MORTALITY ANALYSIS IN CHRONIC DIALYSIS PATIENTS HOSPITALIZED WITH COVID-19: EXPERIENCE OF A COVID-19-ONLY NEPHROLOGY DEPARTMENT

I. A. Văcăroiu, C. David, F. L. Turcu, A. I. Stănescu, E. Cuiban, A. I. Pohariu, A. Angelescu, F. Perde, B. F. Geavlete, C. V. Ene, D. Rădulescu,

Abstract: Limiting autopsies in deaths caused by COVID-19 reduced our ability to gain knowledge regarding many aspects of this lethal disease and also to answer potential medico-legal issues. Accordingly, it upraised the importance of the careful analysis of the clinical and biochemical determinants of the fatal evolution in SARS-CoV-2 infected patients. Maintenance dialysis patients, associating many comorbid conditions and an immunosuppressed status, are prone to a severe outcome of this disease. Since we were designated as a hospital dedicated exclusively to moderate/severe COVID-19 infections, we conducted an observational, single-center study in the Nephrology and Dialysis Department, aiming the analysis of mortality risk factors and determinants in maintenance hemodialysis patients admitted for this infection, which we discuss along with a focused review of the similar experiences in the last year’s literature.
Keywords: COVID-19, maintenance hemodialysis patients, mortality.