Evidence map›Paper›PMID 34574947›Full record

ArticleHealthcare (Basel, Switzerland)2021

Effective Preventive Strategies to Prevent Secondary Transmission of COVID-19 in Hemodialysis Unit: The First Month of Community Outbreak in Taiwan.

Chun-Yu Chen, Jung-Jr Ye, Ting-Shuo Huang, Chin-Chan Lee, Yih-Ting Chen, Cheng-Kai Hsu, Heng-Jung Hsu, Chiao-Yin Sun, Heng-Chih Pan, Kuo-Su Chen and 7 more

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Chun-Yu ChenDepartment of Nephrology, Chang Gung Memorial Hospital, Keelung 204, Taiwan.ORCID 0000-0001-6054-1974
Jung-Jr YeDepartment of Infectious Diseases, Chang Gung Memorial Hospital, Keelung 204, Taiwan.
Ting-Shuo HuangCommunity Medicine Research Center, Department of General Surgery, Chang Gung Memorial Hospital, Keelung 204, Taiwan.ORCID 0000-0002-2932-6878
Chin-Chan LeeDepartment of Nephrology, Chang Gung Memorial Hospital, Keelung 204, Taiwan.
Yih-Ting ChenDepartment of Nephrology, Chang Gung Memorial Hospital, Keelung 204, Taiwan.
Cheng-Kai HsuDepartment of Nephrology, Chang Gung Memorial Hospital, Keelung 204, Taiwan.
Heng-Jung HsuDepartment of Nephrology, Chang Gung Memorial Hospital, Keelung 204, Taiwan.
Chiao-Yin SunDepartment of Nephrology, Chang Gung Memorial Hospital, Keelung 204, Taiwan.
Heng-Chih PanDepartment of Nephrology, Chang Gung Memorial Hospital, Keelung 204, Taiwan.
Kuo-Su ChenDepartment of Nephrology, Chang Gung Memorial Hospital, Keelung 204, Taiwan.
Hao-Hsi KaoDepartment of Nephrology, Chang Gung Memorial Hospital, Keelung 204, Taiwan.
Chia-Chun KoDepartment of Nephrology, Chang Gung Memorial Hospital, Keelung 204, Taiwan.
Yun-Hsuan SheDepartment of Nephrology, Chang Gung Memorial Hospital, Keelung 204, Taiwan.
Chun-Ying WuDepartment of Laboratory Medicine, Chang Gung Memorial Hospital, Keelung 204, Taiwan.
Chi-Chun LaiCollege of Medicine, Chang Gung University, Taoyuan 333, Taiwan.
Shang-Jyh HwangDepartment of Internal Medicine, Division of Nephrology, Kaohsiung Medical University Hospital, Kaohsiung 807, Taiwan.
I-Wen WuDepartment of Nephrology, Chang Gung Memorial Hospital, Keelung 204, Taiwan.

Funding

Chang Gung Medical Foundation CGRPG2F0081, CRRPG2H0123
6 · The paper itself

Abstract

backgroundDialyzed patients are vulnerable to coronavirus infection disease 2019 (COVID-19). The incidence and outcome of COVID-19 in hemodialysis (HD) patients in Taiwan remain unclear. A series of preventive measures were executed to combat COVID-19 transmission among HD patients.

methodsWe carried out a series of forward-looking and practical preventive strategies of COVID-19 control in our HD center. Incidences of COVID-19 of our HD unit were compared with those of national and local estimates from a community outbreak from 15 May to 30 June 2021. Prognostic factors associated with mortality were analyzed.

resultsThe national incidence of COVID-19 was 0.062%; being highest in Taipei City (0.173%), followed by New Taipei City (0.161%) and Keelung (0.083%). The overall incidence in Keelung HD patients was 0.666%. One patient of our HD center contracted COVID-19 from the household; however, we have contained secondary transmission in our HD center by implementing strict preventive measures. The mortality rate of HD patients in Keelung was 66.6%. The median Ct value of HD patients was 17.53 (11.75-27.90) upon diagnosis. The deceased patients had a higher cardiac/thoracic ratio than alive (0.61 vs. 0.55,

conclusionsTaking aggressive and proactive infection preventive measures impedes the secondary transmission of COVID-19 in HD facilities. COVID-19-associated mortality was high in HD patients, being the high cardiac-thoracic ratio, an important prognostic factor for clinical outcome of infected HD patients.

Indexed as

COVID-19incidencemortalityoutcomepreventionstrategies

Identifiers

PMID34574947
PMCPMC8467394

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.