Frota-Cavalcante Tahissa, Castro-Jansen Raphaella, de Souza-Maciel-Ferreira José Erivelton, Meirú-de-Lima Cristefania, Candido-Morais Huana Carolina, Pessoa-Moreira Rafaella
. University of International Integration of Afro-Brazilian Lusophony, Brazil. Email:
Rev Cuid. 2023 Mar 31;13(3):e2695. doi: 10.15649/cuidarte.2695. eCollection 2022 Sep-Dec.
The immunosuppressive state of patients with CKD increases their risk of developing poor clinical outcomes if they acquire COVID-19 infection.
To identify the scientific evidence about the repercussions of COVID-19 in hemodialysis patients.
A systematic review was conducted in this study. The databases Cochrane Library, Web of Science, Science Direct, PubMed, and Virtual Health Library were searched to identify relevant studies. The methodological quality of the studies was assessed using the adapted Downs and Black checklist. The review adhered to the PRISMA guidelines.
A total of 16 articles were included after the screening process. All articles had a methodological quality higher than 66.8%. The most common repercussions of COVID-19 in hemodialysis patients were the increased mortality rate (75%), development of typical signs and symptoms of the disease such as fever, cough, dyspnea, and fatigue (68.75%), lymphopenia (68.75%), progression to severe acute respiratory syndrome (56.25%), need for mechanical ventilation (50%), and admission to intensive (50%).
The hemodialysis patients are more susceptible to COVID-19 infection and, when infected by SARS-CoV-2, these patients have more adverse clinical outcomes, more serious diseases, higher mortality, and worse prognosis than the general population. The repercussions of COVID-19 in hemodialysis patients reveal a need for preventive nursing care in hemodialysis clinics.
慢性肾脏病患者的免疫抑制状态会增加他们感染新冠病毒后出现不良临床结局的风险。
确定关于新冠病毒对血液透析患者影响的科学证据。
本研究进行了系统评价。检索了Cochrane图书馆、科学网、科学Direct、PubMed和虚拟健康图书馆等数据库以识别相关研究。使用改编后的唐斯和布莱克检查表评估研究的方法学质量。该评价遵循PRISMA指南。
筛选过程后共纳入16篇文章。所有文章的方法学质量均高于66.8%。新冠病毒对血液透析患者最常见的影响包括死亡率增加（75%）、出现疾病的典型体征和症状如发热、咳嗽、呼吸困难和疲劳（68.75%）、淋巴细胞减少（68.75%）、进展为严重急性呼吸综合征（56.25%）、需要机械通气（50%）以及入住重症监护病房（50%）。
血液透析患者更容易感染新冠病毒，并且当感染新冠病毒时，这些患者比普通人群有更多不良临床结局、更严重的疾病、更高的死亡率和更差的预后。新冠病毒对血液透析患者的影响表明血液透析诊所需要预防性护理。
