Pamela PradoCentro Médico Nacional 20 de Noviembre, Mexico
Title: Acute kidney injury in COVID-19. Analysis at the Hospital Ángeles Mocel
Introduction: Acute Kidney Injury (AKI) is common in COVID-19 patients. Nonetheless, it’s actual incidence is based in case series and retrospective studies, reporting a wide range of presentation. It has been suggested that AKI is an independent risk factor for mechanical ventilation and death in COVID-19 patients.
Material and Methods: This is an observational, descriptive, cross – sectional and retrospective study. The files of hospitalized patients at Hospital Angeles MOCEL between march and july 2020, with a COVID-19 diagnosis, were reviewed. Patients over 18 years old, with a confirmed COVID-19 diagnosis and a complete file were included (n=83). A descriptive analysis to calculate percentages, means and standard deviation was used.
Results: 36.14% of patients developed AKI, 43.3% were classified as KDIGO 1, 20% as KDIGO 2, 36.6% as KDIGO 3, and 23.3% required renal replacement therapy. 77.7% of the patients under invasive mechanical ventilation developed AKI. Out of the total of patients with AKI, 56.6% died.
Conclusions: The incidence of AKI in COVID-19 patients in our population, was similar to that reported in the international literature. AKI was more frequent in patients hospitalized in intensive care units and under invasive mechanical ventilation, in which a higher mortality was observed.
Pamela Prado completed her studies in medicine at Universidad Panamericana, in Mexico City. She specialized in Internal Medicine at Hospital Angeles MOCEL and is certified by the Mexican Council of Internal Medicine. She is currently a Nephrology fellow at “Centro Médico Nacional 20 de Noviembre” in Mexico City.