Evaluation of COVID-19 Patients with Chronic Kidney Disease

Authors : Yasaman Sadat KESHMIRI, Sina Khosravi MIRZAIE, Shahnaz SALI, Davood YADEGARYNIA, Sara ABOLGHASEMI, Shabnam TEHRANI, Amir ZAMANI, Mohamad Mehdi DERISI

Pages : 152-158

Doi:10.5799/jmid.993902

View : 10 | Download : 8

Publication Date : 2021-09-15

Article Type : Research Paper

Abstract :Objectives: The present study seeks to provide insight into managing patients with chronic kidney disease insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(50 cases, 72.5%);, diabetes insert ignore into journalissuearticles values(44 cases, 63.8%);, and Cardiovascular disease insert ignore into journalissuearticles values(26 cases, 38.2%); were the most common risk factors in the studied patients. Among all participants, 40 insert ignore into journalissuearticles values(52.6%); patients died. The most common symptom was dyspnea insert ignore into journalissuearticles values(56.6%);, followed by dry cough insert ignore into journalissuearticles values(38.7%);. Comparison of blood, inflammatory, biochemical, and clinical indices among the patients` groups show that LDH insert ignore into journalissuearticles values(P=0.022);, AST insert ignore into journalissuearticles values(P=0.038);, and ALT insert ignore into journalissuearticles values(P= 0.004); indices were significantly different between groups of patients. According to the results in Table 3, Unilateral ground-glass opacity insert ignore into journalissuearticles values(GGO); in the radiological findings of the Non-dialysis CKD group was significantly insert ignore into journalissuearticles values(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; 11insert ignore into journalissuearticles values(3);:152-158.
Keywords : COVID19, chronic kidney disease, Dialysis, Transplant