Table 2.
Adjusted odds ratios of coronavirus disease 2019 diagnosis, coronavirus disease 2019 hospitalization, and coronavirus disease 2019 death from epidemiologic week 12 to week 23 of 2020 (March 15 to June 6), from week 24 of 2020 to week 37 of 2020 (June 7 to September 12), from week 38 of 2020 to week 8 of 2021 (September 13 to February 27), and from week 9 of 2021 to week 22 of 2021 (February 28 to June 5) among Medicare fee-for-service beneficiaries undergoing maintenance dialysis
| Week 12 of 2020 to Week 23 of 2020 | Week 24 of 2020 to Week 37 of 2020 | Week 38 of 2020 to Week 8 of 2021 | Week 9 of 2021 to Week 22 of 2021 | |||||
|---|---|---|---|---|---|---|---|---|
| Adjusted Odds Ratio | 95% Confidence Interval | Adjusted Odds Ratio | 95% Confidence Interval | Adjusted Odds Ratio | 95% Confidence Interval | Adjusted Odds Ratio | 95% Confidence Interval | |
| COVID-19 diagnosis | ||||||||
| In-facility HD without recent history of SNF care | 1.0 | 1.0 | 1.0 | 1.0 | ||||
| In-facility HD with recent history of SNF care | 7.8 | 7.4 to 8.1 | 5.0 | 4.7 to 5.2 | 3.9 | 3.8 to 4.1 | 1.7 | 1.5 to 1.9 |
| HD in an SNF | 12.4 | 11.5 to 13.3 | 2.8 | 2.4 to 3.2 | 2.2 | 2.0 to 2.4 | 2.8 | 2.4 to 3.4 |
| Home HD | 0.52 | 0.41 to 0.66 | 0.63 | 0.52 to 0.76 | 0.74 | 0.67 to 0.81 | 1.4 | 1.1 to 1.7 |
| Home PD | 0.50 | 0.45 to 0.56 | 0.65 | 0.59 to 0.71 | 0.80 | 0.76 to 0.84 | 0.96 | 0.86 to 1.1 |
| COVID-19 hospitalization | ||||||||
| In-facility HD without recent history of SNF care | 1.0 | 1.0 | 1.0 | 1.0 | ||||
| In-facility HD with recent history of SNF care | 5.9 | 5.6 to 6.3 | 3.5 | 3.3 to 3.7 | 2.4 | 2.3 to 2.5 | 1.4 | 1.2 to 1.6 |
| HD in an SNF | 9.5 | 8.8 to 10.4 | 1.7 | 1.4 to 2.0 | 1.3 | 1.2 to 1.5 | 1.9 | 1.5 to 2.3 |
| Home HD | 0.40 | 0.29 to 0.55 | 0.63 | 0.48 to 0.81 | 0.67 | 0.59 to 0.76 | 1.2 | 0.93 to 1.6 |
| Home PD | 0.47 | 0.40 to 0.54 | 0.64 | 0.57 to 0.72 | 0.80 | 0.76 to 0.85 | 0.92 | 0.81 to 1.1 |
| COVID-19 death | ||||||||
| In-facility HD without recent history of SNF care | 1.0 | 1.0 | 1.0 | 1.0 | ||||
| In-facility HD with recent history of SNF care | 6.7 | 5.8 to 7.7 | 3.5 | 3.0 to 4.2 | 2.8 | 2.6 to 3.1 | 1.3 | 0.91 to 1.9 |
| HD in an SNF | 12.3 | 9.9 to 15.5 | 1.1 | 0.58 to 1.9 | 0.91 | 0.64 to 1.3 | 0.60 | 0.19 to 1.9 |
| Home dialysisa | 0.64 | 0.45 to 0.90 | 0.76 | 0.58 to 1.0 | 1.1 | 0.98 to 1.3 | 1.1 | 0.76 to 1.6 |
Adjustment factors were age, sex, race and ethnicity, state/territory of dialysis treatment, duration of kidney failure, diabetes mellitus, heart failure, and recent hospitalization. COVID-19, coronavirus disease 2019; HD, hemodialysis; SNF, skilled nursing facility; PD, peritoneal dialysis.
Home HD and home PD are pooled due to the small number of COVID-19 deaths among patients on home HD.