Acute Kidney Injury in Adult Iraqi Patients with COVID-19 Infection
Authors
Abstract:
Results: The incidence of AKI was 23.2%. AKI had significant correlation with older age (p-value 0.006) and hypertension (p-value 0.034) . Chest pain and abdominal pain were more common in patients with than those without AKI. Also Mean serum concentration of inflammatory markers ( D-dimer and C-reactive protein (CRP)) in patients with AKI was 1863.6±1599 ng/ml and 66.65±60.81 ng/ml, compared with 1387.3±1099 ng/ml and 42.95±34.35 ng/ml, respectively in patients without AKI with p value of 0.011 and 0.007 respectively. A 59.38% of patients without AKI were discharged well after one week compared with 41.38% among patients with AKI, with a significant difference. Mortality rate was significantly higher in those patients with AKI than those who did not have, 12.07% versus 4.17% ( p-value 0.026). ICUadmission in patients with AKI was not higher that of patients without AKI ( 36.21 % versus 36.45 % ) , P-value 0.772 d .Conclusions: The incidence of Acute Kidney Injury among Iraqi patients with COVID-19 infection in the first week was 23.2 % .Old age , hypertension , chest pain & abdominal pain were more common in patient with AKI in COVID19 infection .High D-dimer and CRP at presentation may be considered as good indicators for the possibility of acute kidney injury in patient with COVID19.COVID-19 patients with AKI have low rate of discharging well & higher mortality rate and about 10% of them need dialysis.
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Journal title
volume 13 issue 4
pages 247- 253
publication date 2021-09
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