A meta-analysis of risk factors for acute kidney injury in pneumonia: Effectiveness of nursing interventions

Liangjuan Yuan; Arshad Mehmood; Lei Meng

doi:10.1111/1744-9987.14124

A meta-analysis of risk factors for acute kidney injury in pneumonia: Effectiveness of nursing interventions

Ther Apher Dial. 2024 Mar 28. doi: 10.1111/1744-9987.14124. Online ahead of print.

Authors

Liangjuan Yuan¹, Arshad Mehmood², Lei Meng³

Affiliations

¹ Department of Respiratory, Shandong Provincial Third Hospital, Jinan, China.
² Department of Neurology, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
³ Department of Nephrology, The First Affiliated Hospital of Shandong First Medical University (Shandong Provincial Qianfoshan Hospital), Jinan, China.

PMID: 38545743
DOI: 10.1111/1744-9987.14124

Abstract

Introduction: The spread of coronavirus disease 2019 (COVID-19) worldwide since November 2019 is of interest to understand its impact on various organs. COVID-19 patients experience a higher incidence of acute kidney injury (AKI) compared with non-COVID-19 patients.

Methods: A systematic literature search was conducted that covered the period from November 1, 2019 to February 28, 2021.

Results: The analysis incorporated a comprehensive review of 19 studies of 21 362 patients. The older age (mean difference [MDs] = 5.11), cardiovascular disease (CVD) (odds ratio [OR] = 1.94), male sex (OR = 1.55), chronic kidney disease (CKD) (OR = 3.82), hypertension (OR = 2.15), diabetes (OR = 1.71), cancer (OR = 1.16), and chronic obstructive pulmonary disease (COPD) (OR = 1.40), mechanical ventilation (OR = 8.66), and vasopressor (OR = 6.30), were significantly associated with risk factor for AKI (P < 0.05).

Conclusion: The analysis revealed independent risk factors for AKI.

Keywords: COVID‐19; acute kidney injury; meta‐analysis; risk factor.

Publication types

Review