{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T19:18:59Z","timestamp":1778786339476,"version":"3.51.4"},"reference-count":27,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,5,19]],"date-time":"2022-05-19T00:00:00Z","timestamp":1652918400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Respiratory J"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Renal impairment is a common complication in coronavirus disease 2019 (COVID\u201019), although its prognostic significance remains unknown.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>This study determines the impact of early renal impairment on the clinical outcome of COVID\u201019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients diagnosed with COVID\u201019 and hospitalized in Xiaogan Central Hospital from 20 January to 29 February 2020 were retrospectively included and grouped into two cohorts (cohort with normal renal function and cohort with renal insufficiency) based on the renal function detected on admission. Records of clinical manifestation, laboratory findings and clinical outcome were collected and compared between these two cohorts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total 543 COVID\u201019 patients were included. Among these patients, 70 patients developed early renal impairment, with an incidence of 12.89%. A significantly higher white blood cell (WBC) count, C\u2010reactive protein (CRP), erythrocyte sedimentation rate (ESR), serum creatine (Cr), blood urine nitrogen (BUN) and brain natriuretic peptide (BNP) and a significantly lower blood platelet (PLT), lymphocyte count, prealbumin and albumin (ALB) were detected in the cohort with renal insufficiency (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05). Patients with early renal impairment were also associated with higher incidences of haematuria\/proteinuria, higher incidences of mortality and prolonged hospitalization duration. The independent risk factors for in\u2010hospital death included age &gt;65\u2009years old, complication of diabetes, renal impairment on admission (Cr\u2009&gt;\u200973\u2009\u03bcmol\/L and eGFR\u2009&lt;\u200960\u2009ml\/min\u00a01.73\u2009m<jats:sup>2<\/jats:sup>), WBC\u2009&gt;\u20099.5\u2009\u00d7\u200910<jats:sup>9<\/jats:sup>\/L and ALB\u2009&lt;\u200935\u2009g\/L.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Early renal impairment is associated with higher risk of in\u2010hospital death for patients with COVID\u201019. Risk stratification according to renal function can better guide the clinical management of COVID\u201019.<\/jats:p><\/jats:sec>","DOI":"10.1111\/crj.13496","type":"journal-article","created":{"date-parts":[[2022,5,20]],"date-time":"2022-05-20T05:19:55Z","timestamp":1653023995000},"page":"441-449","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Early renal impairment is associated with in\u2010hospital death of patients with COVID\u201019"],"prefix":"10.1111","volume":"16","author":[{"given":"Pei\u2010ling","family":"Bao","sequence":"first","affiliation":[{"name":"Department of Nephrology, Xiaogan Hospital Affiliated to Wuhan University of Science and Technology The Central Hospital of Xiaogan  Xiaogan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ke\u2010lan","family":"Deng","sequence":"additional","affiliation":[{"name":"Department of Respiratory disease, Xiaogan Hospital Affiliated to 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