Evolving Risk of Acute Kidney Injury in COVID-19 Hospitalized Patients: A Single Center Retrospective Study

被引:4
|
作者
Algahtani, Fahad D. [1 ]
Elabbasy, Mohamed T. [1 ]
Alshammari, Fares [2 ]
Atta, Amira [2 ]
El-Fateh, Ayman M. [3 ]
Ghoniem, Mohamed E. [4 ,5 ]
机构
[1] Univ Hail, Coll Publ Hlth & Hlth Informat, Dept Publ Hlth, Hail 2440, Saudi Arabia
[2] Univ Hail, Coll Publ Hlth & Hlth Informat, Dept Hlth Informat, Hail 2440, Saudi Arabia
[3] AL AHRAR Teaching Hosp, Dept Internal Med, Zagazig 44919, Egypt
[4] Univ Hail, Coll Med, Dept Internal Med, Hail 2240, Saudi Arabia
[5] Zagazig Univ, Fac Med, Dept Internal Med, Zagazig 44519, Egypt
来源
MEDICINA-LITHUANIA | 2022年 / 58卷 / 03期
关键词
coronavirus disease (COVID-19); acute kidney injury (AKI); sequential organ failure assessment (SOFA); CORONAVIRUS DISEASE 2019; CLINICAL CHARACTERISTICS; UNITED-STATES; SARS-COV-2; WUHAN;
D O I
10.3390/medicina58030443
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background and Objectives: Within a year, COVID-19 has advanced from an outbreak to a pandemic, spreading rapidly and globally with devastating impact. The pathophysiological link between COVID-19 and acute kidney injury (AKI) is currently being debated among scientists. While some studies have concluded that the mechanisms of AKI in COVID-19 patients are complex and not fully understood, others have claimed that AKI is a rare complication of COVID-19-related disorders. Considering this information gap and its possible influence on COVID-19-associated AKI management, our study aimed to explore the prevalence of AKI and to identify possible risk factors associated with AKI development among COVID-19 hospitalized patients. Materials and Methods: A retrospective cohort study included 83 laboratory-confirmed COVID-19 patients hospitalized at the isolation department in a tertiary hospital in Zagazig City, Egypt between June and August 2020. Patients younger than 18 years of age, those diagnosed with end-stage kidney disease, or those on nephrotoxic medications were excluded. All study participants had a complete blood count, liver and renal function tests, hemostasis parameters examined, inflammatory markers, serum electrolytes, routine urinalysis, arterial blood gas, and non-enhanced chest and abdominal computer tomography (CT) scans. Results: Of the 83 patients, AKI developed in 24 (28.9%) of them, of which 70.8% were in stage 1, 8.3% in stage 2, and 20.8% in stage 3. Patients with AKI were older than patients without AKI, with hypertension and diabetes being the most common comorbidities. Risk factors for AKI include increased age, hypertension, diabetes mellitus, and a higher sequential organ failure assessment (SOFA) score. Conclusions: AKI occurs in a considerable percentage of patients with COVID-19, especially in elderly males, those with hypertension, diabetes, and a higher sequential organ failure assessment (SOFA) score. Hence, the presence of AKI should be taken into account as an important index within the risk spectrum of disease severity for COVID-19 patients.
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页数:12
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