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The actual COVID-19 epidemy is an unprecedented healthcare problem. Although acute respiratory distress syndrome is the main organ failure, acute kidney injury (AKI) has appeared to be more frequent and more severe than expected. Some data suggested a potential direct renal tropism of the virus, or undirect injury by "cytokine storm".
The aims of this study are:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AKI (-) | patients treated in ICU for COVID-19 infection and without occurrence of AKI (define as creatinine > 1,5x baseline according with KDIGO guidelines) | ||
| AKI (+) | patient treated in ICU for COVID-19 infection and with occurrence of AKI among which: • Severe AKI patients (define as creatinine > 3x baseline or need for renal replacement therapy according with KDIGO guidelines) who will participate to biocollection and to post-mortem biopsy (if death). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Non interventional study | Other | Comorbidities, creatinine levels, urinary analysis, hemodynamic, respiratory status, co-medication will be collected from medical files for each patient. Specific datas from patients with AKI will be collected from medical files For severe acute patients, serum and urinary analysis will performed to identify the underlying cause of kidney injury For severe AKI patients who will die, post-mortem renal biopsy will be performed, for histopathological analysis |
| Measure | Description | Time Frame |
|---|---|---|
| Primary endpoint is the incidence, the severity and the mortality associated with AKI during COVID-19 severe infection | AKI will be defined according with KDIGO guidelines: increase in creatinine of more than 1,5 fold compared to baseline Severe CVOID-19 infection is defined as 1/ confirm COVID-19 infection (by TDM and/or qRT-PCR) 2/ Requirement of ICU support during more than 72h | 7 months |
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Inclusion Criteria:
Exclusion Criteria:
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All patients supported in intensive care units for covid-19 infection
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Denis FOUQUE, Professor | Contact | +33 472 678 704 | denis.fouque@chu-lyon.fr | |
| Maxime ESPI | Contact | +33 472 678 704 | maxime.espi@chu-lyon.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Intensive care units attached to the Hospices Civils de Lyon (HCL) | Recruiting | Lyon | 69002 | France |
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