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168265

Incidence of Acute Kidney Injury in Hospitalized Patients with Coronavirus Disease 19 Infection

Article

Last updated: 24 Dec 2024

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Abstract

Background: While the most important sequelae of coronavirus disease 2019 (COVID- 19) are alveolar injury and respiratory failure, other systems has also been involved, particularly the renal system. The occurrence of acute kidney injury (AKI) varies broadly among patients with COVID-19 infection in various studies. Nevertheless, there is a lack of information from Middle Eastern countries. Objective: To study the effects of COVID-19 infection on kidney function and determine the predictors of AKI in those patients. Patients and Methods: The research involved 66 patients with verified diagnosis of COVID-19 infection. They were classified into group 1 (55 subjects) who did not develop AKI and group 2 (15 subjects) who developed AKI. All study participants were subjected to detailed history taking, clinical data recording and serial laboratory investigations during the time of hospital admission. Results: Both groups were sex-matched. Group 2 was significantly older than group 1 with a median age of 69 years and had lower diastolic blood pressure (DBP) than group 1. Group 2 had significantly higher acute inflammatory markers, higher serum creatinine, higher blood urea, lower serum total protein and lower estimated glomerular filtration rate (eGFR) at the time of presentation than group 1. Conclusion: AKI occurred in 22.7% of patients with verified COVID-19 infection in this study. The significant predictors of AKI in these patients were lower DBP, higher C-reactive protein level, higher serum lactate dehydrogenase level, and lower baseline eGFR.  

DOI

10.21608/ejhm.2021.168265

Keywords

COVID-19, Acute kidney injury, Glomerular Filtration Rate, Lactate dehydrogenase, Cytokine Release Syndrome

Authors

First Name

Walid Ahmed Ragab

Last Name

Abdelhamid

MiddleName

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Affiliation

Internal Medicine Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt

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Volume

83

Article Issue

1

Related Issue

23025

Issue Date

2021-04-01

Receive Date

2021-05-02

Publish Date

2021-04-01

Page Start

1,404

Page End

1,408

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_168265.html

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https://ejhm.journals.ekb.eg/service?article_code=168265

Order

92

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Incidence of Acute Kidney Injury in Hospitalized Patients with Coronavirus Disease 19 Infection

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Article

Created At

22 Jan 2023