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http://repo.knmu.edu.ua/handle/123456789/32818
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DC Field | Value | Language |
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dc.contributor.author | Gavrylov, Anatoliy | - |
dc.contributor.author | Tieroshyn, Vadym | - |
dc.contributor.author | Wainstein, M. | - |
dc.contributor.author | Spyrison, Nicholas | - |
dc.contributor.author | Dai, Danyang | - |
dc.contributor.author | Ghadimi, Moji | - |
dc.contributor.author | Chávez-Iñiguez, Jonathan S. | - |
dc.contributor.author | Rizo-Topete, Lilia | - |
dc.contributor.author | Citarella, Barbara Wanjiru | - |
dc.contributor.author | Merson, Laura | - |
dc.contributor.author | Pole, Jason D. | - |
dc.contributor.author | Claure-Del, Granado Rolando | - |
dc.contributor.author | Johnson, David W. | - |
dc.contributor.author | Shrapnel, Sally | - |
dc.date.accessioned | 2023-11-08T09:35:09Z | - |
dc.date.available | 2023-11-08T09:35:09Z | - |
dc.date.issued | 2023-08 | - |
dc.identifier.citation | Association of Country Income Level With the Characteristics and Outcomes of Critically Ill Patients Hospitalized With Acute Kidney Injury and COVID-19 / M. Wainstein, N. Spyrison, D. Dai [et al.] // Kidney International Reports. – 2023. ─ Vol. 8. ─ P. 1514─1530. | en_US |
dc.identifier.uri | http://repo.knmu.edu.ua/handle/123456789/32818 | - |
dc.description.abstract | Introduction: Acute kidney injury (AKI) has been identified as one of the most common and significant problems in hospitalized patients with COVID-19. However, studies examining the relationship between COVID-19 and AKI in low- and low-middle income countries (LLMIC) are lacking. Given that AKI is known to carry a higher mortality rate in these countries, it is important to understand differences in this population. Methods: This prospective, observational study examines the AKI incidence and characteristics of 32,210 patients with COVID-19 from 49 countries across all income levels who were admitted to an intensive care unit during their hospital stay. Results: Among patients with COVID-19 admitted to the intensive care unit, AKI incidence was highest in patients in LLMIC, followed by patients in upper-middle income countries (UMIC) and high-income countries (HIC) (53%, 38%, and 30%, respectively), whereas dialysis rates were lowest among patients with AKI from LLMIC and highest among those from HIC (27% vs. 45%). Patients with AKI in LLMIC had the largest proportion of community-acquired AKI (CA-AKI) and highest rate of in-hospital death (79% vs. 54% in HIC and 66% in UMIC). The association between AKI, being from LLMIC and in-hospital death persisted even after adjusting for disease severity. Conclusions: AKI is a particularly devastating complication of COVID-19 among patients from poorer nations where the gaps in accessibility and quality of healthcare delivery have a major impact on patient outcomes. | en_US |
dc.language.iso | en_US | en_US |
dc.subject | acute kidney injury | en_US |
dc.subject | community-acquired AKI | en_US |
dc.subject | country income | en_US |
dc.subject | COVID-19 | en_US |
dc.subject | dialysis | en_US |
dc.subject | in-hospital death | en_US |
dc.subject | 2023а | en_US |
dc.title | Association of Country Income Level With the Characteristics and Outcomes of Critically Ill Patients Hospitalized With Acute Kidney Injury and COVID-19 | en_US |
dc.type | Article | en_US |
Appears in Collections: | Наукові праці. Кафедра дитячих інфекційних хвороб |
Files in This Item:
File | Description | Size | Format | |
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Kidney International Reports.pdf | 1,25 MB | Adobe PDF | View/Open |
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