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The Time to Negative Conversion among Adult COVID-19 Patients on Chronic Hemodialysis Admitted at the Philippine General Hospital - A Retrospective Cohort Study. 菲律宾综合医院收治的 COVID-19 慢性血液透析成人患者的阴性转阴时间--一项回顾性队列研究。
3区 环境科学与生态学 Q1 ENGINEERING, CIVIL Pub Date : 2024-03-22 eCollection Date: 2024-01-01 DOI: 10.47895/amp.vi0.6460
Kristine May F Valmoria, Paolo Nikolai H So, Elizabeth S Montemayor

Objectives: In the Philippines, patients on chronic hemodialysis with COVID-19 remain admitted in hospitals despite clinical recovery because most free-standing dialysis units require proof of negative conversion via Reverse Transcriptase - Polymerase Chain Reaction (RT-PCR). This study aims to determine the time to negative conversion of COVID-19 RT-PCR testing among adult patients on chronic hemodialysis with COVID-19 admitted at the Philippine General Hospital (PGH) and bring insight in using the symptom or time-based procedure as recommended by local guideline, and ultimately, to ensure delivery of adequate hemodialysis despite being infected with COVID-19, shorten isolation period, and conserve resources especially in resource-limited settings.

Methods: This is a retrospective cohort study on all adult patients on chronic hemodialysis who were admitted in PGH after the diagnosis of COVID-19 by RT-PCR between March 2020 and February 2021. Descriptive statistics was used in summarizing the data.

Results: A total of 90 patients on chronic hemodialysis who tested positive for COVID-19 via RT-PCR admitted at PGH were included in the study. Most of these patients had moderate COVID-19 at 53.3%. The median number of days from onset of symptoms to clinical recovery was 14.5 days. The median time to first negative conversion was 18 days. Most of these patients had negative conversion at the second week. The correlation coefficient between time to clinical recovery and negative conversion was 0.214.

Conclusion: Among adult patients on chronic hemodialysis who were admitted in PGH after the diagnosis of COVID-19, the time to negative conversion was longer compared to the time to clinical recovery with a very weak correlation between the two.

目的:在菲律宾,患有 COVID-19 的慢性血液透析患者尽管临床康复,但仍需住院治疗,因为大多数独立透析室都要求通过逆转录酶聚合酶链反应(RT-PCR)证明阴性转阴。本研究旨在确定菲律宾总医院(PGH)收治的感染COVID-19的慢性血液透析成人患者通过COVID-19 RT-PCR检测转阴所需的时间,并根据当地指南的建议,采用基于症状或时间的程序,最终确保在感染COVID-19的情况下仍能进行适当的血液透析,缩短隔离期,节约资源,尤其是在资源有限的情况下:这是一项回顾性队列研究,研究对象为 2020 年 3 月至 2021 年 2 月期间,通过 RT-PCR 诊断出感染 COVID-19 后入住 PGH 的所有慢性血液透析成人患者。研究采用描述性统计方法对数据进行总结:研究共纳入了90名在PGH住院并通过RT-PCR检测出COVID-19阳性的慢性血液透析患者。这些患者中的大多数(53.3%)为中度 COVID-19。从出现症状到临床康复的中位天数为14.5天。首次转阴的中位时间为 18 天。大多数患者在第二周时转为阴性。临床康复时间与转阴时间之间的相关系数为 0.214:结论:在确诊 COVID-19 后入住 PGH 的慢性血液透析成年患者中,阴性转阴时间长于临床康复时间,两者之间的相关性很弱。
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引用次数: 0
Modeling Transient Mixed Flows in Drainage Networks With Smoothed Particle Hydrodynamics 用平滑粒子流体力学模拟排水管网中的瞬态混合流
IF 4.3 3区 环境科学与生态学 Q1 ENGINEERING, CIVIL Pub Date : 2024-01-10 DOI: 10.1007/s11269-023-03689-5
Wenke Song, Hexiang Yan, T. Tao, Mingfu Guan, Fei Li, K. Xin
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引用次数: 0
Enhancing Flooding Depth Forecasting Accuracy in an Urban Area Using a Novel Trend Forecasting Method 利用新型趋势预测方法提高城市地区洪水深度预测精度
IF 4.3 3区 环境科学与生态学 Q1 ENGINEERING, CIVIL Pub Date : 2024-01-10 DOI: 10.1007/s11269-023-03725-4
Song-Yue Yang, You-Da Jhong, B. Jhong, Yun-Yang Lin
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引用次数: 0
Assessing Climate Vulnerability of Ramsar Wetlands through CMIP6 Projections 通过 CMIP6 预测评估拉姆萨尔湿地的气候脆弱性
IF 4.3 3区 环境科学与生态学 Q1 ENGINEERING, CIVIL Pub Date : 2024-01-08 DOI: 10.1007/s11269-023-03726-3
Shivam Singh, Manish Kumar Goyal, Erumalla Saikumar
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引用次数: 0
Investigating the Impact of Cumulative Pressure-Induced Stress on Machine Learning Models for Pipe Breaks 调查累积压力应力对管道破裂机器学习模型的影响
IF 4.3 3区 环境科学与生态学 Q1 ENGINEERING, CIVIL Pub Date : 2023-12-30 DOI: 10.1007/s11269-023-03687-7
C. Konstantinou, Carlos Jara-Arriagada, I. Stoianov
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引用次数: 0
Water Resources Allocation: Iteractions Between Equity/Justice and Allocation Strategies 水资源分配:公平/公正与分配策略之间的相互作用
IF 4.3 3区 环境科学与生态学 Q1 ENGINEERING, CIVIL Pub Date : 2023-12-29 DOI: 10.1007/s11269-023-03682-y
Elmira Valipour, H. Ketabchi, R. S. Shali, Saeed Morid
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引用次数: 0
Streamflow Data Infilling Using Machine Learning Techniques with Gamma Test 利用伽马测试的机器学习技术填充流场数据
IF 4.3 3区 环境科学与生态学 Q1 ENGINEERING, CIVIL Pub Date : 2023-12-29 DOI: 10.1007/s11269-023-03694-8
Saad Dahmani, S. Latif
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引用次数: 0
A Method For Estimating Excess Rainfall Intensity (ERI) of Combined Sewer Overflow (CSO) Based on Peak Over Threshold (POT) Sampling And The Generalized Pareto Distribution (GPD) 基于峰值超过阈值 (POT) 采样和广义帕累托分布 (GPD) 的联合污水溢流 (CSO) 过量降雨强度 (ERI) 估算方法
IF 4.3 3区 环境科学与生态学 Q1 ENGINEERING, CIVIL Pub Date : 2023-12-28 DOI: 10.1007/s11269-023-03708-5
Xingpo Liu, Wenke Zang, Yuwen Zhou
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引用次数: 0
Detailed Audit of the Energy Efficiency in Water Systems: New Performance Indices 对供水系统能效的详细审计:新的性能指标
IF 4.3 3区 环境科学与生态学 Q1 ENGINEERING, CIVIL Pub Date : 2023-12-28 DOI: 10.1007/s11269-023-03718-3
M. Morani, A. Carravetta, O. Fecarotta, Renato Montillo
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引用次数: 0
A Laboratory Investigation on the Effects of Intermittent Water Supply in a Branched System 关于分支系统间歇供水影响的实验室研究
IF 4.3 3区 环境科学与生态学 Q1 ENGINEERING, CIVIL Pub Date : 2023-12-28 DOI: 10.1007/s11269-023-03686-8
Marco Ferrante
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引用次数: 0
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Water Resources Management
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