Niculae Andrei, Peride Ileana, Nechita Ana-Maria, Petcu Lucian Cristian, Tiglis Mirela, Checherita Ionel Alexandru
Clinical Department No. 3, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.
Department of Nephrology and Dialysis, "St. John" Emergency Clinical Hospital, 042122 Bucharest, Romania.
J Pers Med. 2022 Jun 13;12(6):966. doi: 10.3390/jpm12060966.
(1) Background: Despite some controversies between studies, chronic kidney disease (CKD) has a negative impact on COVID-19 outcomes, with patients presenting a higher mortality risk than in the general population. Studies have shown an association between COVID-19 severe cases and different inflammatory biomarkers. The aim of this study was to emphasize the epidemiological characteristics of CKD patients diagnosed with COVID-19 and to determine if the risk of mortality, and the severity of this infection might be influenced by different parameters. (2) Methods: Our retrospective study included CKD patients with COVID-19—362 in the non-dialysis group and 132 in the dialysis group. (3) Results: There were significant statistical differences between our groups regarding age (p < 0.001), hemoglobin (p < 0.001), interleukin-6 (p < 0.001), serum albumin (p = 0.016), procalcitonin (p = 0.002), ferritin (p < 0.001), and of course serum creatinine (p < 0.001). Even if the risk of death was higher in the dialysis group (Exp(b) = 1.839), the survival proportions were similar in both groups. (4) Conclusions: High values of hemoglobin, serum creatinine, and LDH at admission, age, length of hospital stay ≤ 10 days, and a pulmonary impairment > 25% are responsible for an adverse outcome in non-dialysis and dialysis patients diagnosed with COVID-19.
(1) 背景:尽管研究之间存在一些争议,但慢性肾脏病(CKD)对COVID-19的预后有负面影响,患者的死亡风险高于普通人群。研究表明,COVID-19重症病例与不同的炎症生物标志物之间存在关联。本研究的目的是强调确诊感染COVID-19的CKD患者的流行病学特征,并确定死亡率风险以及这种感染的严重程度是否可能受不同参数的影响。(2) 方法:我们的回顾性研究纳入了感染COVID-19的CKD患者——非透析组362例,透析组132例。(3) 结果:两组在年龄(p < 0.001)、血红蛋白(p < 0.001)、白细胞介素-6(p < 0.001)、血清白蛋白(p = 0.016)、降钙素原(p = 0.002)、铁蛋白(p < 0.001),当然还有血清肌酐(p < 0.001)方面存在显著统计学差异。即使透析组的死亡风险更高(Exp(b)=1.839),但两组的生存比例相似。(4) 结论:入院时血红蛋白、血清肌酐和乳酸脱氢酶水平高、年龄、住院时间≤ 10天以及肺部损伤> 25%是确诊感染COVID-19的非透析和透析患者不良预后的原因。