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Novel coronavirus disease (COVID-19) is a newly discovered contagious disease caused by SARS-CoV-2 virus, primarily manifesting as an acute respiratory illness with pneumonia, but can affect multiple organs such as kidney, heart, digestive tract, blood and nervous system. In previous reports of SARS and MERS-CoV infections, acute kidney injury was described in 5 to 15% of patients and was associated with a high mortality rate (60-90%). Recent reports showed renal abnormalities in COVID-9 infected patients. A recent Chinese study also reported that acute kidney injury was an independent risk factor for mortality. However, the exact mechanism of kidney involvement remains unclear: sepsis-related cytokine storm or direct cellular injury from the virus. Also, kidney involvement has not yet been well characterized: heavy albuminuria, hematuria or interstitial nephropathy alone.
A recent study identified viral RNA in kidney tissue and another study succeeded isolating SARS-CoV-2 from the urine sample of an infected patient. These data suggest that the kidney might be a target of this novel coronarivus.
The sponsor suggests characterizing kidney involvement in SARS-CoV-2 infection.
Study objectives are:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ICU patients | COVID-19 patients admitted in Intensive Care Units | ||
| Non ICU patients | COVID-19 patients admitted in conventional units |
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| Measure | Description | Time Frame |
|---|---|---|
| Kidney involvement in COVID-19 disease | Rate of kidney involvement in COVID-19 disease characterized by clinical and biological data | until 3 months after discharge or death |
| Measure | Description | Time Frame |
|---|---|---|
| Physiopathologic mechanism of kidney involvement in SARS-CoV-2 infection | biological data and histopathological data if available | until 3 months after discharge or death |
| To identify risk factors for kidney involvement in in SARS-CoV-2 infection |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with confirmed COVID-19 disease
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre hospitalier d'Antibes Juan les pins | Antibes | 06600 | France | |||
| Centre hospitalier de Cannes |
no data sharing plan has been established
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Whole blood and urine. Renal tissue only from post-portem kidney biopsies.
Rate of death
| until 3 months after discharge or death |
| To evaluate the impact of kidney involvement in SARS-CoV-2 infection | Legnth of hopital stay | until 3 months after discharge or death |
| To assess the long-term health effect of kidney injury on survivors of SARS-CoV-2 infection in case of AKI KDIGO 2 or 3 | Recovery of Kidney fonction | until 3 months after discharge |
| Cannes |
| 06400 |
| France |
| Centre hospitalier de Grasse | Grasse | 06130 | France |
| CHU de Nice | Nice | 06300 | France |