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Kidney Week

Abstract: PO0759

Kidney Patient Mortality due to COVID-19 in Ecuador: The Experience in Guayas Province

Session Information

Category: Coronavirus (COVID-19)

  • 000 Coronavirus (COVID-19)

Author

  • Ortiz-Herbener, Fabian A., Instituto Ecuatoriano de Dialisis y Trasplantes [IEDYT], Guayaquil, Guayas, Ecuador
Background

Ecuador is a country of seventeen million population located in the west coast of South America. In late February 2020, Ecuador had its first Covid-19 case in the city of Guayaquil, followed by massive growth of infections in Guayas Province (14000 of 39000 cases), the current epicenter. Due to the lack of official information in this population, and the significant impact in mortality saw in other countries, a need for data is warrant.

Methods

There are approximately 15000 patients on renal replacement therapy in Ecuador, 94% of them on hemodialysis. At Guayas Province, the estimation of 5200 people on hemodialysis accounts for the 34% of the country's patients. A simple telephone-based questionnaire was performed at the first week of May, directed to the owner, medical director, or head of nurses of each center in the Guayas Province.

Results

From the 35 centers in Guayas, it was possible to collect data from 29 locations (82.5%) -mostly private centers-, that represents approximately 4719 patients, 89.8% from the total of patients in Guayas Province. Just 2 / 8 public centers provide information. Results are summarized in Table 1.

Conclusion

The 11.91% Covid-19 mortality in Guayas Province was high, especially if the expected monthly mortality is around 0.8-1.1%; the lethality was very high, and this could be explained by the fact that renal patients are considered as high-risk patients in this disease. The low mortality in PD patients could be attributable to the lockdown and stay-in-home measures. It is necessary to implement specific protocols in order to avoid high mortality, if a second peak of Covid-19 is expected.

Results from Guayas Province in Covid-19 pandemic.
 Global ResultsNRange
Mortality (HD)11.91%(n= 562/4719)5-35%
Lethality55% 45-62%
Mortality (PD)2.88%(n= 6/208) 
Mortality (TX)2.06%(n= 9/436) 

HD Hemodialysis, PD Peritoneal Dialysis, TX Kidney transplant patients. Range represents the % variation between centers