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Risk factors for acute kidney injury in COVID-19 patients: an updated systematic review and meta-analysis

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机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Nephrol, 5 Changchun St, Beijing 100053, Peoples R China [2]Capital Med Univ, Xuanwu Hosp, Adv Innovat Ctr Human Brain Protect, Natl Clin Res Ctr Geriatr Dis, Beijing, Peoples R China [3]Capital Med Univ, Xuanwu Hosp, Natl Clin Res Ctr Geriatr Dis, Beijing, Peoples R China
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关键词: Acute kidney injury COVID-19 systematic review meta-analysis

摘要:
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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出版当年[2022]版:
大类 | 3 区 医学
小类 | 3 区 泌尿学与肾脏学
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 泌尿学与肾脏学
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出版当年[2021]版:
Q2 UROLOGY & NEPHROLOGY
最新[2023]版:
Q1 UROLOGY & NEPHROLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

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第一作者机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Nephrol, 5 Changchun St, Beijing 100053, Peoples R China
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通讯机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Nephrol, 5 Changchun St, Beijing 100053, Peoples R China [3]Capital Med Univ, Xuanwu Hosp, Natl Clin Res Ctr Geriatr Dis, Beijing, Peoples R China [*1]Department of Nephrology, Xuanwu Hospital, Capital Medical University, 45 Changchun Street, Xicheng District, Beijing 100053, China
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