Renal Outcome of Acute Kidney Injury in Hospitalized Patients with COVID-19 Infection at Bangbo Hospital, Samutprakarn Province
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Abstract
BACKGROUND: COVID-19 is associated with acute kidney injury. The incidence of acute kidney failure from COVID-19 infection is increasing, consequently affecting the mortality rates at hospitals.
OBJECTIVES: To study the incidence of acute kidney failure, renal outcomes and factors associated with renal outcomes of acute kidney failure.
METHODS: A retrospective research study was carried out using data collected from the medical records, HOSxP database, of patients receiving treatment for COVID-19 infection and acute kidney failure at Bang Bo Hospital in Samut Prakan Province for 2 years (from 1 January 2021 to 31 December 2022). The population comprised COVID-19 infected patients admitted to Bang Bo Hospital, Samut Prakan Province. The sample included COVID-19 infected patients who had been diagnosed with acute kidney failure.
RESULTS: There were 60 patients with an average age of 67.2±13.6 years who were infected with COVID-19 and developed acute kidney failure. Renal outcomes of patients infected with COVID-19 who developed acute kidney failure were divided into 2 groups comprising 34 patients who experienced renal recovery (56.7%), and 26 patients who perished due to renal causes (43.3%). The factors related to renal outcomes included AKI stage 2 (AOR=6.22; 95%CI 0.72-54.11), and AKI stage 3 (AOR=33.27; 95%CI 4.12-268.74) BUN >20 mg/dl (AOR=7.08; 95%CI 1.39-36.07).
CONCLUSIONS: Patients with acute kidney injury should be monitored for risk of mortality due to COVID-19 infection, particularly those with AKI stages 2 and 3, high BUN at first diagnosis for acute kidney failure.
Thaiclinicaltrials.org number, TCTR20241208001
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