Infección por COVID-19 en pacientes en Hemodiálisis en Panamá 2020

[COVID-19 infection in Hemodialysis patients in Panamá. 2020]

Karen Courville1, Norman Bustamante1, Herna Mosquera2, Carlos Viggiano3, Rafaél Pérez-Carillo3, María Niedda4, Cesar Cuero2, Jermaine Tomlinson5, José Manzanares6, Rocio Arroyo7, Ernesto Alvarado8, Dayan Saldo9, Francisco Vargas8, Regulo Valdés2

1. Unidad de Hemodiálisis y Diálisis Peritoneal, Departamento de Nefrología, Hospital Dr. Gustavo N. Collado, Chitré, Herrera; 2. Coordinación Nacional de Diálisis, Panamá; 3. Complejo Hospitalario Metropolitano, Panamá, Panamá; 4. Hospital Susana Jones Cano, Panamá, Panamá; 5. Centro Atención Integral Renal, Colón, Panamá; 6. Policlínica Santiago Barraza, Panamá Oeste, Panamá; 7. Hospital Rafael Hernández, Hospital Dionisio Arrocha, Chiriquí, Panamá; 8. Policlínica Horacio Díaz Gómez, Santiago, Veraguas; 9. Hospital Ezequiel Abadía, Soná, Veraguas.

Publicado: 2021-12-24

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Resumen

Antecedentes y objetivo: Los pacientes con Enfermedad Renal Crónica (ERC) en Hemodiálisis son pacientes que tienen condiciones que los hacen pacientes de riesgo para la infección por COVID-19. Los pacientes en hemodiálisis han sido un grupo muy afectado, debido a que no pueden suspender sus tratamientos para mantener el aislamiento domiciliario, lo que aumenta su exposición y riesgo a infección por COVID-19. Para evaluar el comportamiento de la infección por SARS-CoV-2 en los pacientes en hemodiálisis crónica en Panamá, realizamos un estudio prospectivo de los pacientes infectados por COVID-19 en las Unidades de Hemodiálisis de la CSS de todo el país, para determinar las características de los pacientes afectados, los síntomas que presentaron, su evolución clínica y el desenlace de los pacientes infectados.

Materiales y Médodos: Realizamos un estudio longitudinal descriptivo prospectivo multicéntrico de los casos positivos que se diagnosticaron desde el 15 de julio hasta el 31 de diciembre de 2020 en las 14 Unidades de Hemodiálisis de la CSS del país. 

Resultados y conclusiones: Fueron incluidos un total de 333 pacientes en hemodiálisis con diagnóstico positivo para  infección  por SARS-CoV-2, de un total de 2194 pacientes que realizan hemodiálisis en las Unidades de la Caja de Seguro Social.  El 59.5% de los afectados fueron de sexo masculino.  La edad promedio fue de 56.75 años (DS 15.1 años).  La Tasa de Mortalidad encontrada en nuestro estudio fue de 26%. La incidencia acumulada de COVID-19 en pacientes en Hemodiálisis fue de 16% para el período de estudio del 2020.


Abstract

Background and objective: Patients with Chronic Kidney Disease (CKD) on Hemodialysis are patients who have conditions that make them patients at risk for COVID-19 infection. Hemodialysis patients have been a highly affected group because they cannot stop their treatments to maintain home isolation, which increases their exposure and risk of COVID-19 infection. To evaluate the behavior of SARS-CoV-2 infection in patients on chronic hemodialysis in Panama, we conducted a prospective study of patients infected by COVID-19 in hemodialysis units throughout the country, to determine the characteristics of the affected patients, the symptoms they presented, their clinical evolution and the outcome of the infected patients.

Materials and Methods: We conducted a multicenter prospective descriptive longitudinal study of the positive cases that were diagnosed from July 15, 2020 to December 31, 2020 in the 14 Hemodialysis Units of the Social Security Fund of the country.

Results and conclusions: A total of 333 hemodialysis patients with a positive diagnosis for SARS-CoV-2 infection were included, out of a total of 2194 patients undergoing hemodialysis in the Units of the Social Security Fund. Fifty nine percet of those affected were male.  The mean age was 56.75 years (DS 15.1 years).  The Mortality Rate found in our study was 26%. The cumulative incidence of COVID-19 in hemodialysis patients was 16% for the 2020 study period.

Biografía del autor/a

Karen Courville, Unidad de Hemodiálisis y Diálisis Peritoneal, Departamento de Nefrología, Hospital Dr. Gustavo N. Collado, Chitré, Herrera

Hospital Dr. Gustavo Nelson Collado

 

 

Citas

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