Nephrological Problems in COVID19 Patients: A Retrospective Single Centre Study

Abstract

Aim: The SARS CoV-2 virus that emerged in 2019 and the emerging pandemic are full of journeys. The nephrological effects of the pandemic have been a matter of curiosity. In this study, nephrological problems were investigated in COVID-19 positive patients hospitalized in clinical and intensive care units. Materials and Methods: The research is an observational cross-sectional retrospective study. Between November 2020 and November 2021, blood and urine analyzes sent from patients aged 18-90 who were followed up in the COVID-19 Intensive Care Unit and COVID-19 clinics were examined. 79 patients were included in the study. The diagnosis of COVID-19 was made by considering RT-PCR, thorax CT and clinical situation. These 79 patients were compared in terms of acute kidney injury (AKI), electrolyte imbalance and complete urinalysis disorders. Results: AKI was detected in 32.9% of patients. 42.3% of patients with AKI were female, 57.7% were male. 73.1% of the patients with AKI were hospitalized in the intensive care unit. Hematuria and proteinuria were detected in 65% and 27%, respectively. In the examinations performed, 65% hematuria, 27% proteinuria, 44% hyponatremia, 4% hypernatremia, 13% hypokalemia, 11% hyperkalemia, 11% hypophosphatemia, 6% hyperphosphatemia, 9% hypomagnesemia, 3% hypermagnesemia, 24% hypocalcemia and 65% hypoalbuminemia were detected. Conclusion: Acute kidney injury, hematuria and proteinuria were statistically significant in patients diagnosed with COVID-19 and hospitalized and followed up. There are also electrolyte imbalances and hypoalbuminemia in patients. Follow-up of patients with COVID-19 should be carefully monitored in terms of nephrolog