OUTCOME OF COVID 19 PATIENTS REQUIRING HEMODIALYSIS

Introduction: The aim was to determine outcomes and mortality of COVID-19 patients requiring hemodialysis in Anwar Khan Modern Medical College & Hospital. Methods: Retrospective cohort of medical records for COVID-19 patients hospitalized from September 2020 to January 2021. The dependent variable was inpatient outcome and mortality; independent variables included clinical conditions, physical examination results, oxygen requirements, diagnosis, clinical features, and complications. Results: 98 patients were included; 97 received hemodialysis and 1 was predialysis. Median age was 59 years; 52 (53.06%) male and 46 (46.94%) female. Frequent comorbidities included chronic kidney disease (CKD) and hypertension; symptoms/complications reported included fluctuated blood pressure (50.1%), vomiting (19.38%), shivering (37.76%), and chest pain (16.33%). Treatment followed WHO and Bangladesh government COVID-19 guidelines. Eleven patients died (11.23%): 7 males (7.14%) and 4 females (4.08%); 87 (88.79%) survived. Conclusions: A low mortality rate was observed. Deceased patients had severe clinical manifestations and comorbidities (DM, HTN, CKD) with cough, breathlessness, and fatigue. Close monitoring, guideline-based therapy, and patient care may reduce mortality.