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Acute renal failure, COVID-19 and deaths, worrying rates in intensive care units: a cross-sectional study.
Watanabe, Yoshimi José Ávila; Carvalho, Lívia Maria Rezende; Guedes, João Victor Marques; Baldoni, André Oliveira; Belo, Vinícius Silva; Otoni, Alba.
Afiliación
  • Watanabe YJÁ; Nefrologist, Physician, PhD Student, Postgraduate Program in Health Sciences, Campus Centro Oeste (CCO), Universidade Federal de São João del-Rei (UFSJ), Divinópolis (MG), Brazil.
  • Carvalho LMR; Undergraduate Nursing Student, Curso de Enfermagem, Campus Centro Oeste (CCO), Universidade Federal de São João del-Rei (UFSJ), Divinópolis (MG), Brazil.
  • Guedes JVM; Pharmacist, External Research Partner, Postgraduate Program in Health Sciences Campus Centro Oeste (CCO), Universidade Federal de São João del-Rei (UFSJ), Divinópolis (MG), Brazil.
  • Baldoni AO; Pharmacist, Associate Professor, Campus Centro Oeste (CCO), Universidade Federal de São João del-Rei (UFSJ), Divinópolis (MG), Brazil.
  • Belo VS; Biologist, Associate Professor, Campus Centro Oeste (CCO), Universidade Federal de São João del-Rei (UFSJ), Divinópolis (MG), Brazil.
  • Otoni A; Nurse, Associate Professor, Campus Centro Oeste (CCO), Universidade Federal de São João del-Rei (UFSJ), Divinópolis (MG), Brazil.
Sao Paulo Med J ; 142(6): e2023150, 2024.
Article en En | MEDLINE | ID: mdl-39166611
ABSTRACT

BACKGROUND:

Acute kidney failure is a serious consequence of coronavirus disease 2019 (COVID-19).

OBJECTIVES:

To identify the prevalence of COVID-19, kidney failure, frequency of death, and associated factors in patients receiving intensive care. DESIGN AND

SETTING:

Analytical cross-sectional study conducted in the intensive care unit (ICU) of a medium-sized philanthropic general hospital in center-west Minas Gerais.

METHODS:

Adults and older individuals who underwent real-time polymerase chain reaction testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) were evaluated by the nephrology team.

RESULTS:

Among the 176 patients, the prevalence of COVID-19 and acute kidney injury (AKI) were 103 (58.5%) and 132 (75%), respectively, and 44 (25%) had chronic kidney disease (CKD) and 16 (15,5%) were positive for SARS-CoV-2. In the Charlson index classification, which estimates the risk of death, a statistically significant difference was identified in the percentages of groups with and without COVID-19 for indices 0, 1, and 2. There was a significant association between kidney disease and ICU mortality (P < 0.05). Patients with CKD had fewer fatal outcomes (13/97, 13.4%) than those with AKI (85/97, 87.6%).

CONCLUSIONS:

COVID-19 rates remained high long after diagnosis and prevention of SARS-CoV-2 infection. In addition, a higher death rate among patients who developed AKI, whose prevalence was also greater than that in the national literature, regardless of the presence of COVID-19, revealed a worrying scenario and corroborated the need for early and judicious approaches to preserve the lives of patients with AKI admitted to intensive care units.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Lesión Renal Aguda / COVID-19 / Unidades de Cuidados Intensivos Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: America do sul / Brasil Idioma: En Revista: Sao Paulo Med J Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Lesión Renal Aguda / COVID-19 / Unidades de Cuidados Intensivos Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: America do sul / Brasil Idioma: En Revista: Sao Paulo Med J Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil