Your browser doesn't support javascript.
loading
Acute kidney injury in hospitalized patients due to COVID-19
Pehuén Fernández; Emanuel José Saad; Augusto Douthat; Federico Ariel Marucco; María Celeste Heredia; Ayelén Tarditi Barra; Silvina Trinidad Rodriguez Bonazzi; Melani Zlotogora; María Antonella Correa Barovero; Sofía Villada; Juan Pablo Maldonado; Juan Pablo Caeiro; Ricardo Arturo Albertini; Jorge Luis De La Fuente; Walter Guillermo Douthat.
Afiliação
  • Pehuén Fernández; Department of Nephrology, Hospital Privado Universitario de Córdoba, Córdoba, Argentina
  • Emanuel José Saad; Department of Internal Medicine, Hospital Privado Universitario de Córdoba, Córdoba, Argentina
  • Augusto Douthat; Department of Internal Medicine, Hospital Privado Universitario de Córdoba, Córdoba, Argentina
  • Federico Ariel Marucco; Department of Internal Medicine, Hospital Privado Universitario de Córdoba, Córdoba, Argentina
  • María Celeste Heredia; Department of Internal Medicine, Hospital Privado Universitario de Córdoba, Córdoba, Argentina
  • Ayelén Tarditi Barra; Department of Internal Medicine, Hospital Privado Universitario de Córdoba, Córdoba, Argentina
  • Silvina Trinidad Rodriguez Bonazzi; Department of Internal Medicine, Hospital Privado Universitario de Córdoba, Córdoba, Argentina
  • Melani Zlotogora; Department of Internal Medicine, Hospital Privado Universitario de Córdoba, Córdoba, Argentina
  • María Antonella Correa Barovero; Department of Internal Medicine, Hospital Privado Universitario de Córdoba, Córdoba, Argentina
  • Sofía Villada; Department of Infectious Diseases, Hospital Privado Universitario de Córdoba, Córdoba, Argentina
  • Juan Pablo Maldonado; Department of Nephrology, Hospital Privado Universitario de Córdoba, Córdoba, Argentina
  • Juan Pablo Caeiro; Department of Infectious Diseases, Hospital Privado Universitario de Córdoba, Córdoba, Argentina
  • Ricardo Arturo Albertini; Department of Internal Medicine, Hospital Privado Universitario de Córdoba, Córdoba, Argentina
  • Jorge Luis De La Fuente; Department of Nephrology, Hospital Privado Universitario de Córdoba, Córdoba, Argentina
  • Walter Guillermo Douthat; Department of Nephrology, Hospital Privado Universitario de Córdoba, Córdoba, Argentina
Preprint em Inglês | medRxiv | ID: ppmedrxiv-21257656
ABSTRACT
The incidence of acute kidney injury (AKI) in hospitalized patients with coronavirus disease 2019 (COVID-19) is variable, being associated with worse outcomes. The objectives of the study were to evaluate the incidence, risk factors and impact of AKI in subjects hospitalized for COVID-19 in two third- level hospitals in Cordoba, Argentina. A retrospective cohort study was conducted. 448 adults who were consecutively hospitalized for COVID-19 between March and the end of October 2020 at Hospital Privado Universitario de Cordoba and Hospital Raul Angel Ferreyra were included. The incidence of AKI was 19% (n = 85). 50.6% presented AKI stage 1 (n=43), 20% stage 2 (n=17) and 29.4% stage 3 (n=25, of which 18 required renal replacement therapy). In the multivariate analysis, the variables that were independently associated with AKI were age (adjusted Odd ratio -aOR- =1.30, 95%CI=1.04-1.63, p=0.022), history of chronic kidney disease (aOR=9.92, 95%CI=4.52-21.77, p<0.001), blood neutrophil count at admission (aOR=1.09, 95%CI=1.01-1.18, p=0.037) and requirement for mechanical ventilation (MV) (aOR=6.69, 95%CI=2.24-19.9, p=0.001). AKI was associated with longer hospitalization, greater admission and length of stay in the intensive care unit, a positive association with bacterial superinfection, sepsis, respiratory distress syndrome, MV requirement and mortality (mortality with AKI=47.1% vs without AKI=12.4%, p<0.001). AKI was independently associated with higher mortality (aOR=3.32, 95%CI=1.6-6.9, p=0.001). In conclusion, the incidence of AKI in adults hospitalized for COVID-19 was 19% and had a clear impact on morbidity and mortality. Local predisposing factors for AKI were identified.
Licença
cc_by_nc_nd
Texto completo: Disponível Coleções: Preprints Base de dados: medRxiv Tipo de estudo: Cohort_studies / Estudo de etiologia / Experimental_studies / Estudo observacional / Estudo prognóstico Idioma: Inglês Ano de publicação: 2021 Tipo de documento: Preprint
Texto completo: Disponível Coleções: Preprints Base de dados: medRxiv Tipo de estudo: Cohort_studies / Estudo de etiologia / Experimental_studies / Estudo observacional / Estudo prognóstico Idioma: Inglês Ano de publicação: 2021 Tipo de documento: Preprint
...