Assessment of subclinical renal dysfunction in post COVID-19 patients

ABSTRACTIntroduction Kidney damage in COVID-19 is common and may lead to CKD. Early recognition of progression is mandatory, so there is a need for sensitive markers of kidney damage. Renal functional reserve (RFR) is described as the ability of the kidneys to augment their function in special situa...

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Main Authors: Peter AtefMikhael, Salah Said Naga, Sherif Aziz Zaki, Amira Hussein Mohamed
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Alexandria Journal of Medicine
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/20905068.2024.2333595
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author Peter AtefMikhael
Salah Said Naga
Sherif Aziz Zaki
Amira Hussein Mohamed
author_facet Peter AtefMikhael
Salah Said Naga
Sherif Aziz Zaki
Amira Hussein Mohamed
author_sort Peter AtefMikhael
collection DOAJ
description ABSTRACTIntroduction Kidney damage in COVID-19 is common and may lead to CKD. Early recognition of progression is mandatory, so there is a need for sensitive markers of kidney damage. Renal functional reserve (RFR) is described as the ability of the kidneys to augment their function in special situations.Aim of Work Was to assess subclinical renal dysfunction post-COVID-19.Methods This cross-sectional study investigates 31 patients previously infected with COVID-19 within 2–3 months and 31 healthy subjects with matched age and sex. Assessment of RFR was done by calculating the estimated GFR using the CKD-EPI equation before and 2 hours after 80 g protein load by intravenous infusion.Results RFR was significantly lower in post-COVID-19 patients (mean of 11.19 ± 4.76) than the control (mean of 25.81 ± 4.42, p < 0.001).Conclusion Despite preserved eGFR, there is a reduction in RFR, indicating progressive loss of nephron mass post-COVID.
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spelling doaj.art-00b5f96567d84270862e01aa51e271eb2024-04-02T05:11:14ZengTaylor & Francis GroupAlexandria Journal of Medicine2090-50682090-50762024-12-01601768110.1080/20905068.2024.2333595Assessment of subclinical renal dysfunction in post COVID-19 patientsPeter AtefMikhael0Salah Said Naga1Sherif Aziz Zaki2Amira Hussein Mohamed3Internal Medicine Department, Medical Research Institute, Alexandria, EgyptInternal Medicine Department, Faculty of Medicine, Alexandria University, Alexandria, EgyptInternal Medicine Department, Faculty of Medicine, Alexandria University, Alexandria, EgyptInternal Medicine Department, Medical Research Institute, Alexandria University Medicine, Alexandria, EgyptABSTRACTIntroduction Kidney damage in COVID-19 is common and may lead to CKD. Early recognition of progression is mandatory, so there is a need for sensitive markers of kidney damage. Renal functional reserve (RFR) is described as the ability of the kidneys to augment their function in special situations.Aim of Work Was to assess subclinical renal dysfunction post-COVID-19.Methods This cross-sectional study investigates 31 patients previously infected with COVID-19 within 2–3 months and 31 healthy subjects with matched age and sex. Assessment of RFR was done by calculating the estimated GFR using the CKD-EPI equation before and 2 hours after 80 g protein load by intravenous infusion.Results RFR was significantly lower in post-COVID-19 patients (mean of 11.19 ± 4.76) than the control (mean of 25.81 ± 4.42, p < 0.001).Conclusion Despite preserved eGFR, there is a reduction in RFR, indicating progressive loss of nephron mass post-COVID.https://www.tandfonline.com/doi/10.1080/20905068.2024.2333595COVID-19renal functional reservechronic kidney disease
spellingShingle Peter AtefMikhael
Salah Said Naga
Sherif Aziz Zaki
Amira Hussein Mohamed
Assessment of subclinical renal dysfunction in post COVID-19 patients
Alexandria Journal of Medicine
COVID-19
renal functional reserve
chronic kidney disease
title Assessment of subclinical renal dysfunction in post COVID-19 patients
title_full Assessment of subclinical renal dysfunction in post COVID-19 patients
title_fullStr Assessment of subclinical renal dysfunction in post COVID-19 patients
title_full_unstemmed Assessment of subclinical renal dysfunction in post COVID-19 patients
title_short Assessment of subclinical renal dysfunction in post COVID-19 patients
title_sort assessment of subclinical renal dysfunction in post covid 19 patients
topic COVID-19
renal functional reserve
chronic kidney disease
url https://www.tandfonline.com/doi/10.1080/20905068.2024.2333595
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