Background: In this study, we aimed to find out the features of the maintenance hemodialysis (
MHD MESHD) patients infected with
Coronavirus Disease 2019 MESHD (
COVID-19 MESHD) in the Blood Purification Center of Wuhan No.1 Hospital, Hubei Province, China, and provide evidences for clinical treatment.Methods: We collected the data of all the
MHD MESHD patients in this hemodialysis center by February 20, 2020, including those infected with
COVID-19 MESHD. These patients were divided into three groups: the control group (537 cases), confirmed group (66 cases) and suspected group (24 cases). We compared the relevant data of the three groups and analyzed the factors that may affect the possibility of catching
COVID-19 MESHD.Results: 1. By February 20, 2020, there were 627
MHD MESHD patients in the Hemodialysis Center of Wuhan No.1 Hospital. The prevalence rate of the
COVID-19 MESHD was 14.35% (90/627, including 66 confirmed cases and 24 suspected cases); the fatality rate 13.33% (12/90, including 12
death MESHD cases); the mortality rate 1.91% (12/627).2. The comparison between the three groups revealed the following results: weekly hemodialysis duration (
WHD MESHD), ultrafiltration volume (UFV) and ultrafiltration rate (UFR) of the confirmed group were obviously lower than those of the control and suspected groups (P<0.05); the neutrophil ratio (N%), neutrophil (N#), monocyte (M#) and total carbon dioxide (TCO2) were significantly higher than those of the control group while the lymphocyte ratio (L%) was much lower (P<0.05).3. The lung CT scans found three common features: bilateral abnormalities (81.54%),
multiple abnormalities MESHD (84.62%) and patchy opacity (61.54%).4. The binary logstic regression analysis showed that
diabetes MESHD (OR=5.404,95% CI 1.950~14.976, P=0.001) and
hypertension MESHD (OR=3.099,95% CI 1.380~6.963, P=0.006) are independent risk factors for
MHD MESHD patients to be infected with
COVID-19 MESHD; WHD (OR=0.846,95% CI 0.737~0.970, P=0.017), UFR (OR=0.012,95% CI 0.002~0.058, P<0.001) and serum ferritin (SF, OR=0.823,95% CI 0.748~0.906, P<0.001) are independent protective factors.Conclusion:
MHD MESHD patients with
diabetes MESHD or
hypertension MESHD are more likely to be infected with
COVID-19 MESHD. In clinical treatment, hemodialysis duration, UFR and SF levels should be controlled appropriately to reduce the risk of infection.