Journal
RENAL FAILURE
Volume 45, Issue 1, Pages -Publisher
TAYLOR & FRANCIS LTD
DOI: 10.1080/0886022X.2023.2170809
Keywords
Acute kidney injury; COVID-19; systematic review; meta-analysis
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This meta-analysis aimed to identify risk factors for the development of acute kidney injury (AKI) in COVID-19 patients. The results showed that age, male sex, obesity, black race, invasive ventilation, and the use of diuretics, steroids and vasopressors, as well as comorbidities such as hypertension, congestive heart failure, chronic kidney disease, acute respiratory distress syndrome, and diabetes, were significant risk factors for COVID-19-associated AKI.
Objectives: Acute kidney injury (AKI) is associated with increased mortality among coronavirus disease 2019 (COVID-19) patients. This meta-analysis aimed to identify risk factors for the development of AKI in patients with COVID-19.Methods: A systematic literature search was conducted in PubMed and EMBASE from 1 December 2019 to 1 January 2023. Due to significant study heterogeneity, meta-analyses were conducted using random-effects models. Meta-regression and sensitivity analysis were also performed.Results: A total of 153,600 COVID-19 patients from 39 studies were included, and 28,003 patients developed AKI. By meta-analysis, we discovered that age, male sex, obesity, black race, invasive ventilation, and the use of diuretics, steroids and vasopressors, in addition to comorbidities such as hypertension, congestive heart failure, chronic kidney disease, acute respiratory distress syndrome, and diabetes, were significant risk factors for COVID-19-associated AKI.Conclusions: Early detection of these risk factors is essential to reduce the incidence of AKI and improve the prognosis of COVID-19 patients.
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