Evidence map›Paper›PMID 34057983›Full record

ReviewJornal brasileiro de nefrologia

A review of Covid-19 and acute kidney injury: from pathophysiology to clinical results.

Inah Maria D Pecly, Rafael B Azevedo, Elizabeth S Muxfeldt, Bruna G Botelho, Gabriela G Albuquerque, Pedro Henrique P Diniz, Rodrigo Silva, Cibele I S Rodrigues

Open access · diamondAbstract readReview
In one paragraph

Review in Jornal brasileiro de nefrologia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.5field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 67 citations in OpenAlex.

  1. Evaluation of muscle strength and renal function in survivors of severe COVID-19: A 12-month follow-up study.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. ELMO CPAP: an innovative type of ventilatory support for COVID-19-related acute respiratory distress syndrome.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. The Perspective of Vitamin D on suPAR-Related AKI in COVID-19.International journal of molecular sciences · 2022
    Review
  14. Rhabdomyolysis-Induced AKI (RIAKI) Including the Role of COVID-19.International journal of molecular sciences · 2022
    Review
  15. Observational
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Inah Maria D PeclyUniversidade Estácio de Sá, Curso de Medicina, Rio de Janeiro, RJ, Brasil.ORCID http://orcid.org/0000-0002-1043-0907
Rafael B AzevedoUniversidade Estácio de Sá, Curso de Medicina, Rio de Janeiro, RJ, Brasil.ORCID http://orcid.org/0000-0001-6864-8805
Elizabeth S MuxfeldtUniversidade Estácio de Sá, Curso de Medicina, Rio de Janeiro, RJ, Brasil.ORCID http://orcid.org/0000-0003-3853-7842
Bruna G BotelhoUniversidade Estácio de Sá, Curso de Medicina, Rio de Janeiro, RJ, Brasil.ORCID http://orcid.org/0000-0002-4130-5148
Gabriela G AlbuquerqueUniversidade Estácio de Sá, Curso de Medicina, Rio de Janeiro, RJ, Brasil.ORCID http://orcid.org/0000-0003-1433-1911
Pedro Henrique P DinizUniversidade Estácio de Sá, Curso de Medicina, Rio de Janeiro, RJ, Brasil.ORCID http://orcid.org/0000-0001-7081-2977
Rodrigo SilvaUniversidade Estácio de Sá, Curso de Medicina, Rio de Janeiro, RJ, Brasil.ORCID http://orcid.org/0000-0001-9612-6609
Cibele I S RodriguesPontifícia Universidade Católica de São Paulo, Faculdade de Ciências Médicas e da Saúde, São Paulo, SP, Brasil.ORCID http://orcid.org/0000-0001-9490-7997
Universidade do Estado do Rio de Janeiro · BRPontifícia Universidade Católica de São Paulo · BRUniversidade Federal do Rio de Janeiro · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute kidney injury (AKI) in hospitalized patients with COVID-19 is associated with higher mortality and a worse prognosis. Nevertheless, most patients with COVID-19 have mild symptoms, and about 5% can develop more severe symptoms and involve hypovolemia and multiple organ dysfunction syndrome. In a pathophysiological perspective, severe SARS-CoV-2 infection is characterized by numerous dependent pathways triggered by hypercytokinemia, especially IL-6 and TNF-alpha, leading to systemic inflammation, hypercoagulability, and multiple organ dysfunction. Systemic endotheliitis and direct viral tropism to proximal renal tubular cells and podocytes are important pathophysiological mechanisms leading to kidney injury in patients with more critical infection, with a clinical presentation ranging from proteinuria and/or glomerular hematuria to fulminant AKI requiring renal replacement therapies. Glomerulonephritis, rhabdomyolysis, and nephrotoxic drugs are also associated with kidney damage in patients with COVID-19. Thus, AKI and proteinuria are independent risk factors for mortality in patients with SARS-CoV-2 infection. We provide a comprehensive review of the literature emphasizing the impact of acute kidney involvement in the evolutive prognosis and mortality of patients with COVID-19.

Indexed as

Acute Kidney InjuryCOVID-19HumansProteinuriaRenal Replacement TherapySARS-CoV-2

Identifiers

PMID34057983
PMCPMC8940122
OpenAlexW3164944047

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.