Systematic Review of a Case Series of Hospitalised COVID-19 Patients with AKI
Indian Journal of Critical Care Medicine
; 26:S13-S14, 2022.
Article
in English
| EMBASE | ID: covidwho-2006327
ABSTRACT
Aim and background:
The coronavirus 19 (COVID-19) disease is an infectious disease responsible for the ongoing global pandemic, caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which was first described in December 2019 in Wuhan, China. The major cause of mortality in COVID-19 is pulmonary complications and ARDS, but now acute kidney injury (AKI) is also seen to be a common complication, often associated with worse outcomes.Objective:
We review the incidence and outcomes of AKI among patients with COVID-19 infection, admitted in ICU in a tertiary care hospital in a period of 3 months. Materials andmethods:
This retrospective, observational study involved a review of 36 patients with COVID-19 admitted in a tertiary care hospital, who developed AKI. We describe the incidence of AKI among patients admitted during that time period, the requirement of dialysis among them, need for mechanical ventilation and mortality rate among them as compared those without AKI.Results:
Out of 234 patients hospitalised during this period, 14.9% developed AKI. 70% of patients had other risk factors like HTN, diabetes mellitus. In-hospital mortality was 30.5% among patients with AKI versus 8% among those without AKI. As per staging done according to AKIN Criteria, 15 patients belonged to stage 1, 15 patients to stage 2, and 3 patients to stage 3. Of them, a total of 6 patients had required haemodialysis. 14 patients needed invasive mechanical ventilation. Of survivors with AKI who were discharged, 30% had not recovered to baseline kidney function by the time of discharge.Conclusion:
AKI is common among patients hospitalized with COVID-19 and is associated with high mortality. Of all patients with AKI, 61% only survived with the recovery of kidney function by the time of discharge.
acute kidney failure; Acute Kidney Injury Network classification; adult; artificial ventilation; case study; conference abstract; coronavirus disease 2019; diabetes mellitus; female; hemodialysis; human; in-hospital mortality; incidence; invasive ventilation; kidney function; male; mortality; mortality rate; observational study; retrospective study; survivor; systematic review; tertiary care center
Full text:
Available
Collection:
Databases of international organizations
Database:
EMBASE
Type of study:
Reviews
/
Systematic review/Meta Analysis
Language:
English
Journal:
Indian Journal of Critical Care Medicine
Year:
2022
Document Type:
Article
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