{"title":"登革热病例中急性肾损伤的发生率:系统回顾和荟萃分析。","authors":"Ganesh Bushi, Muhammed Shabil, Bijaya Kumar Padhi, Mohammed Ahmed, Pratima Pandey, Prakasini Satapathy, Sarvesh Rustagi, Keerti Bhusan Pradhan, Zahraa Haleem Al-Qaim, Ranjit Sah","doi":"10.1093/trstmh/trad067","DOIUrl":null,"url":null,"abstract":"<p><p>Numerous studies have shown a correlation between dengue virus (DENV) infection and kidney disease. However, there is no existing meta-analysis on the prevalence of kidney diseases in the dengue population. A thorough systematic review and meta-analysis were undertaken to determine the prevalence of renal problems in people with DENV infection in order to fill this knowledge gap. A rigorous electronic literature search was carried out up to 25 January 2023 in a number of databases, including ProQuest, EBSCOhost, Scopus, PubMed and Web of Science. The search aimed to find articles that reported on the prevalence of kidney diseases in patients with DENV infection. Using the modified Newcastle-Ottawa Scale, the quality of the included studies was assessed. The meta-analysis included a total of 37 studies with 21 764 participants reporting on the prevalence of acute kidney injury (AKI) in individuals with DENV infection. The pooled prevalence of AKI in dengue patients was found to be 8% (95% confidence interval 6 to 11), with high heterogeneity across studies. The studies included are of moderate quality. The study revealed a high AKI prevalence in dengue patients, underlining the need for regular renal examination to detect AKI early and reduce hospitalization risk. 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引用次数: 0
摘要
大量研究表明,登革热病毒(DENV)感染与肾脏疾病之间存在相关性。然而,目前还没有关于登革热人群中肾脏疾病患病率的荟萃分析。为了填补这一知识空白,我们进行了全面的系统回顾和荟萃分析,以确定登革热病毒感染者中肾脏疾病的患病率。截至 2023 年 1 月 25 日,我们在多个数据库(包括 ProQuest、EBSCOhost、Scopus、PubMed 和 Web of Science)中进行了严格的电子文献检索。搜索的目的是找到报道DENV感染患者肾脏疾病患病率的文章。采用修改后的纽卡斯尔-渥太华量表对纳入研究的质量进行了评估。荟萃分析共纳入了37项研究,21 764名参与者报告了丹毒病毒感染者急性肾损伤(AKI)的患病率。研究发现,登革热患者急性肾损伤的总发病率为8%(95%置信区间为6-11),不同研究之间存在高度异质性。纳入的研究质量中等。该研究显示登革热患者的 AKI 患病率较高,这强调了定期进行肾脏检查以早期发现 AKI 并降低住院风险的必要性。要了解登革热与肾脏的关系并制定有效的管理策略,还需要进一步的研究。
Prevalence of acute kidney injury among dengue cases: a systematic review and meta-analysis.
Numerous studies have shown a correlation between dengue virus (DENV) infection and kidney disease. However, there is no existing meta-analysis on the prevalence of kidney diseases in the dengue population. A thorough systematic review and meta-analysis were undertaken to determine the prevalence of renal problems in people with DENV infection in order to fill this knowledge gap. A rigorous electronic literature search was carried out up to 25 January 2023 in a number of databases, including ProQuest, EBSCOhost, Scopus, PubMed and Web of Science. The search aimed to find articles that reported on the prevalence of kidney diseases in patients with DENV infection. Using the modified Newcastle-Ottawa Scale, the quality of the included studies was assessed. The meta-analysis included a total of 37 studies with 21 764 participants reporting on the prevalence of acute kidney injury (AKI) in individuals with DENV infection. The pooled prevalence of AKI in dengue patients was found to be 8% (95% confidence interval 6 to 11), with high heterogeneity across studies. The studies included are of moderate quality. The study revealed a high AKI prevalence in dengue patients, underlining the need for regular renal examination to detect AKI early and reduce hospitalization risk. Further research is needed to understand the dengue-kidney relationship and develop effective management strategies.
期刊介绍:
Transactions of the Royal Society of Tropical Medicine and Hygiene publishes authoritative and impactful original, peer-reviewed articles and reviews on all aspects of tropical medicine.