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10.2215/CJN.09130620

http://scihub22266oqcxt.onion/10.2215/CJN.09130620
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33661756!8092053!33661756
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suck abstract from ncbi


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pmid33661756      Clin+J+Am+Soc+Nephrol 2021 ; 16 (4): 514-521
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  • Proteinuria and Clinical Outcomes in Hospitalized COVID-19 Patients: A Retrospective Single-Center Study #MMPMID33661756
  • Karras A; Livrozet M; Lazareth H; Benichou N; Hulot JS; Fayol A; Chauvet S; Jannot AS; Penet MA; Diehl JL; Godier A; Sanchez O; Mirault T; Thervet E; Pallet N
  • Clin J Am Soc Nephrol 2021[Apr]; 16 (4): 514-521 PMID33661756show ga
  • BACKGROUND AND OBJECTIVES: Kidney involvement is frequent among patients with coronavirus disease 2019 (COVID-19), and occurrence of AKI is associated with higher mortality in this population. The objective of this study was to describe occurrence and significance of proteinuria in this setting. DESIGN , SETTING, PARTICIPANTS MEASUREMENTS: We conducted a single-center retrospective study to describe the characteristic features of proteinuria measured within 48 hours following admission among patients with COVID-19 admitted in a tertiary care hospital in France, and to evaluate its association with initiation of dialysis, intensive care unit admission, and death. RESULTS: Among 200 patients with available data, urine protein-creatinine ratio at admission was >/=1 g/g for 84 (42%), although kidney function was normal in most patients, with a median serum creatinine of 0.94 mg/dl (interquartile range, 0.75-1.21). Median urine albumin-creatinine ratio was 110 mg/g (interquartile range, 50-410), with a urine albumin-protein ratio <50% in 92% of patients. Urine retinol binding protein concentrations, available for 85 patients, were >/=0.03 mg/mmol in 62% of patients. Urine protein-creatinine ratio >/=1 g/g was associated with initiation of dialysis (odds ratio, 4.87; 95% confidence interval, 2.03 to 13.0; P <0.001), admission to the intensive care unit (odds ratio, 3.55; 95% confidence interval, 1.93 to 6.71; P <0.001), and death (odds ratio, 3.56; 95% confidence interval, 1.90 to 6.54; P <0.001). CONCLUSIONS: Proteinuria is very frequent among patients admitted for COVID-19 and may precede AKI. Low levels of albuminuria suggest a predominant tubular origin, confirmed by the elevated levels of urine retinol binding protein. Urine protein-creatinine ratio >/=1 g/g at admission is strongly associated with poor kidney and patient outcome.
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