Turkish Journal of Nephrology
Original Article

Acute Kidney Injury in SARS-CoV-2 Infected Critically Ill Patients

1.

Division of Intensive Care, Department of Medicine, Erciyes University School of Medicine, Kayseri, Turkey

2.

Division of Intensive Care, Department of Chest Diseases, Erciyes University School of Medicine, Kayseri, Turkey

Turkish J Nephrol 2020; 29: 185-189
DOI: 10.5152/turkjnephrol.2020.4448
Read: 710 Downloads: 175 Published: 23 June 2020

Objective: The main objective of this study is to evaluate the frequency of acute kidney injury (AKI) in COVID-19 infected patients who are hospitalized in the intensive care unit (ICU).

Materials and Methods: This study was performed retrospectively on patients above 18 years of age who had a positive polymerase chain reaction (PCR), a typical chest computed tomography (CT) for COVID-19 disease. The patients were hospitalized in the medical ICU and kidney disease improving global outcomes (KDIGO) criteria was used for AKI classification.

Results: We included 16 patients. The median age was 75 years and 88% were male. The most common co-morbid diseases were hypertension (HT) (56%) and cardiovascular disease (CVD) (44%). The median acute physiology and chronic health evaluation II (APACHE II) and sequential organ failure assessment (SOFA) scores were 26 (19-32) and 7 (4-9) respectively. Patients median serum blood urea nitrogen (BUN) and creatinine levels were 27.8 (19.2-44.7) mg/dL, 1.32 (0.97-2.81) mg/dL respectively. According to the KDIGO classification: there was no AKI in 25% of the patients while, 19% stage 1, 12% stage 2 and 44% stage 3 AKI was observed. AKI developed in 75% of the patients.

Conclusion: In this study we detected a high frequency of AKI in SARS-CoV2 infected patients hospitalized in the ICU.

Cite this article as: Gündoğan K, Temel Ş, Baran Ketencioğlu B, Rabah B, Tutar N, Sungur M. Acute Kidney Injury in SARS-CoV-2 Infected Critically Ill Patients. Turk J Nephrol 2020; 29(3): 185-9.

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