在多种族发展中国家的环境中,对AKI的住院COVID-19患者进行了一项研究
S H Ooi1, K P Ng2, Pavai Sthaneshwar3
1Internal Medicine Department, University Malaya Medical Center, Kuala Lumpur, Malaysia.
BMC nephrology
|April 5, 2024
概括
急性损伤 (AKI) 影响了超过20%的住院COVID-19患者,增加了死亡风险. 危险因素包括糖尿病,高血压和先前存在的慢性病 (CKD).
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 由于COVID-19通常会导致由于呼吸系统问题而入院.
- 肺外并发症,包括病理,是COVID-19患者的重大问题.
- 与COVID-19相关的损伤的发生率在地理位置上有所不同.
研究的目的:
- 为了确定住院COVID-19患者急性损伤 (AKI) 的发病率.
- 为了确定与这群人群中AKI发展相关的风险因素.
- 确定AKI在COVID-19中的结果的预后预测因子.
主要方法:
- 2021年1月至6月住院的COVID-19患者的回顾性研究.
- 纳入标准:住院时间≥48小时,确诊COVID-19,年龄≥18岁.
- 数据收集包括人口统计和临床信息;AKI分期遵循KDIGO指南.
主要成果:
- AKI的发生率为21.1% (323/1529名患者).
- AKI的危险因素包括年龄,糖尿病,高血压,先前存在的慢性病 (CKD) 和疫苗接种情况.
- AKI与长时间住院和死亡率增加有关.
结论:
- 急性损伤 (AKI) 是住院COVID-19患者的常见并发症.
- 造成AKI的原因是多因素的.
- AKI显著影响患者的发病率和死亡率.
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