TY - JOUR T1 - COVID-19 incidence and outcomes in a home dialysis unit in Madrid (Spain) at the height of the pandemic JO - Nefrología (English Edition) T2 - AU - Maldonado,María AU - Ossorio,Marta AU - del Peso,Gloria AU - Santos-Alonso,Carlos AU - Álvarez,Laura AU - Sánchez-Villanueva,Rafael AU - Rivas,Begoña AU - Vega,Cristina AU - Selgas,Rafael AU - Bajo,María A. SN - 20132514 M3 - 10.1016/j.nefroe.2020.09.009 DO - 10.1016/j.nefroe.2020.09.009 UR - https://www.revistanefrologia.com/en-covid-19-incidence-outcomes-in-home-articulo-S2013251421000687 AB - IntroductionThe 2019 coronavirus (COVID-19) is a viral infection caused by a new coronavirus that is affecting the entire world. There have been studies of patients on in-center hemodialysis (HD), but home dialysis population data are scarce. Our objective is to study the incidence and course of COVID-19 in a home dialysis unit (HDU) at the height of the pandemic. Methodsan observational, retrospective study enrolling all patients diagnosed with COVID-19 from the HDU of Hospital Universitario La Paz [La Paz University Hospital] (Madrid, Spain) between March 10 and May 15, 2020. We collected clinical data from the HDU (57 patients on peritoneal dialysis [PD] and 22 patients on home hemodialysis [HHD]) and compared the clinical characteristics and course of patients with and without COVID-19 infection. Resultstwelve patients were diagnosed with COVID-19 (9 PD; 3 HHD). There were no statistically significant differences in terms of clinical characteristics between patients with COVID-19 and the rest of the unit. The mean age was 62 ± 18.5 years; most were men (75%). All patients but one required hospitalization. Ten patients (83%) were discharged following a mean of 16.4 ± 9.7 days of hospitalization. Two patients were diagnosed while hospitalised for other conditions, and these were the only patients who died. Those who died were older than those who survived. ConclusionThe incidence of COVID-19 in our HDU in Madrid at the height of the pandemic was high, especially in patients on PD. No potential benefit for preventing the infection in patients on home dialysis was observed. Advanced age and nosocomial transmission were the main factors linked to a worse prognosis. ER -