6533b85efe1ef96bd12c0869

RESEARCH PRODUCT

Association of country income level with the characteristics and outcomes of critically ill patients hospitalized with acute kidney injury and COVID-19

Marina WainsteinNicholas SpyrisonDanyang DaiMoji GhadimiJonathan Samuel Chavez-iniquezLilia María Rizo TopeteBarbara Wanjiru CitarellaLaura MersonJason PoleRolando Claure-del GranadoDavid W. JohnsonSally ShrapnelHeryl Ann AbdukahilNurul Najmee AbdulkadirRyuzo AbeLaurent AbelAmal AbrousLara AbsilAndrew AckerShingo AdachiDiana AdriãoSaleh Al AgeelShakeel AhmedKate AinscoughEka AirlanggaTharwat AisaAli Ait HssainYounes Ait TamlihatTakako AkimotoErnita AkmalChika AkwaniEman Al QasimRazi AlalqamAngela AlbertiTala Al-dabbousSenthilkumar AlegesanMarta AlessiBeatrice AlexKévin AlexandreAbdulrahman Al-faresHuda AlfoudriImran AliKazali Enagnon AlidjnouJeffrey AliudinQabas AlkhafajeeClotilde AllavenaNathalie AllouJoão AlvesRita AlvesJoão Melo AlvesJoana Alves CabritaMaria AmaralNur AmiraPhoebe AmpawRoberto AndiniClaire AndréjakAndrea AnghebenFrançois AngoulvantSéverine AnsartSivanesen AnthonidassMassimo AntonelliCarlos Alexandre Antunes De BritoArdiyan ApriyanaYaseen ArabiIrene AragaoFrancisco ArancibiaCarolline AraujoAntonio ArcadipanePatrick ArchambaultLukas ArenzJean-benoît ArletChristel Arnold-dayLovkesh AroraRakesh AroraElise Artaud-macariDiptesh AryalAngel AsensioMuhammad AshrafJean Baptiste AssieAmirul AsyrafMinahel AtifAnika AtiqueJohann AuchabieHugues AumaitreAdrien AuvetLaurène AzemarCecile AzoulayBenjamin BachDelphine BacheletClaudine BadrJ. Kenneth BaillieJ Kevin BairdErica BakAgamemnon BakakosNazreen Abu BakarAndriy BalMohanaprasanth BalakrishnanValeria BalanFirouzé Bani-sadrRenata BarbalhoNicholas Yuri BarbosaWendy S. BarclaySaef Umar BarnettMichaela BarnikelAudrey BarreletCleide BarrigotoMarie BartoliJoaquín BaruchRomain BasmaciMuhammad Fadhli Hassin BasriDenise BattagliniJules BauerDiego Fernando Bautista RinconAbigail BeaneAlexandra BedossaKer Hong BeeHusna BegumSylvie BehilillAlbertus BeishuizenAleksandr BeljantsevDavid BellemareAnna BeltrameBeatriz Amorim BeltrãoMarine BeluzeNicolas BenechLionel Eric BenjimanDehbia BenkerrouSuzanne BennettBinny BennyLuís BentoJan-erik BerdalDelphine BergeaudHazel BerginJosé Luis Bernal SobrinoGiulia BertoliLorenzo BertolinoSimon BessisSybille BevilcaquaKarine BezulierAmar BhattKrishna BhavsarClaudia BiancoFarah Nadiah BidinMoirangthem Bikram SinghFelwa Bin HumaidMohd Nazlin Bin KamarudinZeno BisoffiFrançois BissuelPatrick BistonLaurent BitkerJonathan BittonPablo Blanco-schweizerCatherine BlierFrank BloosMathieu BlotLucille BlumbergFilomena BocciaLaetitia BodenesDebby BogaertAnne-hélène BoivinIsabela BolañosPierre-adrien BolzeFrançois BompartDiogo BorgesRaphaël BorieElisabeth Botelho-neversLila BouadmaOlivier BouchaudSabelline BouchezDounia BouhmaniDamien BouhourKévin BouillerLaurence BouilletCamile BouisseAnne-sophie BoureauJohn BourkeMaude BouscambertAurore BousquetJason BouziotisBianca BoxmaMarielle Boyer-besseyreMaria BoylanFernando Augusto BozzaAxelle BraconnierCynthia BragaFilipa Brás MonteiroLuca BrazziPatrick BreenDorothy BreenDavid BrewsterKathy BrickellShaunagh BrowneMarjolein Brusse-keizerPetra BrydaNina BuchtelePolina BugaevaMarielle BuissonErlina BurhanAidan BurrellIngrid G. 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PostmaPedro PovoaDiana PóvoasJeff PowisSofia PrapaSébastien PreauChristian PrebensenJean-charles PreiserAnton PrinssenLucia ProençaSravya PudotaOriane PuéchalBambang Pujo SemediGregory PurcellLuisa QuesadaVíctor Quirós GonzálezElse Quist-paulsenMohammed QuraishiFadi QutishatChristian RabaudAldo RafaelMarie RafiqMutia RahardjaniAmir Kamel RahimiRozanah Abd RahmanAhmad Kashfi Haji Ab RahmanFernando RainieriGiri Shan RajahramNagarajan RamakrishnanJosé RamalhoAhmad Afiq RamliBlandine RammaertGrazielle Viana RamosRitika RanjanChristophe RappMenaldi RasminIndrek RätsepTharmini RaviAndre RealStanislas RebaudetSarah RedlBrenda ReeveLiadain ReidDag Henrik ReikvamRenato ReisMartine RemyHongru RenAnne-sophie ResseguierMatthieu RevestOleksa RewaTiago ReyesLuis Felipe ReyesMaria Ines RibeiroDavid RichardsonDenise RichardsonLaurent RichierSiti Nurul Atikah Ahmad RidzuanAna L. RiosAsgar RishuPatrick RispalKarine RissoNicholas RizerChiara RobbaAndré RobertoStephanie RobertsDavid L. RobertsonOlivier RobineauFerran Roche-campoPaola RodariSimão RodeiaBernhard RoesslerPierre-marie RogerAmanda RojekJuliette RomaruRoberto Roncon-albuquerqueMélanie RorizManuel Rosa-calatravaMichael RoseDorothea RosenbergerAndrea RossaneseMatteo RossettiBénédicte RossignolPatrick RossignolStella RoussetCarine RoyBenoît RozeClark D. RussellMaria RyanMaeve RyanSteffi RyckaertAleksander Rygh HoltenIsabela SabaMusharaf SadatValla SahraeiMaximilien Saint-gillesPranya SakiyalakLeonardo SalazarGabriele SalesStéphane SallaberryCharlotte Salmon GandonniereHélène SalvatorEmely SanchezOlivier SanchezAngel Sanchez-mirallesVanessa Sancho-shimizuGyan SandhuZulfiqar SandhuPierre-françois SandrineOana SandulescuMarlene SantosShirley Sarfo-mensahIam Claire E. SarmientoBenjamine SartonSree SatyapriyaRumaisah SatyawatiEgle SaviciuteYen Tsen SawJustin SchafferTjard SchermerArnaud ScherpereelMarion SchneiderStephan SchrollMichael SchwameisJanet T. ScottJames Scott-brownNicholas SedillotTamara SeitzMageswari SelvarajooCaroline SemailleMalcolm G. SempleRasidah Bt SenianEric SennevilleClaudia SepulvedaFilipa SequeiraTânia SequeiraAry Serpa NetoPablo Serrano BalazoteEllen ShadowitzSyamin Asyraf ShahidanMohammad ShamsahAnuraj ShankarShaikh SharjeelPratima SharmaCatherine A. ShawVictoria ShawJohn Robert SheenanHaixia ShiNobuaki ShimeHiroaki ShimizuKeiki ShimizuSally ShrapnelHoi Ping ShumNassima Si MohammedNg Yong SiangJeanne SibiudeAtif SiddiquiLouise SigfridPiret SillaotsCatarina SilvaRogério SilvaMaria Joao SilvaBenedict Sim Lim HengWai Ching SinPunam SinghBudha Charan SinghPompini Agustina SitompulKarisha SivamVegard SkogenSue SmithBenjamin SmoodCoilin SmythMichelle SmythMorgane SnackenDominic SoTze Vee SohJoshua SolomonTom SolomonEmily SomersAgnès SommetRima SongMyung Jin SongTae SongJack Song ChiaAlbert SottoEdouard SoumMarta SousaAna Chora SousaMaria Sousa UvaVicente Souza-dantasAlexandra SperryElisabetta SpinuzzaShiranee SriskandanSarah StablerThomas StaudingerStephanie-susanne StecherTrude SteinsvikYmkje StienstraBirgitte StiksrudEva StolzAmy StoneAdrian Streinu-cercelAnca Streinu-cercelAmi StuartDavid StuartRicha SuDecy SubektiGabriel SuenJacky Y. SuenPrasanth SukumarAsfia SultanaCharlotte SummersDubravka SupicDeepashankari SuppiahMagdalena SurovcováSuwarti SvistunovAndreySarah SyahrinKonstantinos SyrigosJaques SztajnbokKonstanty SzuldrzynskiShirin TabriziFabio S. TacconeLysa TaghersetShahdattul Mawarni TaibSara TalebJelmer TalsmaMaria Lawrensia TampubolonKim Keat TanYan Chyi TanHiroyuki TanakaTaku TanakaHayato TaniguchiCoralie TardivonPierre TattevinM Azhari TaufikHassan TawfikRichard S. TedderTze Yuan TeeJoão TeixeiraMarie-capucine TellierSze Kye TeohVanessa TeotonioFrançois TéouléPleun TerpstraOlivier TerrierNicolas TerziHubert Tessier-grenierAdrian TeyAlif Adlan Mohd ThabitZhang Duan ThamSuvintheran ThangaveluElmi TheronVincent ThibaultSimon-djamel ThibervilleBenoît ThillJananee ThirumanickamShaun ThompsonDavid ThomsonEmma C. ThomsonMathew ThorpeSurain Raaj Thanga ThuraiRyan S. ThwaitesPaul TierneyVadim TieroshynPeter S. TimashevJean-françois TimsitNoémie TissotFiona ToalJordan Zhien Yang TohMaria TokiKristian TonbySia Loong TonniiMarta TorreAntoni TorresHernando Torres-zevallosMichael TowersTony TrapaniCécile TromeurIoannis TrontzasTiffany TrouillonJeanne TruongChristelle TualSarah TubianaHelen TuiteAlexis F. TurgeonJean-marie TurmelLance C. W. TurtleAnders TveitaPawel TwardowskiAndrew UdyRoman UllrichAlberto UribeAsad UsmanTimothy M. UyekiCristinava VajdovicsLuís Val-floresAmélie ValranStijn Van De VeldeMarcel Van Den BergeJob Van Der PalenPaul Van Der ValkNicky Van Der VekensPeter Van Der VoortSylvie Van Der WerfLaura Van GulikJarne Van HattemCarolien Van NettenIlonka Van VeenNoémie VanelHenk VanoverscheldePooja VargheseMichael VarroneShoban Raj VasudayanCharline VauchyShaminee VeeranAurélie VeislingerSebastian VenckenSara VenturaAnnelies VerbonJosé Ernesto VidalCésar VieiraJoy Ann VillanuevaAndrea VilloldoBenoit VisseauxChiara VitielloHarald VonkemanFanny VuottoNoor Hidayu WahabSuhaila Abdul WahabNadirah Abdul WahidMarina WainsteinLaura WalshChih-hsien WangSteve WebbJia WeiTan Pei WenSanne WesseliusMurray WhamBryan WhelanNicole WhitePaul Henri WickyAurélie WiedemannSurya Otto WijayaKeith WilleSue WillemsBailey WilliamsVirginie WilliamsPatricia J. WilliamsEvert-jan WilsJessica WittmanCalvin WongXin Ci WongYew Sing WongTeck Fung WongGan Ee XianLim Saio XianPei Xuan KuanIoannis XynogalasSiti Rohani Binti Mohd YakopMasaki YamazakiElizabeth YaradYazdan YazdanpanahNicholas Yee Liang HingCécile YelnikChian Hui YeohStephanie YerkovichToshiki YokoyamaHodane YonisObada YousifAkram ZaaqoqMarion ZabbeMasliza ZahidMaram ZahranNor Zaila Binti ZaidanMaria ZambonMiguel ZambranoAlberto ZanellaNurul ZaynahHiba ZayyadAlexander ZoufalyDavid Zucman

subject

acute kidney injurycovid-19Nephrology

description

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 (ICU), 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.

yearjournalcountryeditionlanguage
2023-05-26Kidney International Reports
https://doi.org/10.1016/j.ekir.2023.05.015