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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 and

methods:

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.
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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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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