Article ; Online: The relation between proteinuria and the severity of COVID-19.
Clinical and experimental nephrology
2023 Volume 28, Issue 3, Page(s) 235–244
Abstract: Background: The association between proteinuria, which is also an indicator of chronic kidney disease (CKD), and coronavirus disease 2019 (COVID-19) severity is unclear.: Methods: We selected 342 hospitalized patients with COVID-19 diagnosed via ... ...
Abstract | Background: The association between proteinuria, which is also an indicator of chronic kidney disease (CKD), and coronavirus disease 2019 (COVID-19) severity is unclear. Methods: We selected 342 hospitalized patients with COVID-19 diagnosed via polymerase chain reaction testing between February 2020 and October 2022 and who had at least one urinalysis 14-365 days before admission. Results: Proteinuria before admission was associated neither with oxygen administration nor developing pneumonia in multivariate analysis (odds ratio [OR] 1.03; 95% confidence interval (CI) 0.44-2.40, p = 0.95 and OR 1.01; 95% CI 0.47-2.17, p = 0.98, respectively). Proteinuria on admission was associated both with oxygen administration and developing pneumonia in multivariate analysis (OR 3.29; 95% CI 1.37-7.88, p < 0.01 and OR 3.81; 95% CI 1.68-8.62, p < 0.01, respectively). The percentage of patients with proteinuria on admission was significantly higher than those before admission (37.4% vs. 17.8%; p < 0.01). In the subgroup analysis, proteinuria on admission among patients with eGFR ≥ 60 mL/min/1.73 m Conclusions: Although underlying proteinuria before admission was not associated with COVID-19 severity, proteinuria on admission was associated with oxygen demand and developing pneumonia. |
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MeSH term(s) | Humans ; COVID-19/complications ; Proteinuria/complications ; Pneumonia/complications ; Renal Insufficiency, Chronic/complications ; Renal Insufficiency, Chronic/diagnosis ; Renal Insufficiency, Chronic/epidemiology ; Oxygen ; Risk Factors |
Chemical Substances | Oxygen (S88TT14065) |
Language | English |
Publishing date | 2023-11-14 |
Publishing country | Japan |
Document type | Journal Article |
ZDB-ID | 1338768-6 |
ISSN | 1437-7799 ; 1342-1751 |
ISSN (online) | 1437-7799 |
ISSN | 1342-1751 |
DOI | 10.1007/s10157-023-02428-9 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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