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العنوان
Acute kidney injury in hospitalized patients with COVID-19 /
المؤلف
Mohamed, Shaban Elsayed Elsayed .
هيئة الاعداد
باحث / شعبان السيد السيد محمد
مشرف / محمود عبد العزيز قورة
مشرف / محمود محمد عمارة
مشرف / هبه السيد قاسم
الموضوع
Kidneys Wounds and injuries. Acute renal failure. COVID-19 (Disease) complications.
تاريخ النشر
2022.
عدد الصفحات
58 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب الباطني
تاريخ الإجازة
27/9/2022
مكان الإجازة
جامعة المنوفية - كلية الطب - الباطنة العامة
الفهرس
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Abstract

This study is a retrospective observational study that included data of a hundred hospitalized patients diagnosed with COVID-19 infection by a positive RT-PCR assay of a specimen collected via nasopharyngeal swab. The study was conducted in the period between the first of December 2020 to 31 may 2021 in Covid-19 isolation wards and ICU, in Benha Teaching Hospital. Patients hospitalized for less than 48hs, and patients with known end-stage kidney disease (ESKD), on maintenance hemodialysis, and/or renal transplant recipients were excluded from the study. The demographic, clinical, and laboratory data included were collected from medical records, patients’ follow-up, and charts. The results were as follows:
 The mean age of the studied cases was 53.29±8.32 with minimum 28 and maximum 71 years and mean BMI was 29.99±4.26, the means of SBP, DBP, HR, RR and SPO2 were 117.8±16.03, 76.40±9.9, 88.59±7.3, 22.28±2.95 and 91.29±6.93 respectively, the majority of cases were males (66%) while females were (34%).  Regarding risk factors 30% of the cases were smokers, 46.0% were Diabetics and 30% had hypertension, and regarding comorbidities the frequency of respiratory, cardiac and Immune-suppressive diseases were 16.0%, 24.0% and 14.0% respectively.  Regarding CT chest 55% were CORAD I, 26% were CORAD II and CORAD III were 19%, and regarding severity 54.0% were moderate, 24.0% were sever and 22.0% were critical.  As regards mortality rate 20.0% of studied cases died and 80.0% survived.  Comparison between patients with and without AKI revealed that AKI was significantly associated with older age, high BMI, presence of respiratory diseases, and administrating immune-suppressive drugs were.  AKI cases were significantly associated with higher SOFA score, Critical severity and Invasive respiratory support.  D dimer, CK and Cr were significantly higher among cases with AKI but GFR was significantly lower.  AKI cases significantly associated with higher mortality.  Multivariate logistic regression for predictors of AKI revealed that Severity of infection, SOFA score, Creatinine, GFR and D-dimer were significant independent predictors for AKI.