'Acute kidney injury in critically ill patients with COVID–19: The AKICOV multicenter study in Catalonia'
| Autor: | de la Vega Sánchez, Arsenio, Navas Pérez, Ana Maria, Pérez Carrasco, Marcos, Torrens Sonet, María, Diaz Buendia, Yolanda, Ortiz Ballujera, Patricia |
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| Přispěvatelé: | Institut Català de la Salut, [Sánchez AV, Pérez-Carrasco M] Servei de Medicina Intensiva, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Grup de Recerca de Shock, Disfunció Orgànica i Ressuscitació (SODIR), Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. [Pérez AN] Critical Care Center, Parc Tauli Hospital Universitari, Institut d’Investigació i Innovació Parc Taulí I3PT, Universitat Autònoma de Barcelona, Sabadell, Barcelona, Spain. [Sonet MT] Intensive Care Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. [Buendia YD] Critical Care Department, Hospital del Mar, Barcelona, Spain. [Ballujera PO] Intensive Care Department, Hospital Universitari Doctor Josep Trueta de Girona, Girona, Spain, Vall d'Hebron Barcelona Hospital Campus |
| Jazyk: | angličtina |
| Rok vydání: | 2023 |
| Předmět: |
afecciones patológicas
signos y síntomas::procesos patológicos::atributos de la enfermedad::enfermedad crítica [ENFERMEDADES] Insuficiència renal aguda - Prognosi enfermedades urogenitales masculinas::enfermedades urológicas::enfermedades renales::insuficiencia renal::lesión renal aguda [ENFERMEDADES] virosis::infecciones por virus ARN::infecciones por Nidovirales::infecciones por Coronaviridae::infecciones por Coronavirus [ENFERMEDADES] Ronyons - Malalties - Prognosi Virus Diseases::RNA Virus Infections::Nidovirales Infections::Coronaviridae Infections::Coronavirus Infections [DISEASES] Male Urogenital Diseases::Urologic Diseases::Kidney Diseases::Renal Insufficiency::Acute Kidney Injury [DISEASES] Pathological Conditions Signs and Symptoms::Pathologic Processes::Disease Attributes::Critical Illness [DISEASES] COVID-19 (Malaltia) - Complicacions |
| Zdroj: | Scientia |
| Popis: | Acute kidney injury; COVID-19; Catalonia Lesión renal aguda; COVID-19; Cataluña Lesió renal aguda; COVID-19; Catalunya This study describes the incidence, evolution and prognosis of acute kidney injury (AKI) in critical COVID-19 during the first pandemic wave. We performed a prospective, observational, multicenter study of confirmed COVID-19 patients admitted to 19 intensive care units (ICUs) in Catalonia (Spain). Data regarding demographics, comorbidities, drug and medical treatment, physiological and laboratory results, AKI development, need for renal replacement therapy (RRT) and clinical outcomes were collected. Descriptive statistics and logistic regression analysis for AKI development and mortality were used. A total of 1,642 patients were enrolled (mean age 63 (15.95) years, 67.5% male). Mechanical ventilation (MV) was required for 80.8% and 64.4% of these patients, who were in prone position, while 67.7% received vasopressors. AKI at ICU admission was 28.4% and increased to 40.1% during ICU stay. A total of 172 (10.9%) patients required RRT, which represents 27.8% of the patients who developed AKI. AKI was more frequent in severe acute respiratory distress syndrome (ARDS) ARDS patients (68% vs 53.6%, p |
| Databáze: | OpenAIRE |
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