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SARS-CoV-2 infection increases risk of acute kidney injury in a bimodal age distribution.
- Source :
-
BMC nephrology [BMC Nephrol] 2022 Feb 11; Vol. 23 (1), pp. 63. Date of Electronic Publication: 2022 Feb 11. - Publication Year :
- 2022
-
Abstract
- Background: Hospitalized patients with SARS-CoV2 develop acute kidney injury (AKI) frequently, yet gaps remain in understanding why adults seem to have higher rates compared to children. Our objectives were to evaluate the epidemiology of SARS-CoV2-related AKI across the age spectrum and determine if known risk factors such as illness severity contribute to its pattern.<br />Methods: Secondary analysis of ongoing prospective international cohort registry. AKI was defined by KDIGO-creatinine only criteria. Log-linear, logistic and generalized estimating equations assessed odds ratios (OR), risk differences (RD), and 95% confidence intervals (CIs) for AKI and mortality adjusting for sex, pre-existing comorbidities, race/ethnicity, illness severity, and clustering within centers. Sensitivity analyses assessed different baseline creatinine estimators.<br />Results: Overall, among 6874 hospitalized patients, 39.6% (n = 2719) developed AKI. There was a bimodal distribution of AKI by age with peaks in older age (≥60 years) and middle childhood (5-15 years), which persisted despite controlling for illness severity, pre-existing comorbidities, or different baseline creatinine estimators. For example, the adjusted OR of developing AKI among hospitalized patients with SARS-CoV2 was 2.74 (95% CI 1.66-4.56) for 10-15-year-olds compared to 30-35-year-olds and similarly was 2.31 (95% CI 1.71-3.12) for 70-75-year-olds, while adjusted OR dropped to 1.39 (95% CI 0.97-2.00) for 40-45-year-olds compared to 30-35-year-olds.<br />Conclusions: SARS-CoV2-related AKI is common with a bimodal age distribution that is not fully explained by known risk factors or confounders. As the pandemic turns to disproportionately impacting younger individuals, this deserves further investigation as the presence of AKI and SARS-CoV2 infection increases hospital mortality risk.<br /> (© 2022. The Author(s).)
- Subjects :
- Acute Kidney Injury etiology
Adolescent
Adult
Age Distribution
Age Factors
Aged
Aged, 80 and over
COVID-19 epidemiology
Child
Child, Preschool
Comorbidity
Confidence Intervals
Creatinine blood
Global Health statistics & numerical data
Hospital Mortality
Humans
Middle Aged
Odds Ratio
Registries statistics & numerical data
Severity of Illness Index
Acute Kidney Injury epidemiology
COVID-19 complications
Inpatients statistics & numerical data
SARS-CoV-2
Subjects
Details
- Language :
- English
- ISSN :
- 1471-2369
- Volume :
- 23
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- BMC nephrology
- Publication Type :
- Academic Journal
- Accession number :
- 35144572
- Full Text :
- https://doi.org/10.1186/s12882-022-02681-2