2019 novel coronavirus disease in hemodialysis (HD) patients: Report from one HD center in Wuhan, China

Yiqiong Ma; Bo Diao; Xifeng Lv; Jili Zhu; Wei Liang; Lei Liu; Wenduo Bu; Huiling Cheng; Sihao Zhang; Lianhua Yang; Ming Shi; Guohua Ding; Bo Shen; Huiming Wang

230 patients and 33 staff in our HD center were included in this study. The dynamic course of COVID-19 epidemic from emerging to development is schematic presented in Figure 1 . We can see that the first COVID-19 patient was diagnosed on January 14, and the second diagnosed patient appeared on January 17. Since January 21, patients with COVID-19 had been requested to be isolated and all medical staff had be asked to upgrade their personal prevention and protection, which including wearing full protective gear such as waterproof disposable gown, cap, gloves, face shield, and N95 face mask, and more rigorous cleaning and disinfection. On The other 31 patients were distributed to the designated hospital receiving HD and other treatment. 4 (12.12%) medical staffs with COVID-19 were treated in isolation wards. There are totally 7 episodes of death were recorded since the epidemic outbreak, 2 happened in hospital and 5 at home. Among the 7 died cases, 6 were HD patients with COVID-19 and the other one was COVID-19 free ( Figure 2B ). All of the death were followed and reviewed by our research team, the presumed cause of death was heart failure, hyperkalemia and cerebrovascular disease, and none of them succumbed to severe pneumonia based on the appearance of death ( Figure 2B ). 37 HD patients with COVID-19 demographic and biochemical clinical data were summarized in Table 1 . In total, 23 (62%) men and 14 (38%) women were concluded.