COVID-19 and renal involvement: a prospective cohort study assessing the impact of mild SARS-CoV-2 infection on the kidney function of young healthy males

<h2>Purpose</h2> <p>COVID-19 frequently affects the kidneys with symptoms ranging from mild proteinuria to progressive acute kidney injury. This prospective study aimed to assess the short- and long-term impact of asymptomatic and mild COVID-19 on the renal function of healthy youn...

وصف كامل

محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Khalid Al Rumaihi (14148804) (author)
مؤلفون آخرون: Kareim Khalafalla (14148807) (author), Mohamed Arafa (14058042) (author), Arun Nair (401341) (author), Ahmad Al Bishawi (14148810) (author), Areen Fino (14148813) (author), Faheem Sirtaj (14148816) (author), Mohamed Khair Ella (14148819) (author), Haitham ElBardisi (14148822) (author), Muhammad Abu Khattab (14148825) (author), Ahmad Majzoub (14058045) (author)
منشور في: 2022
الموضوعات:
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author Khalid Al Rumaihi (14148804)
author2 Kareim Khalafalla (14148807)
Mohamed Arafa (14058042)
Arun Nair (401341)
Ahmad Al Bishawi (14148810)
Areen Fino (14148813)
Faheem Sirtaj (14148816)
Mohamed Khair Ella (14148819)
Haitham ElBardisi (14148822)
Muhammad Abu Khattab (14148825)
Ahmad Majzoub (14058045)
author2_role author
author
author
author
author
author
author
author
author
author
author_facet Khalid Al Rumaihi (14148804)
Kareim Khalafalla (14148807)
Mohamed Arafa (14058042)
Arun Nair (401341)
Ahmad Al Bishawi (14148810)
Areen Fino (14148813)
Faheem Sirtaj (14148816)
Mohamed Khair Ella (14148819)
Haitham ElBardisi (14148822)
Muhammad Abu Khattab (14148825)
Ahmad Majzoub (14058045)
author_role author
dc.creator.none.fl_str_mv Khalid Al Rumaihi (14148804)
Kareim Khalafalla (14148807)
Mohamed Arafa (14058042)
Arun Nair (401341)
Ahmad Al Bishawi (14148810)
Areen Fino (14148813)
Faheem Sirtaj (14148816)
Mohamed Khair Ella (14148819)
Haitham ElBardisi (14148822)
Muhammad Abu Khattab (14148825)
Ahmad Majzoub (14058045)
dc.date.none.fl_str_mv 2022-11-22T21:11:19Z
dc.identifier.none.fl_str_mv 10.1007/s11255-022-03301-6
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/COVID-19_and_renal_involvement_a_prospective_cohort_study_assessing_the_impact_of_mild_SARS-CoV-2_infection_on_the_kidney_function_of_young_healthy_males/21593862
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Clinical sciences
Urology
Nephrology
dc.title.none.fl_str_mv COVID-19 and renal involvement: a prospective cohort study assessing the impact of mild SARS-CoV-2 infection on the kidney function of young healthy males
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h2>Purpose</h2> <p>COVID-19 frequently affects the kidneys with symptoms ranging from mild proteinuria to progressive acute kidney injury. This prospective study aimed to assess the short- and long-term impact of asymptomatic and mild COVID-19 on the renal function of healthy young adults, and to determine the correlation between viral load and kidney function among these patients.</p> <h2>Methods</h2> <p>This was a prospective cohort study conducted over a period of 6 months. Patients were followed-up at baseline, and then after 3 and 6 months, respectively. Real-time PCR cycle threshold (CT) was used to determine the viral load and disease activity. Patients were classified into two groups with either asymptomatic COVID-19 or mild pneumonia. The assessment parameters were variables that could directly or indirectly relate to the renal function.</p> <h2>Results</h2> <p>A total of 48 patients were included and evaluated. The majority of patients (62.5%) had asymptomatic COVID-19 disease. Patients with mild pneumonia had significantly higher serum creatinine (SCr) at the time of COVID-19 diagnosis (beta = 12.836, 95% CI = 2.405–23.268, P = 0.019), after 3 months (beta = 14.345, 95% CI = 1.149–27.542, P = 0.035), and after 6 months (beta = 14.100, 95% CI = 0.730–27.470, P = 0.040) compared to asymptomatic patients. Mild pneumonia was also significantly associated with lower serum albumin level at the time of COVID-19 diagnosis (beta = – 6.317, 95% CI = – 9.448–− 3.185, P < 0.001).</p> <h2>Conclusion</h2> <p>Mild COVID-19 is associated with mild renal involvement without AKI. Changes in the renal function appear to be related to reduced creatinine clearance and possible albumin leakage in the acute phase of the disease. The reduction in creatinine clearance is not predicted by viral load, and it appears to be a long-term effect of the disease that can last for at least 6 months.</p><h2>Other Information</h2> <p> Published in: International Urology and Nephrology<br> License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1007/s11255-022-03301-6" target="_blank">http://dx.doi.org/10.1007/s11255-022-03301-6</a></p>
eu_rights_str_mv openAccess
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identifier_str_mv 10.1007/s11255-022-03301-6
network_acronym_str Manara2
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spelling COVID-19 and renal involvement: a prospective cohort study assessing the impact of mild SARS-CoV-2 infection on the kidney function of young healthy malesKhalid Al Rumaihi (14148804)Kareim Khalafalla (14148807)Mohamed Arafa (14058042)Arun Nair (401341)Ahmad Al Bishawi (14148810)Areen Fino (14148813)Faheem Sirtaj (14148816)Mohamed Khair Ella (14148819)Haitham ElBardisi (14148822)Muhammad Abu Khattab (14148825)Ahmad Majzoub (14058045)Clinical sciencesUrologyNephrology<h2>Purpose</h2> <p>COVID-19 frequently affects the kidneys with symptoms ranging from mild proteinuria to progressive acute kidney injury. This prospective study aimed to assess the short- and long-term impact of asymptomatic and mild COVID-19 on the renal function of healthy young adults, and to determine the correlation between viral load and kidney function among these patients.</p> <h2>Methods</h2> <p>This was a prospective cohort study conducted over a period of 6 months. Patients were followed-up at baseline, and then after 3 and 6 months, respectively. Real-time PCR cycle threshold (CT) was used to determine the viral load and disease activity. Patients were classified into two groups with either asymptomatic COVID-19 or mild pneumonia. The assessment parameters were variables that could directly or indirectly relate to the renal function.</p> <h2>Results</h2> <p>A total of 48 patients were included and evaluated. The majority of patients (62.5%) had asymptomatic COVID-19 disease. Patients with mild pneumonia had significantly higher serum creatinine (SCr) at the time of COVID-19 diagnosis (beta = 12.836, 95% CI = 2.405–23.268, P = 0.019), after 3 months (beta = 14.345, 95% CI = 1.149–27.542, P = 0.035), and after 6 months (beta = 14.100, 95% CI = 0.730–27.470, P = 0.040) compared to asymptomatic patients. Mild pneumonia was also significantly associated with lower serum albumin level at the time of COVID-19 diagnosis (beta = – 6.317, 95% CI = – 9.448–− 3.185, P < 0.001).</p> <h2>Conclusion</h2> <p>Mild COVID-19 is associated with mild renal involvement without AKI. Changes in the renal function appear to be related to reduced creatinine clearance and possible albumin leakage in the acute phase of the disease. The reduction in creatinine clearance is not predicted by viral load, and it appears to be a long-term effect of the disease that can last for at least 6 months.</p><h2>Other Information</h2> <p> Published in: International Urology and Nephrology<br> License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1007/s11255-022-03301-6" target="_blank">http://dx.doi.org/10.1007/s11255-022-03301-6</a></p>2022-11-22T21:11:19ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s11255-022-03301-6https://figshare.com/articles/journal_contribution/COVID-19_and_renal_involvement_a_prospective_cohort_study_assessing_the_impact_of_mild_SARS-CoV-2_infection_on_the_kidney_function_of_young_healthy_males/21593862CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/215938622022-11-22T21:11:19Z
spellingShingle COVID-19 and renal involvement: a prospective cohort study assessing the impact of mild SARS-CoV-2 infection on the kidney function of young healthy males
Khalid Al Rumaihi (14148804)
Clinical sciences
Urology
Nephrology
status_str publishedVersion
title COVID-19 and renal involvement: a prospective cohort study assessing the impact of mild SARS-CoV-2 infection on the kidney function of young healthy males
title_full COVID-19 and renal involvement: a prospective cohort study assessing the impact of mild SARS-CoV-2 infection on the kidney function of young healthy males
title_fullStr COVID-19 and renal involvement: a prospective cohort study assessing the impact of mild SARS-CoV-2 infection on the kidney function of young healthy males
title_full_unstemmed COVID-19 and renal involvement: a prospective cohort study assessing the impact of mild SARS-CoV-2 infection on the kidney function of young healthy males
title_short COVID-19 and renal involvement: a prospective cohort study assessing the impact of mild SARS-CoV-2 infection on the kidney function of young healthy males
title_sort COVID-19 and renal involvement: a prospective cohort study assessing the impact of mild SARS-CoV-2 infection on the kidney function of young healthy males
topic Clinical sciences
Urology
Nephrology