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COVID-19 in Scottish patients receiving renal replacement therapy

Public Health Scotland has published data from the Scottish Renal Registry (SRR) pertaining to patients with end-stage renal disease (ESRD) receiving renal replacement therapy (RRT) who have tested positive for COVID-19. The SSR is a national registry of all Scottish patients receiving RRT, including haemodialysis, peritoneal dialysis and transplants.

Patients receiving dialysis or kidney transplant recipients are considered a vulnerable population. Patients undergoing dialysis typically tend to be older and have other comorbidities. Such patients often need to visit a health care facility on a regular basis, which further heightens their risk of exposure to SARS-CoV-2.

Key findings from the report as of 31 May 2020 are as follows:

  • Between 1 March 2020 and 31 May 2020, 110 patients receiving RRT in Scotland tested positive for COVID-19. This figure corresponds to 2 per cent of the total RRT population in Scotland.
  • Positive COVID-19 tests among patients receiving RRT peaked between the week beginning 30 March 2020 and 6 April 2020.
  • Patients undergoing haemodialysis, individuals aged 44-74 years and those residing in more socially deprived areas accounted for the highest number of positive COVID-19 tests
  • As of 31 May 2020, 28.2 per cent of patients on RRT who tested positive for COVID-19 had died.
  • The survival rate at 30 days following the first positive COVID-19 test was estimated to be 78 per cent.

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