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[Acute renal failure in COVID-19].
A Gäckler1, H Rohn2, O Witzke2
1Klink für Nephrologie, Universitätsmedizin Essen, Universität Duisburg-Essen, Hufelandstr. 55, 45147 Essen, Deutschland.
Der Nephrologe
|December 21, 2020
Summary
Acute kidney injury (AKI), a frequent complication of coronavirus disease 2019 (COVID-19), may lead to persistent kidney function loss. Renal function re-evaluation post-COVID-19 recovery is recommended.
Area of Science:
- Nephrology
- Virology
- Critical Care Medicine
Context:
- Acute kidney injury (AKI) is a common complication in patients with coronavirus disease 2019 (COVID-19).
- AKI in COVID-19 is associated with respiratory failure, increased morbidity, and mortality.
- The exact causes of AKI in COVID-19 are multifactorial, potentially including direct viral kidney involvement.
Purpose:
- To review the current understanding of AKI in COVID-19.
- To highlight the lack of specific treatments for COVID-19-associated AKI.
- To emphasize the need for renal function assessment after COVID-19 recovery.
Summary:
- COVID-19-associated AKI is frequent and linked to poor outcomes.
- Direct viral kidney damage is a suspected cause of AKI in COVID-19.
- Current treatment options for COVID-19 AKI are limited, and the role of extracorporeal procedures remains unclear.
- Emerging data suggest persistent renal function decline after COVID-19-associated AKI.
Impact:
- Highlights the significant renal impact of COVID-19.
- Underscores the need for further research into COVID-19-associated AKI pathogenesis and treatment.
- Recommends routine renal function monitoring in COVID-19 survivors to detect long-term kidney damage.
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