AI Article Synopsis
- - The study focuses on the incidence of acute kidney injury (AKI) in COVID-19 patients, noting that while the second wave is declining, the risk of a third wave remains.
- - Data from 400 hospitalized COVID-19 patients revealed that 18% experienced AKI, with many requiring dialysis and mechanical ventilation, indicating severe complications.
- - In-hospital mortality rates were significantly higher for those with AKI (25%) compared to those without (7.01%), highlighting the serious impact of renal complications in COVID-19 cases.
Article Abstract
Unlabelled: The ongoing COVID-19 pandemic has thrown newer challenges for the health care professionals to manage the affected patients. Though the so called second wave is in a declining trend at present but possible third wave is looming in the near future. Initially patients appeared to have a respiratory limited disease but there are now increasing reports of multiple organ involvement including renal disease in association with COVID-19. The current study aims to highlight the incidence of acute kidney injury (AKI) in COVID-19 patients, as well as the clinical profile and outcomes in that subset of patients in a tertiary hospital setting, in order to better understand the role renal disease plays in the disease process.
Material: Methods: This retrospective, observational study involved a review of data from electronic health records of patients aged more than 18 years with laboratory confirmed COVID-19 admitted to our hospital from February 27 to May 30, 2021. Data was analysed using SPSS version-21.0 by descriptive statistics. We describe the incidence of AKI, dialysis requirement, requirement of mechanical ventilation and mortality.
Observation: Results of 400 hospitalized patients with COVID-19, 252(63%) were male, 148(37%) were female. AKI occurred in 72 (18%) patients. The proportions with stages 1, 2, or 3 AKI were 35(48.3%), 11 (15.1%), and 26 (36.6%), respectively. 22 (32%) patients with AKI required dialysis. About 42(58.33%) patients with AKI were admitted in Intensive care Unit and 35(48%) patients with AKI required mechanical ventilation. In-hospital mortality was (25%) among patients with AKI versus (7.01%) among those without AKI (OR, 4.42; 95% confidence interval, 2.23 to 8.73).
Conclusion: Conclusions AKI is common among patients hospitalized with COVID-19 and is associated with high morbidity and mortality.
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