Assessing acute kidney injury risk after COVID vaccination and infection in a large cohort study

Autor: Yuanyi Pan, Yun Han, Chuan Zhou, Jie Zheng, Lili Zhao, Xianwei Ye, Yongqun He, N3C Consortium
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: npj Vaccines, Vol 9, Iss 1, Pp 1-10 (2024)
Druh dokumentu: article
ISSN: 2059-0105
DOI: 10.1038/s41541-024-00964-3
Popis: Abstract Acute kidney injury (AKI) has been noticed after both COVID-19 vaccination and infection, affecting risk-benefit evaluations and vaccine hesitancy. We conducted a large-scale N3C cohort study to compare AKI incidence following COVID-19 vaccination and infection. Participants from December 2020 to August 2023 were divided into two groups based on their initially observed COVID-19 antigen exposure: COVID-19 vaccination group (n = 2,953,219) and COVID-19 infection group (n = 3,616,802). AKI was defined by diagnostic codes and serum creatinine changes within a 30 day follow-up window after exposure. The absolute risk of AKI was 0.66% in the vaccination group versus 4.88% in the infection group. After adjusting for various confounders, COVID-19 infection was associated with a significantly higher risk of AKI than COVID-19 vaccination (aHR = 10.31, P
Databáze: Directory of Open Access Journals