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Chronic kidney disease in patients with acute kidney disease associated with COVID-19
https://doi.org/10.36485/1561-6274-2026-30-2-49-53
EDN: HFPWUJ
Abstract
We analyzed the electronic medical records of 769 patients hospitalized at the Vladimirsky Regional Scientific Research Institute (MONIKI) with a positive nasopharyngeal polymerase chain reaction (PCR) test for SARS-CoV2. Acute kidney failure complicated the course of COVID-19 in 350 patients (46 %). Of the 350 patients with acute kidney failure, 132 died (37.7 %), and 218 patients (62.3 %) survived. The analyzed cohort of patients with acute kidney failure included patients with severe and critical COVID-19. The severity of the patients' condition was determined by near-total lung damage (CT scan 3-4 in 308 patients, 40.1 %), the need for mechanical ventilation (320 patients, 42 %), and comorbidities (diabetes mellitus in 28.6 % of patients, hypertension in 81.1 %, obesity in 21.1 %). In the post-COVID period, of 218 surviving patients with AKI, chronic kidney disease was observed in 169 patients (77.5 %). CKD C3a was the most common type (42 % of patients), while stage 2 CKD was less common (36.1 %). CKD C3b was observed in 15.9 % of patients. Thus, patients who have experienced acute kidney injury (AKI) during COVID-19 are susceptible to developing chronic kidney disease (CKD) in the post-COVID period, which necessitates their follow-up observation for the early detection of renal dysfunction and the prescription of nephroprotective therapy.
About the Authors
V. A. Stepanov
Moscow Regional Research Clinical Institute
Russian Federation
Russian Federation
Senior Researcher Vadim Anatolyevich Stepanov, MD, PhD, Surgical unit of Transplantology and Hemodialysis
129110, Moscow, Shchepkina, 61/2, Building 9
A. V. Vatazin
Moscow Regional Research Clinical Institute
Russian Federation
Russian Federation
Prof. Andrey Vladimirovich Vatazin, MD, PhD, DMedSci, Department of Transplantology, Nephrology, and Artifi cial Organs, Head of Department
129110, Moscow, Shchepkina, 61/2, Building 9
E. N. Golovina
Moscow Regional Research Clinical Institute
Russian Federation
Russian Federation
Postgraduate student Elena Nikolaevna Golovina, MD, Department of Transplantology, Nephrology, and Artificial Organs
129110, Moscow, Shchepkina, 61/2, Building 9
A. A. Artamonova
Moscow Regional Research Clinical Institute
Russian Federation
Russian Federation
Senior Researcher Alexandra Anatolyevna Artamonova, MD, PhD, Surgical unit of Transplantology and Hemodialysis
129110, Moscow, Shchepkina, 61/2, Building 9
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Review
For citations:
Stepanov V.A., Vatazin A.V., Golovina E.N., Artamonova A.A. Chronic kidney disease in patients with acute kidney disease associated with COVID-19. Nephrology (Saint-Petersburg). 2026;30(2):49-53. (In Russ.) https://doi.org/10.36485/1561-6274-2026-30-2-49-53. EDN: HFPWUJ
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