COVID-19 in Patients Undergoing Hemodialysis: Prevalence and Asymptomatic Screening During a Period of High Community

Related Experiment Video

Updated: Aug 14, 2026

Continuous Manual Exchange Transfusion for Patients with Sickle Cell Disease: An Efficient Method to Avoid Iron Overload
05:23

Continuous Manual Exchange Transfusion for Patients with Sickle Cell Disease: An Efficient Method to Avoid Iron Overload

Published on: March 14, 2017

20.0K

Caroline Creput1, Christine Fumeron1, Daniel Toledano1

  • 1Nephrology and Hemodialysis Unit, Diaverum, Paris, France.

Kidney Medicine
|October 27, 2020
PubMed

Insights

Maintenance hemodialysis patients with COVID-19 had a high risk of hospitalization and death. Universal testing and early diagnosis using lymphopenia and C-reactive protein levels are crucial for managing coronavirus disease 2019 in dialysis centers.

Area of Science:

  • Nephrology
  • Infectious Diseases
  • Epidemiology

Background:

  • Patients undergoing maintenance hemodialysis (MHD) have a poor prognosis with coronavirus disease 2019 (COVID-19) due to comorbidities.
  • Hemodialysis centers are high-risk environments for COVID-19 transmission during an epidemic.

Purpose of the Study:

  • To describe the experience with COVID-19 in 200 MHD patients at a single dialysis center.
  • To evaluate the clinical course and outcomes of COVID-19 in this vulnerable population.

Main Methods:

  • A descriptive observational cohort study was conducted.
  • Included 200 MHD patients, with 38 diagnosed with COVID-19.
  • Data collected on diagnosis, clinical course, testing, and outcomes.

Main Results:

  • 19% of MHD patients (38/200) were diagnosed with COVID-19.
  • 39.5% of COVID-19 patients required hospitalization, with 4 needing ICU care.
  • The mortality rate was 21% (8/38), with fever being the most common symptom.

Conclusions:

  • MHD patients are highly susceptible to COVID-19, and dialysis centers pose a significant risk.
  • Unexplained lymphopenia and elevated C-reactive protein levels suggest COVID-19 in dialysis patients.
  • Universal reverse transcriptase-polymerase chain reaction testing and enhanced infection control are recommended.
Abstract

Keywords:
COVID-19coronavirus disease 2019end-stage kidney diseasehemodialysismortality

More Related Videos

Single Droplet Digital Polymerase Chain Reaction for Comprehensive and Simultaneous Detection of Mutations in Hotspot Regions08:23

Single Droplet Digital Polymerase Chain Reaction for Comprehensive and Simultaneous Detection of Mutations in Hotspot Regions

Published on: September 25, 2018

13.8K
Monitoring Influenza Virus Survival Outside the Host Using Real-Time Cell Analysis09:02

Monitoring Influenza Virus Survival Outside the Host Using Real-Time Cell Analysis

Published on: February 20, 2021

3.3K

Related Concept Videos

Dialysis01:27

Dialysis

Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Hemodialysis I: Introduction01:25

Hemodialysis I: Introduction

Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
Hemodialysis II: Procedure and Complications01:24

Hemodialysis II: Procedure and Complications

DialyzersA hemodialysis (HD) dialyzer is a plastic cartridge containing thousands of parallel hollow fibers, which serve as semipermeable membranes. These fibers are typically made from cellulose-based or other synthetic materials. During HD, blood is pumped into the top of the cartridge and distributed among these fibers. Simultaneously, dialysis fluid, known as dialysate, is introduced into the bottom of the cartridge, bathing the outside of the fibers. Across the semipermeable membrane,...
Hemodialysis III: Nursing Management01:25

Hemodialysis III: Nursing Management

The nursing management of a patient undergoing hemodialysis includes several critical steps, starting with a thorough assessment before the procedure.Before the Hemodialysis ProcedureFirst, record the patient's vital signs—blood pressure, heart rate, respiratory rate, and temperature—to establish a baseline. This baseline is essential for detecting conditions such as hypotension that could impact the patient's response to dialysis. Document the patient's pre-dialysis weight, as this measurement...
Chronic Kidney Disease I: Introduction01:25

Chronic Kidney Disease I: Introduction

Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...