COVID-19 outbreak and the impact on renal disorders: A rapid review

Behzad Lotfi1, Mohsen Mohammadrahimi2, Sakineh Hajebrahimi1

  • 1Research Center for Evidence-Based Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

Insights

Coronavirus disease 2019 (COVID-19) significantly impacts kidney function and increases mortality risk in patients with kidney diseases. Acute kidney injury (AKI) in COVID-19 patients is associated with very high mortality rates, necessitating further research.

Area of Science:

  • Nephrology
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • The coronavirus disease 2019 (COVID-19) pandemic has raised concerns about its impact on various organ systems.
  • Patients with pre-existing kidney diseases may be particularly vulnerable to severe outcomes from COVID-19.

Purpose of the Study:

  • To evaluate the effects of COVID-19 on renal function and mortality in patients with kidney diseases.
  • To synthesize current evidence on the association between COVID-19 and kidney complications.

Main Methods:

  • A rapid review methodology was employed, searching multiple databases including MEDLINE, Scopus, and Web of Science.
  • Included studies underwent screening of titles, abstracts, and full texts, with 10 articles selected for qualitative synthesis.
  • A meta-analysis was performed on binary data from 5 eligible studies comprising 964 COVID-19 positive patients.

Main Results:

  • The cumulative incidence of acute kidney injury (AKI) among COVID-19 patients was 7.1% (95% CI: 1.8%-24.5%).
  • Qualitative synthesis indicated a higher risk of in-hospital mortality for patients with COVID-19 and kidney diseases.
  • The occurrence of AKI in the context of COVID-19 was linked to a very high mortality rate.

Conclusions:

  • COVID-19 poses a significant threat to patients with kidney diseases, increasing their risk of AKI and in-hospital mortality.
  • Further extensive research is crucial to fully understand the extent and mechanisms of renal involvement in COVID-19.
  • Early recognition and management of kidney complications in COVID-19 patients are critical.

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