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February 6, 2021 // -- A new Ontario study finds that people on long-term dialysis are nearly four times more likely to die from COVID-19, so vaccination should be given priority.
"With the COVID-19 pandemic, priority should be taken to protect the population from infection, including prioritization of patients receiving long-term dialysis and vaccinating them against SARS-CoV-2," wrote author Dr. Peter Blake, author of the study and a professor at the Ontario Department of Health and the Shulich School of Medicine and Dentistry at Western University.
(Photo: www.pixabay.com) The study looked at data from 12,501 patients on long-term dialysis in Ontario from March 12 to August 20, 2020, 187 (1.5%) of whom were diagnosed with SARS-CoV-2 infection.
53 (28.3 per cent) died and 117 (62.6 per cent) were admitted to hospital.
, the mortality rate for unseeded persons receiving dialysis during this period was 5.8 per cent and the hospitalization rate was 27 per cent.
the analysis, especially in the past two months, the number of dialysis patients infected with the virus has risen to more than 570 and the number of deaths has risen to 120.
risk factors for SARS-CoV-2 infection in the dialysis population include hemodialysis in hospital facilities compared to home dialysis; long-term care; living in the Greater Toronto Area; blacks, the Indian subseth and other non-white races; and lower incomes.
addition to vaccination and infection prevention measures, the authors recommend educating patients about the increased risk of infection and mortality, including those associated with social activities.
high-risk occupations are entitled to paid sick leave.
other strategies should include lower symptom thresholds for testing, more space between dialysis stations, and regular testing of high-risk populations, such as long-term care patients.
() Source: Dialysis patients have four-folder risk of dying FROM COVID-19 Source: Leena Taji et al. COVID-19 in patients undergoing long-term dialysis in Ontario, Canadian Medical Association Journal (2021). DOI: 10.1503/cmaj.202601
