care after 4.62± 6.38 days and started hemodialysis after 17.26±24.53 days. In 2020, 66.7% were hospitalized for COVID-19, 77.7% had increased entry creatinine, were referred to intensive care after 2.21±3.63 days and started hemodialysis after 10.24±11.99 days . 212 hemodialysis sessions were performed in 2019 and 873 in 2020. There were more deaths in 2020 (p=0.01) and patients with COVID-19 (p=0.014) and hemodynamic instability (p=0.016) were the most affected. Conclusion: In 2020, there was an increase of 3.42 times in the number of critical patients on hemodialysis and an increase of 4.11 times in the number of sessions compared to the year 2019.Introducción y objetivo: Los pacientes críticamente enfermos con COVID-19 a menudo progresan a una lesión renal aguda y necesitan hemodiálisis. El objetivo de este estudio fue comparar el perfil de atención de los pacientes críticamente enfermos sometidos a terapia de reemplazo renal antes y durante la pandemia de COVID-19.Métodos: estudio observacional realizado en un hospital universitario de la ciudad de São Paulo, Brasil. En el estudio participaron pacientes críticos sometidos a hemodiálisis de abril a junio de 2019 y de abril a junio de 2020. Los datos se obtuvieron de documentos de atención de hemodiálisis y registros médicos electrónicos. Se utilizó la prueba de Chi-cuadrado, Mann-Whitney, Shapiro-Wilk, exacta de Fisher (significancia del 5%).Resultados: participaron 221 pacientes, 50 en 2019 y 171 en 2020. En 2019, el 30,0% de los pacientes fueron hospitalizados por alteraciones renales agudas, el 90,0% presentó aumento de creatinina de entrada, fueron remitidos a cuidados intensivos a los 4,62 ± 6,38 días e iniciaron hemodiálisis posteriormente. 17,26 ± 24,53 días. En 2020, el 66,7% fueron hospitalizados por COVID-19, el 77,7% presentó aumento de creatinina de entrada, fueron remitidos a cuidados intensivos a los 2,21 ± 3,63 días e iniciaron hemodiálisis a los 10,24 ± 11,99 días. Se realizaron 212 sesiones de hemodiálisis en 2019 y 873 en 2020. Hubo más muertes en 2020 (p = 0.01) y los pacientes con COVID-19 (p = 0.014) e inestabilidad hemodinámica (p = 0.016) fueron los más afectados.Conclusión: En 2020, hubo un aumento de 3,42 veces en el número de pacientes críticos en hemodiálisis y un aumento de 4,11 veces en el número de sesiones respecto al año 2019.Introdução e objetivo: Frequentemente os pacientes críticos com COVID-19 evoluem para lesão renal aguda e necessidade de hemodiálise. O objetivo deste estudo foi comparar o perfil de atendimento aos pacientes críticos submetidos a terapia de substituição renal antes e durante a pandemia pela COVID-19. Métodos: Estudo observacional realizado em um hospital universitário da cidade de São Paulo, Brasil. Participaram do estudo pacientes críticos em hemodiálise de abril a junho de 2019 e abril a junho de 2020. Os dados foram coletados a partir de documentos de atendimento de hemodiálise e prontuário eletrônico. Foram utilizados os testes de Qui-quadrado, Mann-Whitney, Shapiro-Wilk, Teste Exato de Fisher, (significância de 5%). Resultados: Participaram 221 pacientes, sendo 50 em 2019 e 171 em 2020. Em 2019, 30,0% dos pacientes internaram por alterações renais agudas, 90,0% apresentaram creatinina de entrada aumentada, foram encaminhados para terapia intensiva após 4,62±6,38 dias e iniciaram hemodiálise após 17,26±24,53 dias. Em 2020, 66,7% internaram por COVID-19, 77,7% tiveram creatinina de entrada aumentada, foram encaminhados para terapia intensiva após 2,21±3,63 dias e iniciaram a hemodiálise após 10,24±11,99 dias. Foram realizadas 212 sessões de hemodiálise em 2019 e 873 em 2020. Houve mais óbitos em 2020 (p=0,01) e os pacientes com COVID-19 (p=0,014) e instabilidade hemodinâmica (p=0,016) foram os mais acometidos. Conclusão: Em 2020, foi observado aumento de 3,42 vezes no número de pacientes críticos em hemodiálise e aumento de 4,11 vezes no número de sessões quanto comparado ao ano de 2019.SciELO PreprintsSciELO PreprintsSciELO Preprints2022-01-06info:eu-repo/semantics/preprintinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://preprints.scielo.org/index.php/scielo/preprint/view/342910.1590/SciELOPreprints.3429porhttps://preprints.scielo.org/index.php/scielo/article/view/3429/6232Copyright (c) 2022 Claudia Gallota, Tatiana Garcia Viana, Fabiana Augusto, Regina Elena Genovese, Carlos Alberto Balda, Ieda Aparecida Carneirohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessGallota, Claudia Viana, Tatiana GarciaAugusto, FabianaGenovese, Regina ElenaBalda, Carlos AlbertoCarneiro, Ieda Aparecidareponame:SciELO Preprintsinstname:SciELOinstacron:SCI2022-01-03T12:04:26Zoai:ops.preprints.scielo.org:preprint/3429Servidor de preprintshttps://preprints.scielo.org/index.php/scieloONGhttps://preprints.scielo.org/index.php/scielo/oaiscielo.submission@scielo.orgopendoar:2022-01-03T12:04:26SciELO Preprints - SciELOfalse |
dc.title.none.fl_str_mv |
Impact of the pandemic by COVID-19 on the profile of critical patients assisted by a hemodialysis service Impacto da pandêmica pela covid-19 não perfil de pacientes críticos tratados pela um serviço de hemodiálise Impacto da pandemia pela COVID-19 no perfil de pacientes críticos atendidos por um serviço de hemodiálise |
title |
Impact of the pandemic by COVID-19 on the profile of critical patients assisted by a hemodialysis service |
spellingShingle |
Impact of the pandemic by COVID-19 on the profile of critical patients assisted by a hemodialysis service Gallota, Claudia Cuidados Críticos COVID-19 Diálise Renal Lesão Renal Aguda Insuficiência Renal cuidados críticos lesão renal aguda insuficiencia renal diálise renal COVID-19 cuidados críticos lesión renal aguda insuficiencia renal Diálisis renal COVID-19 |
title_short |
Impact of the pandemic by COVID-19 on the profile of critical patients assisted by a hemodialysis service |
title_full |
Impact of the pandemic by COVID-19 on the profile of critical patients assisted by a hemodialysis service |
title_fullStr |
Impact of the pandemic by COVID-19 on the profile of critical patients assisted by a hemodialysis service |
title_full_unstemmed |
Impact of the pandemic by COVID-19 on the profile of critical patients assisted by a hemodialysis service |
title_sort |
Impact of the pandemic by COVID-19 on the profile of critical patients assisted by a hemodialysis service |
author |
Gallota, Claudia |
author_facet |
Gallota, Claudia Viana, Tatiana Garcia Augusto, Fabiana Genovese, Regina Elena Balda, Carlos Alberto Carneiro, Ieda Aparecida |
author_role |
author |
author2 |
Viana, Tatiana Garcia Augusto, Fabiana Genovese, Regina Elena Balda, Carlos Alberto Carneiro, Ieda Aparecida |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Gallota, Claudia Viana, Tatiana Garcia Augusto, Fabiana Genovese, Regina Elena Balda, Carlos Alberto Carneiro, Ieda Aparecida |
dc.subject.por.fl_str_mv |
Cuidados Críticos COVID-19 Diálise Renal Lesão Renal Aguda Insuficiência Renal cuidados críticos lesão renal aguda insuficiencia renal diálise renal COVID-19 cuidados críticos lesión renal aguda insuficiencia renal Diálisis renal COVID-19 |
topic |
Cuidados Críticos COVID-19 Diálise Renal Lesão Renal Aguda Insuficiência Renal cuidados críticos lesão renal aguda insuficiencia renal diálise renal COVID-19 cuidados críticos lesión renal aguda insuficiencia renal Diálisis renal COVID-19 |
description |
Introduction and objective: Critically ill patients with COVID-19 often progress to acute kidney injury and need for hemodialysis. The aim of this study was to compare the care profile of critically ill patients undergoing renal replacement therapy before and during the COVID-19 pandemic. Methods: Observational study carried out at a university hospital in the city of São Paulo, Brazil. Critical patients undergoing hemodialysis from April to June 2019 and April to June 2020 participated in the study. Data were collected from hemodialysis care documents and electronic medical records. The Chi-square, Mann-Whitney, Shapiro-Wilk, Fisher's exact test were used (5% significance). Results: 212 patients participated, 50 in 2019 and 171 in 2020. In 2019, 30.0% of patients were hospitalized due to acute renal changes, 90.0% had increased entry creatinine, were referred to intensive care after 4.62± 6.38 days and started hemodialysis after 17.26±24.53 days. In 2020, 66.7% were hospitalized for COVID-19, 77.7% had increased entry creatinine, were referred to intensive care after 2.21±3.63 days and started hemodialysis after 10.24±11.99 days . 212 hemodialysis sessions were performed in 2019 and 873 in 2020. There were more deaths in 2020 (p=0.01) and patients with COVID-19 (p=0.014) and hemodynamic instability (p=0.016) were the most affected. Conclusion: In 2020, there was an increase of 3.42 times in the number of critical patients on hemodialysis and an increase of 4.11 times in the number of sessions compared to the year 2019. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-01-06 |
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info:eu-repo/semantics/preprint info:eu-repo/semantics/publishedVersion |
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preprint |
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publishedVersion |
dc.identifier.uri.fl_str_mv |
https://preprints.scielo.org/index.php/scielo/preprint/view/3429 10.1590/SciELOPreprints.3429 |
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https://preprints.scielo.org/index.php/scielo/preprint/view/3429 |
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10.1590/SciELOPreprints.3429 |
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por |
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por |
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https://preprints.scielo.org/index.php/scielo/article/view/3429/6232 |
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https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by/4.0 |
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openAccess |
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SciELO Preprints SciELO Preprints SciELO Preprints |
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SciELO Preprints SciELO Preprints SciELO Preprints |
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SciELO Preprints - SciELO |
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