Research Article
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Evaluation of COVID-19 Patients with Chronic Kidney Disease

Year 2021, Volume: 11 Issue: 03, 152 - 158, 15.09.2021

Yasaman Sadat Keshmırı Sina Khosravi Mırzaıe Shahnaz Salı Davood Yadegarynıa Sara Abolghasemı Shabnam Tehranı Amir Zamanı Mohamad Mehdi Derısı

https://doi.org/10.5799/jmid.993902
Cited By: 1

Abstract

Objectives: The present study seeks to provide insight into managing patients with chronic kidney disease (CKD) infected with COVID-19.
Methods: Patients with COVID-19 with CKD were included in the study. The eligible patients were divided into four groups: 1) patients who were not on dialysis, 2) patients on maintenance dialysis, 3) patients who underwent dialysis following COVID-19, 4) patients with a history of a kidney transplant. After reviewing clinical charts, nursing records, laboratory findings, radiological reports, and other medical records of CKD patients with COVID-19 confirmed infection, clinical presentation, laboratory data, radiology findings, and results were extracted from documented medical records. The epidemiological, clinical, laboratory and outcome characteristics of the subgroups were evaluated and compared.
Results: Seventy-eight patients were included into the study. Hypertension (50 cases, 72.5%), diabetes (44 cases, 63.8%), and Cardiovascular disease (26 cases, 38.2%) were the most common risk factors in the studied patients. Among all participants, 40 (52.6%) patients died. The most common symptom was dyspnea (56.6%), followed by dry cough (38.7%). Comparison of blood, inflammatory, biochemical, and clinical indices among the patients' groups show that LDH (P=0.022), AST (P=0.038), and ALT (P= 0.004) indices were significantly different between groups of patients. According to the results in Table 3, Unilateral ground-glass opacity (GGO) in the radiological findings of the Non-dialysis CKD group was significantly (P=0.50) higher than the other groups.
Conclusion: It can be concluded that CKD is one of the critical factors that can cause poor prognosis in COVID-19 patients. J Microbiol Infect Dis 2021; 11(3):152-158.

Keywords

COVID19 chronic kidney disease Dialysis Transplant

References

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  • 10. Batlle D, Soler MJ, Sparks MA, Hiremath S, South AM, Welling PA, et al. Acute Kidney Injury in COVID-19: Emerging Evidence of a Distinct Pathophysiology. Journal of the American Society of Nephrology: JASN. 2020;31(7):1380-3.
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  • 16. Ferrey AJ, Choi G, Hanna RM, Chang Y, Tantisattamo E, Ivaturi K, et al. A Case of Novel Coronavirus Disease 19 in a Chronic Hemodialysis Patient Presenting with Gastroenteritis and Developing Severe Pulmonary Disease. Am J Nephrol. 2020; 51(5):337-42.
  • 17. Akalin E, Azzi Y, Bartash R, et al. Covid-19 and Kidney Transplantation. New England Journal of Medicine. 2020;382(25):2475-2477.
  • 18. Badawi A, Ryoo SG. Prevalence of comorbidities in the Middle East respiratory syndrome coronavirus (MERS-CoV): a systematic review and meta-analysis. Int J Infect Dis. 2016;49:129-33.
  • 19. Channappanavar R, Fett C, Mack M, Ten Eyck PP, Meyerholz DK, Perlman S. Sex-Based Differences in Susceptibility to Severe Acute Respiratory Syndrome Coronavirus Infection. J Immunol. 2017;198(10):4046-53.
  • 20. Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. The Lancet. 2020;395(10223):507-13.
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  • 23. Ajaimy M, Melamed ML. COVID-19 in Patients with Kidney Disease. Clin J Am Soc Nephrol. 2020;15(8):1087-9.
  • 24. Lang J, Katz R, Ix JH, et al. Association of serum albumin levels with kidney function decline and incident chronic kidney disease in elders. Nephrol Dial Transplant. 2018;33(6):986-92.
  • 25. Henry BM, Aggarwal G, Wong J, et al. Lactate dehydrogenase levels predict coronavirus disease 2019 (COVID-19) severity and mortality: A pooled analysis. Am J Emerg Med. 2020;38(9):1722-6.
  • 26. Haimovich AD, Ravindra NG, Stoytchev S, Young HP, Wilson FP, van Dijk D, Schulz WL, Taylor RA. Development and Validation of the Quick COVID-19 Severity Index: A Prognostic Tool for Early Clinical Decompensation. Ann Emerg Med. 2020;76(4):442-453.

Year 2021, Volume: 11 Issue: 03, 152 - 158, 15.09.2021

Yasaman Sadat Keshmırı Sina Khosravi Mırzaıe Shahnaz Salı Davood Yadegarynıa Sara Abolghasemı Shabnam Tehranı Amir Zamanı Mohamad Mehdi Derısı

https://doi.org/10.5799/jmid.993902
Cited By: 1

Abstract

References

  • 1. Estola T. Coronaviruses, a new group of animal RNA viruses. Avian diseases. 1970; 14(2):330-6.
  • 2. Hui DS, E IA, Madani TA, Ntoumi F, Kock R, Dar O, et al. The continuing 2019-nCoV epidemic threat of novel coronaviruses to global health - The latest 2019 novel coronavirus outbreak in Wuhan, China. Int J Infect Dis. 2020; 91:264-6.
  • 3. Paules CI, Marston HD, Fauci AS. Coronavirus Infections-More Than Just the Common Cold. Jama. 2020;323(8):707-8.
  • 4. World Health Organization. WHO Coronavirus Disease (COVID-19) Dashboard. 2020. https://covid19.who.int/. Accessed July 20 2020.
  • 5. Guan WJ, Liang WH, Zhao Y, Liang HR, Chen ZS, Li YM, et al. Comorbidity and its impact on 1590 patients with COVID-19 in China: a nationwide analysis. Eur Respir J. 2020;55(5).
  • 6. Wang B, Li R, Lu Z, Huang Y. Does comorbidity increase the risk of patients with COVID-19: evidence from meta-analysis. Aging. 2020;12(7):6049-57.
  • 7. Sanyaolu A, Okorie C, Marinkovic A, Patidar R, Younis K, Desai P, et al. Comorbidity and its Impact on Patients with COVID-19. SN Comprehensive Clinical Medicine. 2020:1-8.
  • 8. Joanne M. Bargman, Karl L. Skorecki. Chronic Kidney Disease. In: Jameson JL, Kasper DL, Longo DL, Fauci AS, Hauser SL, Loscalzo J, editors. Harrison's principles of internal medicine; 2018.p.2111-2121.
  • 9. Bikbov B, Purcell CA, Levey AS, Smith M, Abdoli A, Abebe M, et al. Global, regional, and national burden of chronic kidney disease, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet. 2020;395(10225):709-33.
  • 10. Batlle D, Soler MJ, Sparks MA, Hiremath S, South AM, Welling PA, et al. Acute Kidney Injury in COVID-19: Emerging Evidence of a Distinct Pathophysiology. Journal of the American Society of Nephrology: JASN. 2020;31(7):1380-3.
  • 11. Henry BM, Lippi G. Chronic kidney disease is associated with severe coronavirus disease 2019 (COVID-19) infection. International urology and nephrology. 2020;52(6):1193-4.
  • 12. Cheng Y, Luo R, Wang K, Zhang M, Wang Z, Dong L, et al. Kidney disease is associated with in-hospital death of patients with COVID-19. Kidney International. 2020;97(5):829-38.
  • 13. Jung HY, Lim JH, Kang SH, Kim SG, Lee YH, Lee J, et al. Outcomes of COVID-19 among Patients on In-Center Hemodialysis: An Experience from the Epicenter in South Korea. J Clin Med 2020;9(6).
  • 14. World Health O. Clinical management of COVID-19: interim guidance, May 27 2020. Geneva: World Health Organization. 2020. https://apps.who.int/iris/handle/10665/332196. Accessed July 20 2020.
  • 15. Wang R, Liao C, He H, Hu C, Wei Z, Hong Z, et al. COVID-19 in Hemodialysis Patients: A Report of 5 Cases. Am J Kidney Dis. 2020;76(1):141-3.
  • 16. Ferrey AJ, Choi G, Hanna RM, Chang Y, Tantisattamo E, Ivaturi K, et al. A Case of Novel Coronavirus Disease 19 in a Chronic Hemodialysis Patient Presenting with Gastroenteritis and Developing Severe Pulmonary Disease. Am J Nephrol. 2020; 51(5):337-42.
  • 17. Akalin E, Azzi Y, Bartash R, et al. Covid-19 and Kidney Transplantation. New England Journal of Medicine. 2020;382(25):2475-2477.
  • 18. Badawi A, Ryoo SG. Prevalence of comorbidities in the Middle East respiratory syndrome coronavirus (MERS-CoV): a systematic review and meta-analysis. Int J Infect Dis. 2016;49:129-33.
  • 19. Channappanavar R, Fett C, Mack M, Ten Eyck PP, Meyerholz DK, Perlman S. Sex-Based Differences in Susceptibility to Severe Acute Respiratory Syndrome Coronavirus Infection. J Immunol. 2017;198(10):4046-53.
  • 20. Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. The Lancet. 2020;395(10223):507-13.
  • 21. Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus-Infected Pneumonia in Wuhan, China. JAMA. 2020;323(11):1061-9. 22. Ahmed SB, Ramesh S. Sex hormones in women with kidney disease. Nephrol Dial Transplant. 2016;31(11):1787-95.
  • 23. Ajaimy M, Melamed ML. COVID-19 in Patients with Kidney Disease. Clin J Am Soc Nephrol. 2020;15(8):1087-9.
  • 24. Lang J, Katz R, Ix JH, et al. Association of serum albumin levels with kidney function decline and incident chronic kidney disease in elders. Nephrol Dial Transplant. 2018;33(6):986-92.
  • 25. Henry BM, Aggarwal G, Wong J, et al. Lactate dehydrogenase levels predict coronavirus disease 2019 (COVID-19) severity and mortality: A pooled analysis. Am J Emerg Med. 2020;38(9):1722-6.
  • 26. Haimovich AD, Ravindra NG, Stoytchev S, Young HP, Wilson FP, van Dijk D, Schulz WL, Taylor RA. Development and Validation of the Quick COVID-19 Severity Index: A Prognostic Tool for Early Clinical Decompensation. Ann Emerg Med. 2020;76(4):442-453.
There are 25 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Article
Authors

Yasaman Sadat Keshmırı This is me

Sina Khosravi Mırzaıe This is me

Shahnaz Salı This is me

Davood Yadegarynıa This is me

Sara Abolghasemı This is me

Shabnam Tehranı This is me

Amir Zamanı This is me

Mohamad Mehdi Derısı This is me

Publication Date September 15, 2021
Published in Issue Year 2021 Volume: 11 Issue: 03

Cite

APA Keshmırı, Y. S., Mırzaıe, S. K., Salı, S., Yadegarynıa, D., et al. (2021). Evaluation of COVID-19 Patients with Chronic Kidney Disease. Journal of Microbiology and Infectious Diseases, 11(03), 152-158. https://doi.org/10.5799/jmid.993902
AMA Keshmırı YS, Mırzaıe SK, Salı S, Yadegarynıa D, Abolghasemı S, Tehranı S, Zamanı A, Derısı MM. Evaluation of COVID-19 Patients with Chronic Kidney Disease. J Microbil Infect Dis. September 2021;11(03):152-158. doi:10.5799/jmid.993902
Chicago Keshmırı, Yasaman Sadat, Sina Khosravi Mırzaıe, Shahnaz Salı, Davood Yadegarynıa, Sara Abolghasemı, Shabnam Tehranı, Amir Zamanı, and Mohamad Mehdi Derısı. “Evaluation of COVID-19 Patients With Chronic Kidney Disease”. Journal of Microbiology and Infectious Diseases 11, no. 03 (September 2021): 152-58. https://doi.org/10.5799/jmid.993902.
EndNote Keshmırı YS, Mırzaıe SK, Salı S, Yadegarynıa D, Abolghasemı S, Tehranı S, Zamanı A, Derısı MM (September 1, 2021) Evaluation of COVID-19 Patients with Chronic Kidney Disease. Journal of Microbiology and Infectious Diseases 11 03 152–158.
IEEE Y. S. Keshmırı, “Evaluation of COVID-19 Patients with Chronic Kidney Disease”, J Microbil Infect Dis, vol. 11, no. 03, pp. 152–158, 2021, doi: 10.5799/jmid.993902.
ISNAD Keshmırı, Yasaman Sadat et al. “Evaluation of COVID-19 Patients With Chronic Kidney Disease”. Journal of Microbiology and Infectious Diseases 11/03 (September 2021), 152-158. https://doi.org/10.5799/jmid.993902.
JAMA Keshmırı YS, Mırzaıe SK, Salı S, Yadegarynıa D, Abolghasemı S, Tehranı S, Zamanı A, Derısı MM. Evaluation of COVID-19 Patients with Chronic Kidney Disease. J Microbil Infect Dis. 2021;11:152–158.
MLA Keshmırı, Yasaman Sadat et al. “Evaluation of COVID-19 Patients With Chronic Kidney Disease”. Journal of Microbiology and Infectious Diseases, vol. 11, no. 03, 2021, pp. 152-8, doi:10.5799/jmid.993902.
Vancouver Keshmırı YS, Mırzaıe SK, Salı S, Yadegarynıa D, Abolghasemı S, Tehranı S, Zamanı A, Derısı MM. Evaluation of COVID-19 Patients with Chronic Kidney Disease. J Microbil Infect Dis. 2021;11(03):152-8.

Cited By

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https://doi.org/10.3390/jcm10235522