Turkish Journal of Nephrology
Original Article

Post-COVID-19 Outcomes of Patients with Primary Glomerular Diseases: A Nationwide Controlled Study

1.

Division of Nephrology, Department of Internal Medicine, İstanbul University Faculty of Medicine, İstanbul, Türkiye

2.

Department of Nephrology, University of Health Sciences, Haseki Training and Research Hospital, İstanbul, Türkiye

3.

Division of Nephrology, Department of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Türkiye

4.

Division of Nephrology, Department of Internal Medicine, Mersin University Faculty of Medicine, Mersin, Türkiye

5.

Department of Nephrology, University of Health Sciences, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Türkiye

6.

Division of Nephrology, Department of Internal Medicine, Bezmialem Vakif University Faculty of Medicine, İstanbul, Türkiye

7.

Division of Nephrology, Department of Internal Medicine, Çukurova University Faculty of Medicine, Adana, Türkiye

8.

Division of Nephrology, Department of Internal Medicine, Sütçü İmam University Faculty of Medicine, Kahramanmaraş, Türkiye

9.

Department of Nephrology, University of Health Sciences, Darıca Farabi Training and Research Hospital, Kocaeli, Türkiye

10.

Department of Nephrology, University of Health Sciences, Bursa City Hospital Faculty of Medicine, Bursa, Türkiye

11.

Division of Nephrology, Department of Internal Medicine, Eskişehir Osmangazi University Faculty of Medicine, Eskisehir, Türkiye

12.

Departmant of Nephrology, Health Sciences University Dışkapı Yıldırım Beyazıt Education and Research Hospital, Ankara Türkiye

13.

Division of Nephrology, Department of Internal Medicine, Sakarya University Faculty of Medicine, Sakarya, Türkiye

14.

Department of Nephrology, University of Health Sciences, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul, Türkiye

15.

Department of Nephrology, Antalya Atatürk State Hospital, Antalya, Türkiye

16.

Department of Nephrology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Türkiye

17.

Division of Nephrology, Department of Internal Medicine, İstanbul University-Cerrahpaşa Faculty of Medicine, İstanbul, Türkiye

18.

Division of Nephrology, Department of Internal Medicine, Gazi University Faculty of Medicine, Ankara, Türkiye

19.

Department of Internal Medicine, Malatya Turgut Ozal University Faculty of Medicine, Malatya, Türkiye

20.

Department of Nephrology, Balıkesir Atatürk Education and Research Hospital, Balikesir, Türkiye

21.

Divison of Nephrology, Başakşehir Çam Sakura City Hospital, İstanbul, Türkiye

22.

Division of Internal Medicine and Nephrology, Kocaeli University Faculty of Medicine, Türkiye

23.

Department of Nephrology, University of Health Sciences, İstanbul Training and Research Hospital, İstanbul, Türkiye

24.

Division of Nephrology, Department of Internal Medicine, Bahçesehir University Faculty of Medicine, İstanbul, Türkiye

25.

Department of Nephrology, University of Health Sciences, Kartal Dr. Lütfi Kırdar Training and Research Hospital, İstanbul, Türkiye

26.

Department of Nephrology, University of Health Sciences, İstanbul Sultan 2.Abdulhamid Han Training and Research Hospital, İstanbul, Türkiye

27.

Division of Nephrology, Department of Internal Medicine, Ankara University Faculty of Medicine, Ankara, Türkiye

Turkish J Nephrol 2024; 33: 179-187
DOI: 10.5152/turkjnephrol.2024.22480
Read: 553 Downloads: 304 Published: 14 March 2024

Background: Patients with chronic diseases such as chronic kidney disease (CKD) have been reported to have more adverse outcomes during the coronavirus disease 2019 (COVID-19) pandemic. There are insufficient data on the outcomes of patients with primary glomerular diseases (PGD) after COVID-19.

Methods: We designed a national multicenter observational study that included adult patients with biopsy-proven PGD who survived COVID-19. A control group was created from the same centers, including PGD patients without COVID-19. The clinical and laboratory data of the patients at baseline, first, and third months after COVID-19 were recorded.

Results: A total of 129 patients from 21 centers were included (COVID-19 group, n = 77). Baseline characteristics were almost similar except the ratio of active disease in the non-COVID-19 group was significantly higher than in the COVID-19 group. No patients died during the first and third months. Respiratory symptoms were significantly higher in the COVID-19 group than in the non-COVID-19 group in the first month (7.8% vs. 0%, P = .039). All other follow-up outcomes, including initiation of chronic kidney replacement therapy and initiation of new immunosuppressive treatment, and the laboratory data were not different between the groups in the first and third months.

Conclusion: Primary glomerular disease patients in the post-COVID-19 period had more respiratory symptoms than non-COVID-19 PGD patients, but outcomes, including death and initiation of kidney replacement therapy, were not different in the first and third months post COVID-19.

Cite this article as: Öztürk S, Karadağ S, Arıcı M, et al. Post-COVID-19 outcomes of patients with primary glomerular diseases: A nationwide controlled study. Turk J Nephrol. 2024;33(2):179-187.

Files
EISSN 2667-4440