ISSN 1006-298X      CN 32-1425/R

Chinese Journal of Nephrology, Dialysis & Transplantation ›› 2023, Vol. 32 ›› Issue (4): 313-317.DOI: 10.3969/j.issn.1006-298X.2023.04.003

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Clinical characteristics and risk factors of COVID19 in peritoneal dialysis patients

  

  • Online:2023-08-28 Published:2023-08-30

Abstract: Objective:To observe clinical characteristics of peritoneal dialysis (PD) patients infected COVID-19, and risk factors of infection.
Methodology:A cohort of PD patients who were prospectively observed in our center from December, 2022 to January, 2023, and the clinical data and risk factors of COVID-19 were analyzed.
Results:Of 404 patients performing PD in this cohort study, 112 patients (27.7%) experienced COVID-19, 10 patients were suspected of infection, 282 patients(69.8%) had no infection. Among the infected patients, 22 cases(19.6%) were positive for SARS-CoV-2 nucleic acid, 90 cases(80.4%) were positive for SARS-CoV-2 antigen. The most common symptoms were fever (112 cases, 100%), cough (101 cases, 90.2%), sore throat (98 cases, 87.5%), fatigue (97 cases, 86.6%), myalgia (73 cases, 65.2%), headache (69 cases, 61.6%),anorexia (62 cases, 55.4%) and anxiety (60 cases, 53.6%). Five hospitalized patients with novel coronavirus pneumonia had a good recovery and were discharged after treatment,none of the patients died. The indexes of the last follow-up pre-COVID-19 were analyzed, the levels of body mass index(BMI), normalized protein catabolic rate(nPCR), serum albumin, serum pre-albumin, lymphocyte count, vaccination rate and home quarantine rate in the infected group were lower than those in the uninfected group (P<0.05). The levels of C-reactive protein (CRP), high sensitivity CRP and interleukin-6 (IL-6) in the infected group were higher than those in the uninfected group (P<0.05). Logistic regression analysis showed that low BMI, nPCR, lymphocyte count and home quarantine rate, high sensitivity CRP were independent risk factors of COVID-19 in PD patients.
Conclusion:The most common symptoms of PD patients infected COVID-19 were fever, cough, sore throat and fatigue, and the short-term prognosis was good. Low body weight, poor nutritional status, poor immune function and microinflammation were independent risk factors of COVID-19 in PD patients. Home quarantine could prevent COVID-19.


Key words: COVID-19, peritoneal dialysis, clinical characteristics, risk factors