COVID-19 Ricochets on Kidney Transplant and Hemodialysis Patients

Background/Aims: An impaired immune response affects Coronavirus 2019 (COVID-19) disease progression. Immunities of both hemodialysis (HD) and Kidney Transplant (KTx) patients have already been suppressed. This study evaluated the prognostic laboratory results in HD and KTx patients with COVID-19. M...

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Main Authors: Ali Kürşat Tuna, Hilal Akay Çizmecioglu, Mevlüt Hakan Göktepe, Ahmet Cizmecioglu
Format: Article
Language:English
Published: Selcuk University Press 2023-06-01
Series:Genel Tıp Dergisi
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Online Access:https://dergipark.org.tr/tr/download/article-file/2954217
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author Ali Kürşat Tuna
Hilal Akay Çizmecioglu
Mevlüt Hakan Göktepe
Ahmet Cizmecioglu
author_facet Ali Kürşat Tuna
Hilal Akay Çizmecioglu
Mevlüt Hakan Göktepe
Ahmet Cizmecioglu
author_sort Ali Kürşat Tuna
collection DOAJ
description Background/Aims: An impaired immune response affects Coronavirus 2019 (COVID-19) disease progression. Immunities of both hemodialysis (HD) and Kidney Transplant (KTx) patients have already been suppressed. This study evaluated the prognostic laboratory results in HD and KTx patients with COVID-19. Methods: This retrospective, case-control study was conducted with PCR (+) COVID-19 HD and KTx patients and a control group. All patients were divided into two subgroups according to disease severity. Patients' demographic records and laboratory results were obtained from the follow-up files. Results: A total of 30 HD, 20 KTx patients, and 40 control groups were involved in the study. Gender and hospitalization duration did not differ between the groups. There was a 10% mortality rate in the KTx group and 27% in the HD group. Lung involvement in Computed Tomography (CT) was higher in HD patients (47%) than in KTx (25%). In subgroup evaluations, the most prominent laboratory values were fibrinogen in HD patients and LDH and Ferritin in KTx patients in determining disease severity. Conclusions: Early hospitalization and treatment implementations will be associated with a good prognosis in HD and KTx patients since CT and laboratory results are not predictive in these groups of patients during the COVID-19 pandemic.
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publishDate 2023-06-01
publisher Selcuk University Press
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series Genel Tıp Dergisi
spelling doaj-art-3b8c72c5f64c4a65b27e1d2dfe97166c2025-01-02T20:59:24ZengSelcuk University PressGenel Tıp Dergisi2602-37412023-06-0133330931510.54005/geneltip.1251579154COVID-19 Ricochets on Kidney Transplant and Hemodialysis PatientsAli Kürşat Tuna0Hilal Akay Çizmecioglu1Mevlüt Hakan Göktepe2Ahmet Cizmecioglu3NECMETTIN ERBAKAN UNIVERSITY, MERAM SCHOOL OF MEDICINE, MERAM MEDICINE PR.NECMETTIN ERBAKAN UNIVERSITY, MERAM SCHOOL OF MEDICINE, MERAM MEDICINE PR.NECMETTIN ERBAKAN UNIVERSITY, MERAM SCHOOL OF MEDICINESELCUK UNIVERSITY, SCHOOL OF MEDICINEBackground/Aims: An impaired immune response affects Coronavirus 2019 (COVID-19) disease progression. Immunities of both hemodialysis (HD) and Kidney Transplant (KTx) patients have already been suppressed. This study evaluated the prognostic laboratory results in HD and KTx patients with COVID-19. Methods: This retrospective, case-control study was conducted with PCR (+) COVID-19 HD and KTx patients and a control group. All patients were divided into two subgroups according to disease severity. Patients' demographic records and laboratory results were obtained from the follow-up files. Results: A total of 30 HD, 20 KTx patients, and 40 control groups were involved in the study. Gender and hospitalization duration did not differ between the groups. There was a 10% mortality rate in the KTx group and 27% in the HD group. Lung involvement in Computed Tomography (CT) was higher in HD patients (47%) than in KTx (25%). In subgroup evaluations, the most prominent laboratory values were fibrinogen in HD patients and LDH and Ferritin in KTx patients in determining disease severity. Conclusions: Early hospitalization and treatment implementations will be associated with a good prognosis in HD and KTx patients since CT and laboratory results are not predictive in these groups of patients during the COVID-19 pandemic.https://dergipark.org.tr/tr/download/article-file/2954217covid-19disease severityhemodialysiskidney transplantationcovid-19böbrek naklihemodiyalizhastalık şiddeti
spellingShingle Ali Kürşat Tuna
Hilal Akay Çizmecioglu
Mevlüt Hakan Göktepe
Ahmet Cizmecioglu
COVID-19 Ricochets on Kidney Transplant and Hemodialysis Patients
Genel Tıp Dergisi
covid-19
disease severity
hemodialysis
kidney transplantation
covid-19
böbrek nakli
hemodiyaliz
hastalık şiddeti
title COVID-19 Ricochets on Kidney Transplant and Hemodialysis Patients
title_full COVID-19 Ricochets on Kidney Transplant and Hemodialysis Patients
title_fullStr COVID-19 Ricochets on Kidney Transplant and Hemodialysis Patients
title_full_unstemmed COVID-19 Ricochets on Kidney Transplant and Hemodialysis Patients
title_short COVID-19 Ricochets on Kidney Transplant and Hemodialysis Patients
title_sort covid 19 ricochets on kidney transplant and hemodialysis patients
topic covid-19
disease severity
hemodialysis
kidney transplantation
covid-19
böbrek nakli
hemodiyaliz
hastalık şiddeti
url https://dergipark.org.tr/tr/download/article-file/2954217
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AT mevluthakangoktepe covid19ricochetsonkidneytransplantandhemodialysispatients
AT ahmetcizmecioglu covid19ricochetsonkidneytransplantandhemodialysispatients