COVID-19 and Acute Kidney Injury: A Systematic Review

Acute kidney injury (AKI) has been associated with an increased mortality rate among hospitalized patients with Coronavirus disease 2019 (COVID-19). The current review aimed to evaluate the symptoms, complications, and treatments performed to manage AKI in patients with COVID-19. We searched PubMed/...

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Veröffentlicht in:	Frontiers in medicine Jg. 9; S. 705908
Hauptverfasser:	Sabaghian, Tahereh, Kharazmi, Amir Behnam, Ansari, Ali, Omidi, Fatemeh, Kazemi, Seyyedeh Neda, Hajikhani, Bahareh, Vaziri-Harami, Roya, Tajbakhsh, Ardeshir, Omidi, Sajjad, Haddadi, Sara, Shahidi Bonjar, Amir Hashem, Nasiri, Mohammad Javad, Mirsaeidi, Mehdi
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	Switzerland Frontiers Media SA 04.04.2022 Frontiers Media S.A
Schlagworte:	acute kidney injury AKI Case reports COVID-19 Creatinine Dyspnea Hypertension Kidneys Medicine Meta-analysis Mortality SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 Systematic review Urine Greece Canada Netherlands United Kingdom > UK Iran United States > US China Japan Italy France COVID-19 SARS-CoV-2 acute kidney injury systematic review AKI
ISSN:	2296-858X, 2296-858X
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Abstract	Acute kidney injury (AKI) has been associated with an increased mortality rate among hospitalized patients with Coronavirus disease 2019 (COVID-19). The current review aimed to evaluate the symptoms, complications, and treatments performed to manage AKI in patients with COVID-19. We searched PubMed/Medline, Web of Science, and Embase for the relevant scientific literature published up to February 1, 2022. The following keywords were used: "COVID-19", "SARS-CoV-2", and "Acute kidney injury". Forty-four studies with a total number of 114 COVID-19 patients with AKI (Mean age: 53.6 years) were included in our systematic review. The most common comorbidities in patients with COVID-19 suffering from AKI were the history of diabetes, hypertension, and hyperlipidemia. Twelve out of the 44 included studies reported a history of chronic kidney disease (CKD) in this group of patients. Focal segmental glomerulosclerosis (FSGS) and acute tubular necrosis (ATN) were the most common pathological evidence. The average length of hospital stay was 19 days, and the average duration of need for mechanical ventilation was 3 days. The current systematic review shows that AKI frequently complicates the course of COVID-19 hospitalizations and is associated with increased severity of illness, prolonged duration of hospitalization, and poor prognosis. Given the extent of the adverse impact of AKI, early detection of comorbidities and renal complications is essential to improve the outcomes of COVID-19 patients.
AbstractList	Acute kidney injury (AKI) has been associated with an increased mortality rate among hospitalized patients with Coronavirus disease 2019 (COVID-19). The current review aimed to evaluate the symptoms, complications, and treatments performed to manage AKI in patients with COVID-19. We searched PubMed/Medline, Web of Science, and Embase for the relevant scientific literature published up to February 1, 2022. The following keywords were used: "COVID-19", "SARS-CoV-2", and "Acute kidney injury". Forty-four studies with a total number of 114 COVID-19 patients with AKI (Mean age: 53.6 years) were included in our systematic review. The most common comorbidities in patients with COVID-19 suffering from AKI were the history of diabetes, hypertension, and hyperlipidemia. Twelve out of the 44 included studies reported a history of chronic kidney disease (CKD) in this group of patients. Focal segmental glomerulosclerosis (FSGS) and acute tubular necrosis (ATN) were the most common pathological evidence. The average length of hospital stay was 19 days, and the average duration of need for mechanical ventilation was 3 days. The current systematic review shows that AKI frequently complicates the course of COVID-19 hospitalizations and is associated with increased severity of illness, prolonged duration of hospitalization, and poor prognosis. Given the extent of the adverse impact of AKI, early detection of comorbidities and renal complications is essential to improve the outcomes of COVID-19 patients. IntroductionAcute kidney injury (AKI) has been associated with an increased mortality rate among hospitalized patients with Coronavirus disease 2019 (COVID-19). The current review aimed to evaluate the symptoms, complications, and treatments performed to manage AKI in patients with COVID-19.MethodsWe searched PubMed/Medline, Web of Science, and Embase for the relevant scientific literature published up to February 1, 2022. The following keywords were used: “COVID-19”, “SARS-CoV-2”, and “Acute kidney injury”.ResultsForty-four studies with a total number of 114 COVID-19 patients with AKI (Mean age: 53.6 years) were included in our systematic review. The most common comorbidities in patients with COVID-19 suffering from AKI were the history of diabetes, hypertension, and hyperlipidemia. Twelve out of the 44 included studies reported a history of chronic kidney disease (CKD) in this group of patients. Focal segmental glomerulosclerosis (FSGS) and acute tubular necrosis (ATN) were the most common pathological evidence. The average length of hospital stay was 19 days, and the average duration of need for mechanical ventilation was 3 days.ConclusionsThe current systematic review shows that AKI frequently complicates the course of COVID-19 hospitalizations and is associated with increased severity of illness, prolonged duration of hospitalization, and poor prognosis. Given the extent of the adverse impact of AKI, early detection of comorbidities and renal complications is essential to improve the outcomes of COVID-19 patients. Acute kidney injury (AKI) has been associated with an increased mortality rate among hospitalized patients with Coronavirus disease 2019 (COVID-19). The current review aimed to evaluate the symptoms, complications, and treatments performed to manage AKI in patients with COVID-19.IntroductionAcute kidney injury (AKI) has been associated with an increased mortality rate among hospitalized patients with Coronavirus disease 2019 (COVID-19). The current review aimed to evaluate the symptoms, complications, and treatments performed to manage AKI in patients with COVID-19.We searched PubMed/Medline, Web of Science, and Embase for the relevant scientific literature published up to February 1, 2022. The following keywords were used: "COVID-19", "SARS-CoV-2", and "Acute kidney injury".MethodsWe searched PubMed/Medline, Web of Science, and Embase for the relevant scientific literature published up to February 1, 2022. The following keywords were used: "COVID-19", "SARS-CoV-2", and "Acute kidney injury".Forty-four studies with a total number of 114 COVID-19 patients with AKI (Mean age: 53.6 years) were included in our systematic review. The most common comorbidities in patients with COVID-19 suffering from AKI were the history of diabetes, hypertension, and hyperlipidemia. Twelve out of the 44 included studies reported a history of chronic kidney disease (CKD) in this group of patients. Focal segmental glomerulosclerosis (FSGS) and acute tubular necrosis (ATN) were the most common pathological evidence. The average length of hospital stay was 19 days, and the average duration of need for mechanical ventilation was 3 days.ResultsForty-four studies with a total number of 114 COVID-19 patients with AKI (Mean age: 53.6 years) were included in our systematic review. The most common comorbidities in patients with COVID-19 suffering from AKI were the history of diabetes, hypertension, and hyperlipidemia. Twelve out of the 44 included studies reported a history of chronic kidney disease (CKD) in this group of patients. Focal segmental glomerulosclerosis (FSGS) and acute tubular necrosis (ATN) were the most common pathological evidence. The average length of hospital stay was 19 days, and the average duration of need for mechanical ventilation was 3 days.The current systematic review shows that AKI frequently complicates the course of COVID-19 hospitalizations and is associated with increased severity of illness, prolonged duration of hospitalization, and poor prognosis. Given the extent of the adverse impact of AKI, early detection of comorbidities and renal complications is essential to improve the outcomes of COVID-19 patients.ConclusionsThe current systematic review shows that AKI frequently complicates the course of COVID-19 hospitalizations and is associated with increased severity of illness, prolonged duration of hospitalization, and poor prognosis. Given the extent of the adverse impact of AKI, early detection of comorbidities and renal complications is essential to improve the outcomes of COVID-19 patients.
Author	Kharazmi, Amir Behnam Omidi, Fatemeh Ansari, Ali Kazemi, Seyyedeh Neda Mirsaeidi, Mehdi Omidi, Sajjad Vaziri-Harami, Roya Shahidi Bonjar, Amir Hashem Nasiri, Mohammad Javad Hajikhani, Bahareh Tajbakhsh, Ardeshir Haddadi, Sara Sabaghian, Tahereh
AuthorAffiliation	3 School of Medicine, Shahid Beheshti University of Medical Sciences , Tehran , Iran 5 Department of Obstetrics and Gynecology and Female Infertility Unit, Tehran University of Medical Sciences , Tehran , Iran 2 Department of Internal Medicine, Imam Hossein Medical Center, School of Medicine, Shahid Beheshti University of Medical Sciences , Tehran , Iran 6 Department of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences , Tehran , Iran 1 Clinical Research Development Center, Imam Hossein Educational Hospital, Shahid Beheshti University of Medical Sciences , Tehran , Iran 7 Imam Hossein Hospital, Behavioral Science Research Center of Shahid Beheshti University of Medical Sciences , Tehran , Iran 11 Division of Pulmonary and Critical Care, College of Medicine-Jacksonville, University of Florida , Jacksonville, FL , United States 9 Department of Pulmonary and Critical Care, University of Miami Miller School of Medicine , Miami, FL , United States 8 Anesthesia Researc
AuthorAffiliation_xml	– name: 8 Anesthesia Research Centre, Shahid Beheshti University of Medical Sciences , Tehran , Iran – name: 4 Department of Cardiology, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences , Tehran , Iran – name: 10 Clinician Scientist of Dental Materials and Restorative Dentistry, School of Dentistry, Shahid Beheshti University of Medical Sciences , Tehran , Iran – name: 11 Division of Pulmonary and Critical Care, College of Medicine-Jacksonville, University of Florida , Jacksonville, FL , United States – name: 6 Department of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences , Tehran , Iran – name: 7 Imam Hossein Hospital, Behavioral Science Research Center of Shahid Beheshti University of Medical Sciences , Tehran , Iran – name: 5 Department of Obstetrics and Gynecology and Female Infertility Unit, Tehran University of Medical Sciences , Tehran , Iran – name: 2 Department of Internal Medicine, Imam Hossein Medical Center, School of Medicine, Shahid Beheshti University of Medical Sciences , Tehran , Iran – name: 9 Department of Pulmonary and Critical Care, University of Miami Miller School of Medicine , Miami, FL , United States – name: 3 School of Medicine, Shahid Beheshti University of Medical Sciences , Tehran , Iran – name: 1 Clinical Research Development Center, Imam Hossein Educational Hospital, Shahid Beheshti University of Medical Sciences , Tehran , Iran
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BackLink	https://www.ncbi.nlm.nih.gov/pubmed/35445048$$D View this record in MEDLINE/PubMed
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Copyright	Copyright © 2022 Sabaghian, Kharazmi, Ansari, Omidi, Kazemi, Hajikhani, Vaziri-Harami, Tajbakhsh, Omidi, Haddadi, Shahidi Bonjar, Nasiri and Mirsaeidi. 2022. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. Copyright © 2022 Sabaghian, Kharazmi, Ansari, Omidi, Kazemi, Hajikhani, Vaziri-Harami, Tajbakhsh, Omidi, Haddadi, Shahidi Bonjar, Nasiri and Mirsaeidi. 2022 Sabaghian, Kharazmi, Ansari, Omidi, Kazemi, Hajikhani, Vaziri-Harami, Tajbakhsh, Omidi, Haddadi, Shahidi Bonjar, Nasiri and Mirsaeidi
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Keywords	COVID-19 SARS-CoV-2 acute kidney injury systematic review AKI
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Snippet	Acute kidney injury (AKI) has been associated with an increased mortality rate among hospitalized patients with Coronavirus disease 2019 (COVID-19). The... IntroductionAcute kidney injury (AKI) has been associated with an increased mortality rate among hospitalized patients with Coronavirus disease 2019...
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SubjectTerms	acute kidney injury AKI Case reports COVID-19 Creatinine Dyspnea Hypertension Kidneys Medicine Meta-analysis Mortality SARS-CoV-2 Severe acute respiratory syndrome coronavirus 2 Systematic review Urine
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Title	COVID-19 and Acute Kidney Injury: A Systematic Review
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