ArticleMedicine2020
Effect of isolation practice on the transmission of middle east respiratory syndrome coronavirus among hemodialysis patients: A 2-year prospective cohort study.
Article in Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- Learning from previous lockdown measures and minimising harmful biopsychosocial consequences as they end: A systematic review.Journal of global health · 2021Pooled it
- Quarantine alone or in combination with other public health measures to control COVID-19: a rapid review.The Cochrane database of systematic reviews · 2020Pooled it
- Quarantine alone or in combination with other public health measures to control COVID-19: a rapid review.The Cochrane database of systematic reviews · 2020Pooled it
- Study on Ultrasonic Imaging of Nursing Care for Preventing and Treating Clinical Infection of Hemodialysis Patients Based on Smart Medical Big Data.Contrast media & molecular imaging · 2021Trial
- Assessing risk of bias of cohort studies with large language models.Research synthesis methods · 2025Article
- Comparative analysis of the incidence and mortality of COVID-19 in Korean end-stage kidney disease patients: hemodialysis, peritoneal dialysis, and transplantation.Kidney research and clinical practice · 2025Article
- Symptom-based vs asymptomatic testing for controlling SARS-CoV-2 transmission in low- and middle-income countries: A modelling analysis.Epidemics · 2022Article
- Effect of COVID-19 on Household Food Insecurity and Poverty: Evidence from Ghana.Social indicators research · 2022Article
- Fighting COVID-19: The role of a COVID-19 Task Force Team.Kidney research and clinical practice · 2021Article
- COVID-19: Comparing the applicability of shared room and single room occupancy.Transboundary and emerging diseases · 2021Article
- [Recommendations for the management of the patient with chronic renal disease with SARS-CoV-2].Enfermeria clinica · 2021Article
- Non-Pharmaceutical Interventions and Military Hygiene at the United States Military Academy between 1890 and 1910.Military medicine · 2020Article
- A rapid review of quarantine and/or other public health measures to control COVID-19.International journal of nursing practice · 2020Review
- Evidence-based management of COVID-19 in cancer patients: Guideline by the Infectious Diseases Working Party (AGIHO) of the German Society for Haematology and Medical Oncology (DGHO).European journal of cancer (Oxford, England : 1990) · 2020Article
- Hemodialysis with Cohort Isolation to Prevent Secondary Transmission during a COVID-19 Outbreak in Korea.Journal of the American Society of Nephrology : JASN · 2020Article
- Korean clinical practice guidelines for preventing transmission of coronavirus disease 2019 (COVID-19) in hemodialysis facilities.Kidney research and clinical practice · 2020Article
- [Quarantine Alone or in Combination with Other Public Health Measures to Control COVID-19: A Rapid Review (Review)].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2020Review
- Recommendations for the prevention, mitigation and containment of the emerging SARS-CoV-2 (COVID-19) pandemic in haemodialysis centres.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2020Article
- Coronavirus infection and kidney disease: a review of current and emerging evidence.The Pan African medical journal · 2020Review
- The Lived Experience of Nurses Caring for Patients with COVID-19 in Iran: A Phenomenological Study.Risk management and healthcare policy · 2020Article
Corrections and comments
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Authors and funding
13 authors at 7 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Hemodialysis (HD) patients had a high rate of infection transmission and mortality during the middle east respiratory syndrome coronavirus (MERS-CoV) outbreak in Saudi Arabia. A standardized guideline on isolation technique for exposed HD patients is not available. Thus, this study aimed to evaluate the effect of different isolation strategies on the prevention of secondary viral transmission and clinical outcomes among exposed HD patients.During the 2015 MERS-CoV outbreak in Korea, 116 patients in 3 HD units were incidentally exposed to individuals with confirmed MERS-CoV infection and underwent different types of isolation, which were as follows: single-room isolation (n = 54, 47%), cohort isolation (n = 46, 40%), and self-imposed quarantine (n = 16, 13%). The primary outcome was rate of secondary viral transmission. The secondary outcome measures were changes in clinical and biochemical markers during the isolation period, difference in clinical and biochemical markers according to the types of isolation practice, and effect of isolation practice on patient survival.During a mean isolation period of 15 days, no further cases of secondary transmission were detected among HD patients. Plasma hemoglobin, serum calcium, and serum albumin levels and single-pool Kt/V decreased during the isolation period but normalized thereafter. Patients who were subjected to self-imposed quarantine had higher systolic and diastolic blood pressure, lower total cholesterol level, and lower Kt/V than those who underwent single-room or cohort isolation. During the 24-month follow-up period, 12 patients died. However, none of the deaths occurred during the isolation period, and no differences were observed in patient survival rate according to different isolation strategies.Although 116 participants in 3 HD units were incidentally exposed to MERS-CoV during the 2015 outbreak in Korea, strict patient surveillance and proper isolation practice prevented secondary transmission of the virus. Thus, a renal disaster protocol, which includes proper contact surveillance and isolation practice, must be established in the future to accommodate the needs of HD patients during disasters or outbreaks.
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