INTERPLAY BETWEEN INFLAMMATORY AND RENAL BIOMARKERS IN COVID-19 PATIENTS WITH CHRONIC KIDNEY DISEASE

 

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https://storage.unitedwebnetwork.com/files/1099/03c02276f2658a385460929a59140be0.pdf
INTERPLAY BETWEEN INFLAMMATORY AND RENAL BIOMARKERS IN COVID-19 PATIENTS WITH CHRONIC KIDNEY DISEASE

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Larisa
Shehaj
Larisa Shehaj lorishehaj1@gmail.com University Trauma Hospital Internal Medicine/Nephrology Department Tiran Albania *
Erjola Bolleke erjolabolleke@gmail.com University Mother Teresa Hospital Nephrology Tiran Albania -
Kleida Collaku lorishehaj1@gmail.com Rrahim Gjika Hospital Internal Medicine/Nephrology Department Tiran Albania -
Valdete Kokonozi lorishehaj1@gmail.com University Trauma Hospital Internal Medicine/Nephrology Department Tiran Albania -
Grisilda Gjana grisildademiri@yahoo.com University Trauma Hospital Internal Medicine/Nephrology Department Tiran Albania -
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COVID-19 infection can lead to acute kidney injury and accelerate renal deterioration in patients with pre-existing chronic kidney disease (CKD). Identifying clinical and laboratory factors associated with renal replacement therapy (RRT) initiation and poor outcomes is crucial for early risk assessment.

This retrospective study included 77 patients (median age 67.1 ± 13.7 years) with baseline renal dysfunction who recovered from COVID-19. Demographic, clinical, and laboratory data were analyzed to identify predictors of RRT initiation and mortality. Correlations between biochemical markers and clinical variables were explored using Pearson correlation and regression analysis.

Of the 77 patients, 56 (72.7%) had known CKD, and 32 (41.6%) required RRT during hospitalization. The incidence of RRT was significantly higher in patients with known CKD (46.4%) compared to those without (28%, p = 0.045). Diabetic nephropathy was the most common etiology and strongly associated with RRT initiation (p = 0.037). Patients requiring RRT presented with markedly elevated serum creatinine, blood urea nitrogen (BUN), phosphorus, LDH, and proteinuria, along with lower hemoglobin, calcium, and platelet levels.
Significant correlations were observed between age and both BUN (p = 0.017) and D-dimer (p = 0.007) levels, indicating worse renal and coagulative profiles in older patients. Overall, in-hospital mortality was 10.4%, and although higher among RRT patients, it did not reach statistical significance (p = 0.055).

Pre-existing CKD and diabetic nephropathy were major determinants of RRT initiation among COVID-19 survivors with renal dysfunction. Elevated BUN, creatinine, D-dimer emerged as interrelated markers of renal injury and systemic inflammation. These findings underscore the need for close renal and inflammatory monitoring to prevent irreversible kidney damage in this high-risk population.

Kewords