Evidence map›Paper›PMID 41139522›Full record

ArticleNephrology (Carlton, Vic.)2025

Increased Incidence and Severity of Acute Poststreptococcal Glomerulonephritis in the Czech Paediatric Population Following the COVID-19 Pandemic.

Patrik Konopásek, Eva Sládková, Sylva Skálová, Hana Flögelová, Jan Papež, Monika Pecková, Michaela Buganová, Jana Laubová, Beáta Lysáčková, Jiří Lísal and 18 more

Abstract readMulticenter Study
In one paragraph

Article in Nephrology (Carlton, Vic.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

28 authors.

Patrik KonopásekDepartment of Children and Adolescents, Third Faculty of Medicine, Charles University and University Hospital Královské Vinohrady, Prague, Czech Republic.ORCID https://orcid.org/0000-0001-6663-4020
Eva SládkováDepartment of Paediatrics, Charles University, Faculty of Medicine in Pilsen, University Hospital Pilsen, Pilsen, Czech Republic.
Sylva SkálováDepartment of Paediatrics, Charles University, Faculty of Medicine in Hradec Králové, University Hospital Hradec Králové, Hradec Králové, Czech Republic.
Hana FlögelováFaculty of Medicine and Dentistry, Palacky University Olomouc, Olomouc, Czech Republic.
Jan PapežDepartment of Paediatrics, Faculty of Medicine and University Hospital, Masaryk University, Brno, Czech Republic.
Monika PeckováInstitute of Applied Mathematics and Information Technologies, Faculty of Science, Charles University, Prague, Czech Republic.
Michaela BuganováDepartment of Paediatrics and Inherited Metabolic Disorders, First Medical Faculty of Charles University and the General University Hospital Prague, Prague, Czech Republic.
Jana LaubováDepartment of Paediatrics, Masaryk Hospital, University of Jan Evangelista Purkyně, Ústí nad Labem, Czech Republic.
Beáta LysáčkováDepartment of Paediatrics, First Faculty of Medicine and Thomayer University Hospital, Charles University, Prague, Czech Republic.
Jiří LísalDepartment of Paediatrics, Hospital Jihlava, Jihlava, Czech Republic.
Milan ProšekDepartment of Paediatrics, Hospital Pardubice, Pardubice, Czech Republic.
Ivana UrbanováDepartment of Paediatrics, Hospital Bulovka, Prague, Czech Republic.
Alexander KolskýDepartment of Children and Adolescents, Third Faculty of Medicine, Charles University and University Hospital Královské Vinohrady, Prague, Czech Republic.
Marie VáchováDepartment of Paediatrics, Hospital Most, Most, Czech Republic.
Kristýna MallátováDepartment of Paediatrics, Hospital České Budějovice, České Budějovice, Czech Republic.
Tereza DáňováDepartment of Paediatrics, Second Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic.
Lucie StaškováDepartment of Paediatrics, University Hospital Olomouc, Olomouc, Czech Republic.
Jiří ŠtarhaDepartment of Paediatrics, Faculty of Medicine and University Hospital, Masaryk University, Brno, Czech Republic.
Martina SamešováDepartment of Paediatrics, Masaryk Hospital, University of Jan Evangelista Purkyně, Ústí nad Labem, Czech Republic.
Kristýna PenglováDepartment of Paediatrics, First Faculty of Medicine and Thomayer University Hospital, Charles University, Prague, Czech Republic.
Ludmila LibánskáDepartment of Paediatrics, Hospital Jihlava, Jihlava, Czech Republic.
Marian ŠenkeříkDepartment of Paediatrics, Hospital Pardubice, Pardubice, Czech Republic.
Barbora RuchařováDepartment of Paediatrics, Hospital Bulovka, Prague, Czech Republic.
Vladislav SmrčkaDepartment of Paediatrics, Hospital České Budějovice, České Budějovice, Czech Republic.
Jitka PlačkováDepartment of Paediatrics, Masaryk Hospital, University of Jan Evangelista Purkyně, Ústí nad Labem, Czech Republic.
Lucie ProcházkováDepartment of Paediatrics, Tomáše Bati Hospital, Zlín, Czech Republic.
Jitka LáchováDepartment of Paediatrics, First Faculty of Medicine and Thomayer University Hospital, Charles University, Prague, Czech Republic.
Jakub ZiegDepartment of Paediatrics, Second Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic.

Funding

Ministerstvo Zdravotnictví Ceské Republiky 00064203
6 · The paper itself

Abstract

aimThis study aimed to investigate the incidence and severity of acute poststreptococcal glomerulonephritis (APSGN) in the Czech paediatric population before, during and after the coronavirus disease 2019 (COVID-19) pandemic.

methodsThe data were collected from 15 centres. The patients were divided into three periods: 2016-2019 (pre-COVID), 2020-2021 (COVID) and 2022-2023 (post-COVID). The incidence of APSGN during the studied period was assessed. The clinical and laboratory parameters were compared between the pre-COVID and post-COVID periods.

resultsOf the 117 patients with possible APSGN, 95 met the inclusion criteria. There were 67 (70.5%) males. The incidence of APSGN was significantly higher during the post-COVID period (32/year) than during the pre-COVID (6/year) and COVID (3.5/year) periods (p < 0.0001). The highest number of cases occurred in 2023 (n = 55). During the post-COVID period there was more frequent use (p = 0.0448) and duration (p = 0.0131) of furosemide; more frequent antihypertensive treatment (p = 0.0104); and a higher prevalence of acute kidney injury (p = 0.0145), hypertension (p = 0.0178), and hypertension stage 2 (p = 0.0372) compared to the pre-COVID period. Kidney replacement therapy and crescentic glomerulonephritis were found only during the post-COVID period.

conclusionWe found a significantly higher incidence of APSGN and its associated complications during the post-COVID period.

Indexed as

COVID-19GlomerulonephritisStreptococcal InfectionsAcute DiseaseAdolescentChildChild, PreschoolCzech RepublicFemaleHumansIncidenceMaleRetrospective StudiesSARS-CoV-2Severity of Illness IndexchildrencomplicationsCOVID‐19group a β‐haemolytic streptococcuspoststreptococcal glomerulonephritis

Identifiers

PMID41139522
PMCPMC12554633

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