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10.1007/s40620-020-00931-w

http://scihub22266oqcxt.onion/10.1007/s40620-020-00931-w
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33484426!7823174!33484426
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suck abstract from ncbi


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pmid33484426      J+Nephrol 2021 ; 34 (2): 355-364
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  • Proteinuria in COVID-19: prevalence, characterization and prognostic role #MMPMID33484426
  • Huart J; Bouquegneau A; Lutteri L; Erpicum P; Grosch S; Resimont G; Wiesen P; Bovy C; Krzesinski JM; Thys M; Lambermont B; Misset B; Pottel H; Mariat C; Cavalier E; Burtey S; Jouret F; Delanaye P
  • J Nephrol 2021[Apr]; 34 (2): 355-364 PMID33484426show ga
  • BACKGROUND: Proteinuria has been commonly reported in patients with COVID-19. However, only dipstick tests have been frequently used thus far. Here, the quantification and characterization of proteinuria were investigated and their association with mortality was assessed. METHODS: This retrospective, observational, single center study included 153 patients, hospitalized with COVID-19 between March 28th and April 30th, 2020, in whom total proteinuria and urinary alpha(1)-microglobulin (a marker of tubular injury) were measured. Association with mortality was evaluated, with a follow-up until May 7th, 2020. RESULTS: According to the Kidney Disease Improving Global Outcomes staging, 14% (n = 21) of the patients had category 1 proteinuria (< 150 mg/g of urine creatinine), 42% (n = 64) had category 2 (between 150 and 500 mg/g) and 44% (n = 68) had category 3 proteinuria (over 500 mg/g). Urine alpha(1)-microglobulin concentration was higher than 15 mg/g in 89% of patients. After a median follow-up of 27 [14;30] days, the mortality rate reached 18%. Total proteinuria and urinary alpha(1)-microglobulin were associated with mortality in unadjusted and adjusted models. This association was stronger in subgroups of patients with normal renal function and without a urinary catheter. CONCLUSIONS: Proteinuria is frequent in patients with COVID-19. Its characterization suggests a tubular origin, with increased urinary alpha(1)-microglobulin. Tubular proteinuria was associated with mortality in COVID-19 in our restropective, observational study.
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |Belgium/epidemiology[MESH]
  • |Biomarkers/urine[MESH]
  • |COVID-19/*complications/epidemiology/urine[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Prevalence[MESH]
  • |Prognosis[MESH]
  • |Proteinuria/*epidemiology/etiology/urine[MESH]
  • |Retrospective Studies[MESH]


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