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Table 1 Patient characteristics of 60 followed-up after critial COVID-19 with kidney function three to six months after discharge. 50 patients (83%) did not progress, while 10 (17%) showed progression to a higher CKD stage. p indicates indicates probability of chance difference between patients without progression and patients with progression. Only severity of acute kidney injury (AKI) in the form of KDIGO stage 3 or dialysis, or duration of AKI in the form of acute kidney disease (AKD) were risk factors for CKD progression

From: Severe acute kidney injury associated with progression of chronic kidney disease after critical COVID-19

 

All patients

No progression

CKD progression

p

Demographics

n = 60

n = 50

n = 10

 

 Age

60 ± 12

60 ± 13

59 ± 10

NS

 Women

17(28%)

15(30%)

2(20%)

NS

 BMI

30 ± 6

30 ± 6

29 ± 6

NS

Comorbidities

 

n (%)

  

 Lung disease

16(27%)

14(28%)

2(20%)

NS

 Hypertension

27(45%)

24(48%)

3(30%)

NS

 Heart failure

0

0

0

NS

 Ischemic heart disease

2(3%)

2(4%)

0

NS

 Vascular disease

4(6%)

3(6%)

1(10%)

NS

 Malignancy

2(3%)

1(2%)

1(10%)

NS

 Diabetes mellitus

12(20%)

11(22%)

1(10%)

NS

 Neurological disease

2(3%)

2(4%)

0

NS

 Psychiatric disease

3(5%)

3(6%)

0

NS

 Current smoker

3(5%)

2(4%)

1(10%)

NS

Kidney parameters

 

Mean ± SD or median (IQR) or n (%)

  

 CKD stage ≥ 3 at baseline

6(10%)

6(12%)

0

NS

 Baseline CKD stage

2(1–2)

2(2–2)

1(1–2)

NS

 Baseline creatinine

77 ± 24

79 ± 25

68 ± 18

NS

 Baseline eGFR

78 ± 13

76 ± 13

83 ± 11

NS

 Chronic dialysis at baseline

0

0

0

NS

 Discharge creatinine

94 ± 84

81 ± 54

162 ± 154

NS

 Discharge eGFR

75 ± 23

76 ± 20

65 ± 35

NS

Drugs at admission

n (%)

   

 Steroid treatment

5(8%)

5(10%)

0

NS

 ACEi/ARB

20(33%)

19(38%)

1(10%)

NS

 Anticoagulants

6(10%)

6(12%)

0

NS

ICU characteristics

 

n (%) or mean ± SD

  

 SAPS3 at arrival

51 ± 8

52 ± 8

49 ± 11

NS

 ICU Length of stay (days)

12 ± 9

12 ± 9

13 ± 12

NS

 Lowest PO2/FiO2 (kPa)

13 ± 6

12 ± 5

15 ± 12

NS

 Invasive ventilation (y/n)

27(45%)

23(46%)

4(40%)

NS

 Ventilator free days

24 ± 7

25 ± 7

24 ± 10

NS

 Mild ARDS

1(2%)

1(2%)

0

NS

 Moderate ARDS

2(3%)

2(4%)

0

NS

 Severe ARDS

28(47%)

23(46)

5(50%)

NS

 Vasopressor (y/n)

36(60%)

29(58%)

7(70%)

NS

 Vasopressor free days

26 ± 6

26 ± 6

25 ± 5

NS

 AKI (y/n)

33(55%)

26(52%)

7(70%)

NS

 Severe AKI (stage 3)

9(15%)

5(10%)

4(40%)

0.016

 Acute kidney disease (y/n)

14(23%)

5(10%)

9(90%)

0.019

 Dialysis in ICU (y/n)

6(10%)

3(6%)

3(30%)

0.02

 Dialysis free days

29 ± 3

29 ± 3

28 ± 3

NS

 Chronic dialysis at follow-up

1(1.7%)

0

1(10%)

NS

  1. ACEi angiotensin converting enzyme inhibitor, AKI acute kidney injury, ARB angiotensin II receptor blocker, ARDS acute respiratory distress syndrome, BMI Body mass index, CKD chronic kidney disease, eGFR estimated GFR, ICU intensive care unit, IQR interquartile range, SAPS3 simplified acute physiology score-3, SD standard deviation