Evidence map›Paper›PMID 36166248›Full record

Observational studyNefrologia

COVID-19 incidence and outcomes in a home dialysis unit in Madrid (Spain) at the height of the pandemic.

María Maldonado, Marta Ossorio, Gloria Del Peso, Carlos Santos-Alonso, Laura Álvarez, Rafael Sánchez-Villanueva, Begoña Rivas, Cristina Vega, Rafael Selgas, María A Bajo

Open access · diamondAbstract readObservational Study
In one paragraph

Observational study in Nefrologia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 32% of its field
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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Initial Effects of COVID-19 on Patients with ESKD.Journal of the American Society of Nephrology : JASN · 2021
    Article
  4. Article
  5. [Position statement of the Spanish Society of Nephrology on the SARS-CoV-2 vaccines].Nefrologia : publicacion oficial de la Sociedad Espanola Nefrologia
    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

10 authors at 3 institutions in 1 country.

María MaldonadoDepartamento de Nefrología, Hospital Universitario La Paz, Madrid, Spain. Electronic address: maria.maldonado@salud.madrid.org.
Marta OssorioDepartamento de Nefrología, Hospital Universitario La Paz, Madrid, Spain; Instituto de investigación La Paz (IdiPAZ), Madrid, Spain.
Gloria Del PesoDepartamento de Nefrología, Hospital Universitario La Paz, Madrid, Spain; Instituto de investigación La Paz (IdiPAZ), Madrid, Spain; Red de Investigación Renal (REDINREN), Instituto de Salud Carlos III, Madrid, Spain.
Carlos Santos-AlonsoDepartamento de Nefrología, Hospital Universitario La Paz, Madrid, Spain.
Laura ÁlvarezDepartamento de Nefrología, Hospital Universitario La Paz, Madrid, Spain; Instituto de investigación La Paz (IdiPAZ), Madrid, Spain.
Rafael Sánchez-VillanuevaDepartamento de Nefrología, Hospital Universitario La Paz, Madrid, Spain; Instituto de investigación La Paz (IdiPAZ), Madrid, Spain.
Begoña RivasDepartamento de Nefrología, Hospital Universitario La Paz, Madrid, Spain; Instituto de investigación La Paz (IdiPAZ), Madrid, Spain; Departamento de Nefrología, Universidad Autónoma de Madrid, Madrid, Spain.
Cristina VegaDepartamento de Nefrología, Hospital Universitario La Paz, Madrid, Spain; Instituto de investigación La Paz (IdiPAZ), Madrid, Spain; Departamento de Nefrología, Universidad Autónoma de Madrid, Madrid, Spain.
Rafael SelgasDepartamento de Nefrología, Hospital Universitario La Paz, Madrid, Spain; Instituto de investigación La Paz (IdiPAZ), Madrid, Spain; Red de Investigación Renal (REDINREN), Instituto de Salud Carlos III, Madrid, Spain; Departamento de Nefrología, Universidad Autónoma de Madrid, Madrid, Spain.
María A BajoDepartamento de Nefrología, Hospital Universitario La Paz, Madrid, Spain; Instituto de investigación La Paz (IdiPAZ), Madrid, Spain; Red de Investigación Renal (REDINREN), Instituto de Salud Carlos III, Madrid, Spain; Departamento de Nefrología, Universidad Autónoma de Madrid, Madrid, Spain.
Hospital La Paz Institute for Health Research · ESHospital Universitario La Paz · ESInstituto de Salud Carlos III · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe 2019 coronavirus (COVID-19) is a viral infection caused by a new coronavirus that is affecting the entire world. There have been studies of patients on in-center hemodialysis (HD), but home dialysis population data are scarce. Our objective is to study the incidence and course of COVID-19 in a home dialysis unit (HDU) at the height of the pandemic.

methodsan observational, retrospective study enrolling all patients diagnosed with COVID-19 from the HDU of Hospital Universitario La Paz [La Paz University Hospital] (Madrid, Spain) between March 10 and May 15, 2020. We collected clinical data from the HDU (57 patients on peritoneal dialysis [PD] and 22 patients on home hemodialysis [HHD]) and compared the clinical characteristics and course of patients with and without COVID-19 infection.

resultstwelve patients were diagnosed with COVID-19 (9 PD; 3 HHD). There were no statistically significant differences in terms of clinical characteristics between patients with COVID-19 and the rest of the unit. The mean age was 62 ± 18.5 years; most were men (75%). All patients but one required hospitalization. Ten patients (83%) were discharged following a mean of 16.4 ± 9.7 days of hospitalization. Two patients were diagnosed while hospitalised for other conditions, and these were the only patients who died. Those who died were older than those who survived.

conclusionThe incidence of COVID-19 in our HDU in Madrid at the height of the pandemic was high, especially in patients on PD. No potential benefit for preventing the infection in patients on home dialysis was observed. Advanced age and nosocomial transmission were the main factors linked to a worse prognosis.

Indexed as

COVID-19Kidney Failure, ChronicAdultAgedAged, 80 and overFemaleHemodialysis, HomeHumansIncidenceMaleMiddle AgedPandemicsRetrospective StudiesSpainCOVID-19Diálisis domiciliariaDiálisis peritonealEspañaHemodiálisis domiciliariaHome dialysisHome hemodialysisPeritoneal dialysisSpain

Identifiers

PMID36166248
PMCPMC8373627
OpenAlexW3193766162

What OpenQuestion holds

Textmetadata
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.