入住重症监护室的 COVID-19 肺炎患者的急性肾损伤。

Isil Kose Guldogan, Yakup Ozgungor, Aysen Evkan Ozturk, Sibel Ersan, Kazim Rollas
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摘要

这项回顾性研究于 2020 年 1 月至 2021 年 12 月在伊兹密尔特佩契克培训与研究医院进行。研究旨在确定 COVID-19 重症患者急性肾损伤(AKI)的发生频率和相关因素。在177名患者中,49.7%出现了AKI,平均发病时间为7.63天。AKI 阶段各不相同,27 名患者在 48 小时内病情恶化。与非 AKI 患者(19.1% 和 22.5%)相比,AKI 患者的重症监护室死亡率和住院死亡率明显更高(分别为 86.4% 和 92%)。研究强调,年龄、序贯器官衰竭评估(SOFA)评分和肾毒性药物的存在是影响 COVID-19 患者发生 AKI 的重要因素。关键字重症监护病房 COVID-19 急性肾衰竭
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Acute Kidney Injury in COVID-19 Pneumonia Patients Admitted to the Intensive Care Unit.

This retrospective study was conducted at the Izmir Tepecik Training and Research Hospital from January 2020 to December 2021. It aimed to determine acute kidney injury (AKI) frequency and associated factors in critically ill COVID-19 patients. Out of 177 patients, 49.7% developed AKI, with an average onset of 7.63 days. AKI stages varied, and progression occurred in 27 patients within 48 hours. ICU and hospital mortality rates were significantly higher in AKI patients (86.4% and 92%, respectively) compared to non-AKI patients (19.1% and 22.5%). The study highlights age, sequential organ failure assessment (SOFA) score, and nephrotoxic agent presence as significant factors influencing AKI development in COVID-19 patients. Key Words: Critical care unit, COVID-19, Acute kidney failure.

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