Tal parece que el #SARSCoV2 puede causar un problema de "envejecimiento acelerado", y entre otros daños, hace que el riñón envejezca 4 años durante el primer año después de la infección.
Nefrólogos... tomen nota y propongan mejores soluciones.
https://www.psu.edu/news/research/story/covid-19-infection-predicts-higher-risk-kidney-disease-study-finds
Zhang et al. utilized a large real-world dataset from more than three million adults in the United States to compare the incident of kidney disease risks following COVID-19 and influenza infections. The study found that COVID-19 is associated with a higher risk of acute kidney injury, chronic kidney disease, and end stage renal disease than influenza.
Purpose COVID-19 infection is associated with a high burden of acute or acute on chronic kidney injury (AKI), particularly in critically ill patients. Given the large numbers of COVID-19 survivors, characterization of long-term adverse kidney effects of COVID-19 have important implications for post-COVID-19 care. Methods This narrative review provides a summary of epidemiologic evidence for post-COVID kidney disorders. Results Precise post-COVID renal data are scarce. The true burden of long-COVID chronic kidney disease (CKD) remains unknown owing to under-recognition, under-diagnosis, clinical heterogeneity of patients, incomplete follow-up, and temporal trends in critical COVID-19 disease across waves of the pandemic. Collectively, the few well-designed studies assessing the impact of long-COVID on kidney health found that the overwhelming majority of patients with normal renal function at admission and without AKI during acute COVID-19 disease preserved kidney function. Post-infection kidney function trajectories of patients who experience a loss of renal function vary. Kidney function may decline gradually even in non-hospitalized patients, hospitalized patients may experience a rapid loss of kidney function 6–12 months after COVID-19 diagnosis or hospital discharge resulting from AKI during the acute phase of the disease. End-stage renal disease may occur after non-recovery from AKI and rapid progression of pre-existing CKD. Multiple mechanisms may trigger post-COVID CKD including maladaptive repair after AKI, or progression of renal lesions of systemic co-morbidities, persistence of the virus and dysregulation of inflammatory cytokines. Conclusions The COVID-19 pandemic has significantly impacted and may continue to have an impact on kidney health. Patients at risk have a higher propensity to develop critical COVID-19 disease. Post-COVID-19 care must pay close attention to renal function in patients discharged from hospital.
Shaira Leiza
