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Colegio de Medicina Interna de México.

2021, Number 5

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Med Int Mex 2021; 37 (5)

Acute kidney injury as a predictor of hospital discharge in COVID-19 patients

Pérez-Echavarría AI, Yáñez-Morales M, Camarillo-Cisneros J, Ramos-Luján FA, Saad-Manzanera MI, Contreras-Pacheco AE, Solís-Valdez J, González-Cristóbal SC, Enríquez-Sánchez LB

Language: Spanish
References: 20
Page: 721-727
PDF size: 218.82 Kb.


ABSTRACT

Background: Since the beginning of the pandemic caused by the SARS-CoV-2 virus, risk factors have been identified. These can lead to complications in patients with comorbidities, acute renal injury is one of the most important complications of COVID-19.
Objective: To identify a possible relationship between the indicators of the patient’s renal status upon admission and the outcome.
Materials and Methods: An observational study (retrospective cohort) of patients (series of confirmed cases of COVID-19) who were admitted to the Hospital Central del Estado de Chihuahua, Mexico, from April 1st to October 20th, 2020. A binary logistic regression model was performed.
Results: There were included 266 patients. It was found that 82% did not present acute kidney injury on admission, 11.7% were in stage AKIN I, 13.5% AKIN II and 4.5% AKIN III. Patients with COVID-19 without acute renal injury had a higher probability of hospital discharge than those who developed acute renal injury.
Conclusions: Kidney injury influences the prognosis of patients with COVID-19; patients out of range of acute kidney injury based on basal serum creatinine have more probability of being discharged by clinical improvement.


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