Management of acute kidney injury in patients with COVID-19 or CKD stage 1-4 patients with acute kidney injury in the COVID-19 pandemic: Adapted clinical guidelines of the Ukrainian Association of Nephrologists and Kidney Transplant Specialists

  • M. Kolesnyk Ukrainian Association of Nephrologists and Kidney Transplant Specialists https://orcid.org/0000-0001-6658-3729
  • I. Dudar Ukrainian Association of Nephrologists and Kidney Transplant Specialists https://orcid.org/0000-0002-4372-8240
  • N. Stepanova Ukrainian Association of Nephrologists and Kidney Transplant Specialists https://orcid.org/0000-0002-1070-3602
  • E. Krasyuk Ukrainian Association of Nephrologists and Kidney Transplant Specialists
  • Yu. Gonchar Ukrainian Association of Nephrologists and Kidney Transplant Specialists
  • O. Loboda Ukrainian Association of Nephrologists and Kidney Transplant Specialists
Keywords: COVID-19 pandemic, acute kidney injury, chronic kidney disease, patients, preventive, treatment.

Abstract

Acute kidney injury (AKI) is diagnosed in 1–40% of the COVID-19 patients; from 2% to 10% of the patients are required renal replacement therapy (RRT). The mortality rate in this category of patients reached 88%. Early AKI detection in the patients with COVID-19, followed by the use of preventive and therapeutic measures to minimize the incidence or progression is a significant key to reduce the mortality rate and transformation of AKI into chronic kidney disease (CKD).

The expert group of the Ukrainian Association of Nephrologists and Kidney Transplant Specialists has created the adapted clinical guidelines for the management of acute kidney injury in patients with COVID-19 or CKD stage 1-4 patients with acute kidney injury in the COVID-19 pandemic. These guidelines are intended for family physicians, general practitioners, physicians, cardiologists, nephrologists, intensivists, endocrinologists, infectious disease specialists and other professionals involved in the provision of specialized medical care to the patients with COVID-19.

Specialized medical care for AKI patients infected COVID-19 should be provided by a multidisciplinary team, which has to involve nephrologists, infectious disease specialists and intensivists.

Downloads

Download data is not yet available.

References

Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, Xiang J, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020;395(10229):1054-1062. doi: 10.1016/S0140-6736(20)30566-3.

Su H, Yang M, Wan C, Yi LX, Tang F, Zhu HY, et al. Renal histopathological analysis of 26 postmortem findings of patients with COVID-19 in China. Kidney Int. 2020;98(1):219-227. doi: 10.1016/j.kint.2020.04.003.

Ronco C, Reis T, Husain-Syed F. Management of acute kidney injury in patients with COVID-19. Lancet Respir Med. 2020;8(7):738-742. doi:10.1016/S2213-2600(20)30229-0.

Cheng Y, Luo R, Wang K, Zhang M, Wang Z, Dong L, Li J, Yao Y, Ge S, Xu G. Kidney disease is associated with in-hospital death of patients with COVID-19. Kidney Int. 2020;97(5):829-838. doi: 10.1016/j.kint.2020.03.005.

Larsen CP, Bourne TD, Wilson JD, Saqqa O, Sharshir MA. Collapsing Glomerulopathy in a Patient With COVID-19. Kidney Int Rep. 2020;5(6):935-939. Published 2020 Apr 9. doi:10.1016/j.ekir.2020.04.002.

Varga Z, Flammer AJ, Steiger P, Haberecker M, Andermatt R, Zinkernagel AS, et al. Endothelial cell infection and endotheliitis in COVID-19. Lancet. 2020;395(10234):1417-1418. doi: 10.1016/S0140-6736(20)30937-5.

Nakaz MOZ Ukrainy vid 28.03.2020 № 722 "Orhanizatsiia nadannia medychnoi dopomohy khvorym na koronavirusnu khvorobu (COVID-19), 2020. Available from: https://moz.gov.ua/article/ministry-mandates/nakaz-moz-ukraini-vid-28032020--722-organizacija-nadannja-medichnoi-dopomogi-hvorim-na-koronavirusnu-hvorobu-covid-19/

Nakaz MOZ Ukrainy vid 30.04.2020 № 994 “Pro vnesennia zmin do dodatku 6 do Standartiv medychnoi dopomohy «Koronavirusna khvoroba (COVID-19)»”, 2020. Available from: https://moz.gov.ua/article/ministry-mandates/nakaz-moz-ukraini-vid-30042020--994-pro-vnesennja-zmin-do-dodatku-6-do-standartiv-medichnoi-dopomogi-koronavirusna-hvoroba-covid-19.

Nakaz MOZ Ukrainy vid 12.05.2020 № 1109 “Pro zatverdzhennia Zmin do Standartiv medychnoi dopomohy «Koronavirusna khvoroba (COVID-19)»”, 2020. Available from: https://moz.gov.ua/article/ministry-mandates/nakaz-moz-ukraini-vid-12052020--1109-pro-zatverdzhennja-zmin-do-standartiv-medichnoi-dopomogi-koronavirusna-hvoroba-covid-19

Nakaz MOZ Ukrainy vid 20.05.2020 № 1227 “Pro zatverdzhennia Zmin do Standartiv medychnoi dopomohy «Koronavirusna khvoroba (COVID-19)»@, 2020. Available from: https://moz.gov.ua/article/ministry-mandates/nakaz-moz-ukraini-vid-20052020--1227-pro-zatverdzhennja-zmin-do-standartiv-medichnoi-dopomogi-koronavirusna-hvoroba-covid-19.

Nakaz MOZ Ukrainy vid 16.06.2020 № 1411 “Pro vnesennia zmin do Standartiv medychnoi dopomohy «Koronavirusna khvoroba (COVID-19)»”, 2020. Available from: https://moz.gov.ua/article/ministry-mandates/nakaz-moz-ukraini-vid-16062020--1411-pro-vnesennja-zmin-do-standartiv-medichnoi-dopomogi-koronavirusna-hvoroba-covid-19.

Nakaz MOZ Ukrainy vid 2.04.2020 № 762 “Pro zatverdzhennia protokolu «Nadannia medychnoi dopomohy dlia likuvannia koronavirusnoi khvoroby (COVID-19)»”, 2020. Available from: https://moz.gov.ua/article/ministry-mandates/nakaz-moz-ukraini-vid-2042020--762-pro-zatverdzhennja-protokolu-nadannja-medichnoi-dopomogi-dlja-likuvannja-koronavirusnoi-hvorobi-covid-19.

Nakaz MOZ Ukrainy vid 21.07.2020 № 1653 “Pro vnesennia zmin do protokolu «Nadannia medychnoi dopomohy dlia likuvannia koronavirusnoi khvoroby (COVID-19)»”, 2020. Available from: https://moz.gov.ua/article/ministry-mandates/nakaz-moz-ukraini-vid-21072020--1653-pro-vnesennja-zmin-do-protokolu--nadannja-medichnoi-dopomogi-dlja-likuvannja--koronavirusnoi-hvorobi-covid-19.

COVID-19 rapid guideline: acute kidney injury in hospital. NICE guideline [NG175] Published date: 06 May 2020. Available from: https://www.nice.org.uk/guidance/ng175.

ICNARC report on COVID-19 in critical care.Case Mix Programme Database, 2020. Available from: https://www.icnarc.org/Our-Audit/Audits/Cmp/Reports.

Batlle D, Soler MJ, Sparks MA, Hiremath S, South AM, Welling PA, Swaminathan S; COVID-19 and ACE2 in Cardiovascular, Lung, and Kidney Working Group. Acute Kidney Injury in COVID-19: Emerging Evidence of a Distinct Pathophysiology. J Am Soc Nephrol. 2020;31(7):1380-1383. doi: 10.1681/ASN.2020040419.

Колесник МО, Законь КМ. Протокол діагностики, профілактики і лікування гострого пошкодження нирок (ГПН). Український журнал нефрології та діалізу. 2010;3(27):23-27.

Колесник МО, Законь КМ, Дударенко ВБ. Проект національних клінічних настанов з діагностики, профілактики і лікування гострого пошкодження нирок. Український журнал нефрології та діалізу. 2013;1 (37):51-57. doi: 10.31450/ukrjnd.1(37).2013.09.


Abstract views: 101
PDF Downloads: 64
Published
2020-08-20
How to Cite
Kolesnyk, M., Dudar, I., Stepanova, N., Krasyuk, E., Gonchar, Y., & Loboda, O. (2020). Management of acute kidney injury in patients with COVID-19 or CKD stage 1-4 patients with acute kidney injury in the COVID-19 pandemic: Adapted clinical guidelines of the Ukrainian Association of Nephrologists and Kidney Transplant Specialists. Ukrainian Journal of Nephrology and Dialysis, (3(67), 20-27. https://doi.org/10.31450/ukrjnd.3(67).2020.04

Most read articles by the same author(s)