Publication date: Sep 20, 2023
The mortality rate in patients on maintenance hemodialysis (HD) is high and is associated with low functional capacity (FC). We analyzed the association of FC and COVID-19 lethality among HD patients. A cohort study that included evaluations of FC in patients on HD was underway, and the association between FC and lethality was included as an ad-hoc outcome. One hundred and twelve patients were submitted to a physical, 31 patients contracted symptomatic COVID-19, 20 recovered and 11 died (lethality rate of 35. 5%). There was a difference between survivors and non-survivors on six-minutes-walking-test (6MWT) 386. 1 +/- 112. 8 versus 296. 9 +/- 103. 3 meters (p = 0. 04), 30 s sit-to-stand test (30CST) score 11. 7 +/- 3. 1 versus 7. 7 +/- 4. 1 (p = 0. 006), and timed up and go test (TUG) 9. 4 versus 13. 6 s (p = 0. 009). There was also an association between percentages of predicted 6MWT, 30CST, and TUG with COVID-19 lethality. Patients on maintenance HD with poorer physical performance presented the worst prognosis from COVID-19 pandemic.
|disease||MESH||chronic kidney disease|