MedPage Today by Crystal Phend May 29, 2020
— One third of all hospitalized cases also affected in NYC data
New data from two health systems in New York City -- where hospitals struggled to keep up with dialysis demands as they were flooded with COVID-19 patients -- detailed a high rate of acute kidney injury among infected patients.
In the first 1,000 patients with COVID-19 at NewYork-Presbyterian/Columbia University Irving Medical Center, 33.9% developed acute kidney injury.
Of the 236 who ended up in the ICU, 78% developed AKI, Ruijun Chen, MD, and colleagues reported in The BMJ.
A separate analysis of nearly 5,500 patients with COVID-19 treated by April 5 in the 13 hospitals of the Northwell Health system, the AKI rate was a similar 36.6%.
The rate was 89.7% among those on mechanical ventilation, Kenar Jhaveri, MD, of Northwell Health in Great Neck, New York, and colleagues reported in Kidney International.
New York City hospitals had described precarious situations with dialysis supply and machine shortages, with at least one death reportedly due to lack of capacity to cope with the surge of acute kidney injury during the peak of COVID-19 cases in the city.
More:
https://www.medpagetoday.com/infectiousdisease/covid19/86771
