Symptomatic SARS-CoV2 infections in patients treated in France by hemodialysis in an establishment, or at home or by peritoneal dialysis: Data from the REIN and RDPLF registries

Symptomatic SARS-CoV2 infections in patients treated in France by hemodialysis in an establishment, or at home or by peritoneal dialysis: Data from the REIN and RDPLF registries

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In France all patients treated with dialysis are registered in the REIN registry (Epidemiology and Information Network in Nephrology) ; in addition the RDPLF (French Language Peritoneal Dialysis Registry) monitors patients treated at home in French-speaking regions and countries.Asymptomatic patients with a may pride peach tree positive SARS-CoV2 test were excluded : the study focused only on patients with symptomatic COVID-19 disease.Data from REIN and RDPLF were used.In total, 3,541 patients were declared symptomatic with COVID-19.

The proportion of patients with symptomatic SAR-coV2 infection was 4.9% in patients treated at home by peritoneal dialysis or hemodialysis and 8.0% in those treated in a dialysis unit.After adjustment for age and comorbidities, being treated at home was associated with a higher risk of mortality.

In conclusion, home treatments could represent a solution for preventing the risk of contamination during the circulation of the virus.On the other hand, the risk of mortality in symptomatic patients at home could be linked to a delay in treatment: rigorous remote organization must fire resistant tablecloth be implemented so as not to delay the treatment of patients in the event of infection.