Situación de la infección por SARS-CoV-2 en pacientes en tratamiento renal sustitutivo. Informe del Registro COVID-19 de la Sociedad Española de Nefrología (SEN)

Mostra el registre complet Registre parcial de l'ítem

• dc.contributor.author Sánchez-Álvarez, Emilio
• dc.contributor.author Pérez-Fontán, Miguel
• dc.contributor.author Jiménez Martín, Carlos
• dc.contributor.author Blasco Pelícano, Miquel
• dc.contributor.author Cabezas Reina, Carlos Jesús
• dc.contributor.author Sevillano Prieto, Ángel M.
• dc.contributor.author Melilli, Edoardo
• dc.contributor.author Crespo Barrio, Marta
• dc.contributor.author Macía-Heras, Manuel
• dc.contributor.author Pino-Pino, María Dolores
• dc.date.accessioned 2020-11-11T08:20:51Z
• dc.date.available 2020-11-11T08:20:51Z
• dc.date.issued 2020
• dc.description.abstract Introduction: The recent appearance of the SARS-CoV-2 coronavirus pandemic has had a significant impact on the general population. Patients on renal replacement therapy (RRT) have not been unaware of this situation and due to their characteristics they are especially vulnerable. We present the results of the analysis of the COVID-19 Registry of the Spanish Society of Nephrology. Material and methods: The Registry began operating on March 18th, 2020. It collects epidemiological variables, contagion and diagnosis data, signs and symptoms, treatments and outcomes. It is an online registry. Patients were diagnosed with SARS-CoV-2 infection based on the results of the PCR of the virus, carried out both in patients who had manifested compatible symptoms or had suspicious signs, as well as in those who had undergone screening after some contact acquainted with another patient. Results: As of April 11, the Registry had data on 868 patients, from all the Autonomous Communities. The most represented form of RRT is in-center hemodialysis (ICH) followed by transplant patients. Symptoms are similar to the general population. A very high percentage (85%) required hospital admission, 8% in intensive care units. The most used treatments were hydroxychloroquine, lopinavir-ritonavir, and steroids. Mortality is high and reaches 23%; deceased patients were more frequently on ICH, developed pneumonia more frequently, and received less frequently lopinavir-ritonavir and steroids. Age and pneumonia were independently associated with the risk of death. Conclusions: SARS-CoV-2 infection already affects a significant number of Spanish patients on RRT, mainly those on ICH, hospitalization rates are very high and mortality is high; age and the development of pneumonia are factors associated with mortality.
• dc.format.mimetype application/pdf
• dc.identifier.citation Sánchez-Álvarez JE, Pérez Fontán M, Jiménez Martín C, Blasco Pelícano M, Cabezas Reina CJ, Sevillano Prieto ÁM. et al. Situación de la infección por SARS-CoV-2 en pacientes en tratamiento renal sustitutivo. Informe del Registro COVID-19 de la Sociedad Española de Nefrología (SEN). Nefrologia. 2020 May-Jun; 40(3):272-78. DOI: 10.1016/j.nefro.2020.04.002
• dc.identifier.doi http://dx.doi.org/10.1016/j.nefro.2020.04.002
• dc.identifier.issn 0211-6995
• dc.identifier.uri http://hdl.handle.net/10230/45716
• dc.language.iso spa
• dc.publisher SpringerOpen
• dc.rights 0211-6995/© 2020 Sociedad Española de Nefrología. Publicado por Elsevier España, S.L.U. Este es un artículo Open Access bajo la licencia CC BY-NC-ND (http://creativecommons.org/licenses/by-nc-nd/4.0/).
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
• dc.subject.keyword España
• dc.subject.keyword Registro
• dc.subject.keyword Registry
• dc.subject.keyword Renal replacement therapies
• dc.subject.keyword SARS-CoV-2
• dc.subject.keyword Sociedad Española de Nefrología
• dc.subject.keyword Spain
• dc.subject.keyword Spanish Society of Nephrology
• dc.subject.keyword Tratamiento renal sustitutivo
• dc.title Situación de la infección por SARS-CoV-2 en pacientes en tratamiento renal sustitutivo. Informe del Registro COVID-19 de la Sociedad Española de Nefrología (SEN)
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion