Management of Acute Kidney Injury in Coronavirus Disease 2019

Overview

Journal Adv Chronic Kidney Dis

Specialty Nephrology

Date 2020 Dec 14

PMID 33308502

Citations 10

Authors

Sana Shaikh

Gonzalo Matzumura Umemoto

Anitha Vijayan

Affiliations

Soon will be listed here.

Abstract

Acute kidney injury is a common complication in hospitalized patients with coronavirus disease 2019. Similar to acute kidney injury associated with other conditions such as sepsis and cardiac surgery, morbidity and mortality are much higher in patients with coronavirus disease 2019 who develop acute kidney injury, especially in the intensive care unit. Management of coronavirus disease 2019-associated acute kidney injury with kidney replacement therapy should follow existing recommendations regarding modality, dose, and timing of initiation. However, patients with coronavirus disease 2019 are very hypercoagulable, and close vigilance to anticoagulation strategies is necessary to prevent circuit clotting. During situations of acute surge, where demand for kidney replacement therapy outweighs supplies, conservative measures have to be implemented to safely delay kidney replacement therapy. A collaborative effort and careful planning is needed to conserve dialysis supplies, to ensure that treatment can be safely delivered to every patient who will benefit for kidney replacement therapy.

Citing Articles

Mortality Rate and Its Contributing Factors in Post-Surgical and Medical Patients with AKI Underwent CRRT.

Yassari F, Khoundabi B, Rashid Farokhi F, Mishra R, Jahan Lopa A, Hashemian S Tanaffos. 2024; 23(1):38-43.

PMID: 39703447 PMC: 11655010.

Impact of the COVID-19 pandemic on services for patients with chronic kidney disease: findings of a national survey of UK kidney centres.

Mackintosh L, Busby A, Farrington K, Hawkins J, Afuwape S, Bristow P BMC Nephrol. 2023; 24(1):356.

PMID: 38049710 PMC: 10696738. DOI: 10.1186/s12882-023-03344-6.

COVID-19 impact on the renal system: Pathophysiology and clinical outcomes.

Kaye A, Okeagu C, Tortorich G, Pham A, Ly E, Brondeel K Best Pract Res Clin Anaesthesiol. 2021; 35(3):449-459.

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Questionnaire Survey on the Current Situation and Experience in Prevention and Control Measures at Urology Clinics During the COVID-19 Epidemic in China.

Zhu X, Jiang H, Jiang M, Liu W, Sheng Z, Liu J Front Public Health. 2021; 9:670889.

PMID: 34490178 PMC: 8417710. DOI: 10.3389/fpubh.2021.670889.

Overview of acute kidney manifestations and management of patients with COVID-19.

Menez S, Parikh C Am J Physiol Renal Physiol. 2021; 321(4):F403-F410.

PMID: 34448642 PMC: 8453347. DOI: 10.1152/ajprenal.00173.2021.

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