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Published in: BMC Nephrology 1/2020

Open Access 01-12-2020 | Acute Kidney Injury | Review

The COVID-19 nephrology compendium: AKI, CKD, ESKD and transplantation

Authors: Sam Kant, Steven P. Menez, Mohamed Hanouneh, Derek M. Fine, Deidra C. Crews, Daniel C. Brennan, C. John Sperati, Bernard G. Jaar

Published in: BMC Nephrology | Issue 1/2020

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Abstract

The pandemic of coronavirus disease 2019 (CoVID-19) has been an unprecedented period. The disease afflicts multiple organ systems, with acute kidney injury (AKI) a major complication in seriously ill patients. The incidence of AKI in patients with CoVID-19 is variable across numerous international studies, but the high incidence of AKI and its associated worse outcomes in the critical care setting are a consistent finding. A multitude of patterns and mechanisms of AKI have been elucidated, and novel strategies to address shortage of renal replacement therapy equipment have been implemented. The disease also has had consequences on longitudinal management of patients with chronic kidney disease and end stage kidney disease. Kidney transplant recipients may be especially susceptible to CoVID-19 as a result of immunosuppression, with preliminary studies demonstrating high mortality rates. Increased surveillance of disease with low threshold for testing and adjustment of immunosuppression regimen during acute periods of illness have been recommended.
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Metadata
Title
The COVID-19 nephrology compendium: AKI, CKD, ESKD and transplantation
Authors
Sam Kant
Steven P. Menez
Mohamed Hanouneh
Derek M. Fine
Deidra C. Crews
Daniel C. Brennan
C. John Sperati
Bernard G. Jaar
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Nephrology / Issue 1/2020
Electronic ISSN: 1471-2369
DOI
https://doi.org/10.1186/s12882-020-02112-0

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