Acute kidney injury of mild to moderate severity in patients with COVID-19

E. N. Golovina, A. V. Vatasin
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Abstract

THE AIM: to study the incidence of mild to moderate acute kidney injury in patients with COVID-19.PATIENTS AND METHODS. The data of the case histories of 200 patients hospitalized in the infectious diseases department of the Naro-Fominsk Regional Hospital of the Moscow region for COVID-19 were analyzed, mainly with mild to moderate severity of lung damage according to computed tomography, which do not require respiratory support and renal replacement therapy.RESULTS. Despite the fact that the analyzed group of patients did not have the most severe course of COVID-19, the first stage of acute kidney injury was detected in 22.5% of patients, which was manifested by a temporary decrease in hourly diuresis, increased creatinine, urea, proteinuria and erythrocyturia.CONCLUSION. The development of acute kidney injury was most often associated with older age, coronary heart disease, arterial hypertension, diabetes mellitus and obesity.
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COVID-19 患者出现轻度至中度急性肾损伤
目的:研究COVID-19患者中轻度至中度急性肾损伤的发生率。 患者与方法:分析了莫斯科州纳罗-弗明斯克地区医院传染科因COVID-19住院的200名患者的病历数据,根据计算机断层扫描结果,这些患者主要有轻度至中度肺损伤,不需要呼吸支持和肾脏替代治疗。尽管所分析的这组患者并没有经历最严重的 COVID-19 病程,但有 22.5%的患者出现了急性肾损伤的第一阶段,表现为每小时利尿量暂时减少,肌酐、尿素、蛋白尿和红细胞尿增加。急性肾损伤的发生多与年龄偏大、冠心病、动脉高血压、糖尿病和肥胖有关。
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