ArticleThe clinical respiratory journal2022
Early renal impairment is associated with in-hospital death of patients with COVID-19.
Article in The clinical respiratory journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.
- Circulating mid-regional proadrenomedullin is a predictor of mortality in patients with COVID-19: a systematic review and meta-analysis.BMC infectious diseases · 2023Pooled it
- Article
- Allograft function predicts mortality in kidney transplant recipients with severe COVID-19: a paradoxical risk factor.Frontiers in immunology · 2024Article
- Acute renal failure, COVID-19 and deaths, worrying rates in intensive care units: a cross-sectional study.Sao Paulo medical journal = Revista paulista de medicina · 2024Article
- Risk factors associated with acute kidney injury in a cohort of hospitalized patients with COVID-19.BMC nephrology · 2023Article
- Early renal impairment is associated with in-hospital death of patients with COVID-19.The clinical respiratory journal · 2022Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionRenal impairment is a common complication in coronavirus disease 2019 (COVID-19), although its prognostic significance remains unknown.
objectivesThis study determines the impact of early renal impairment on the clinical outcome of COVID-19.
methodsPatients diagnosed with COVID-19 and hospitalized in Xiaogan Central Hospital from 20 January to 29 February 2020 were retrospectively included and grouped into two cohorts (cohort with normal renal function and cohort with renal insufficiency) based on the renal function detected on admission. Records of clinical manifestation, laboratory findings and clinical outcome were collected and compared between these two cohorts.
resultsA total 543 COVID-19 patients were included. Among these patients, 70 patients developed early renal impairment, with an incidence of 12.89%. A significantly higher white blood cell (WBC) count, C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), serum creatine (Cr), blood urine nitrogen (BUN) and brain natriuretic peptide (BNP) and a significantly lower blood platelet (PLT), lymphocyte count, prealbumin and albumin (ALB) were detected in the cohort with renal insufficiency (P < 0.05). Patients with early renal impairment were also associated with higher incidences of haematuria/proteinuria, higher incidences of mortality and prolonged hospitalization duration. The independent risk factors for in-hospital death included age >65 years old, complication of diabetes, renal impairment on admission (Cr > 73 μmol/L and eGFR < 60 ml/min 1.73 m
conclusionEarly renal impairment is associated with higher risk of in-hospital death for patients with COVID-19. Risk stratification according to renal function can better guide the clinical management of COVID-19.
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