Author/Authors :
Sorkhi, Hadi Non-Communicable Pediatric Disease Research Center - Health Research Institute - Babol University of Medical Sciences - Babol, Iran , Esmaeili Dooki, Mohammadreza Non-Communicable Pediatric Disease Research Center - Health Research Institute - Babol University of Medical Sciences - Babol, Iran , Nikpour, Maryam Non-Communicable Pediatric Disease Research Center - Health Research Institute - Babol University of Medical Sciences - Babol, Iran , Mohammadi, Mohsen Non-Communicable Pediatric Disease Research Center - Health Research Institute - Babol University of Medical Sciences - Babol, Iran , Mohammadpour-Mir, Ali Non-Communicable Pediatric Disease Research Center - Health Research Institute - Babol University of Medical Sciences - Babol, Iran , Kiani, Masood Non-Communicable Pediatric Disease Research Center - Health Research Institute - Babol University of Medical Sciences - Babol, Iran , Meherabani, Sanaz Non-Communicable Pediatric Disease Research Center - Health Research Institute - Babol University of Medical Sciences - Babol, Iran , Sadr Moharerpour, Sahar Clinical Research Development Center - Amircola Children's Hospital - Babol University of Medical Sciences - Babol, Iran , Alijanpour, Morteza Non-Communicable Pediatric Disease Research Center - Health Research Institute - Babol University of Medical Sciences - Babol, Iran , Babazadeh, Kazem Non-Communicable Pediatric Disease Research Center - Health Research Institute - Babol University of Medical Sciences - Babol, Iran , Mahmoodi-Nesheli, Hassan Non-Communicable Pediatric Disease Research Center - Health Research Institute - Babol University of Medical Sciences - Babol, Iran , Tabatabaie, Mohamadreza Clinical Research Development Center - Amircola Children's Hospital - Babol University of Medical Sciences - Babol, Iran , Tamaddoni, Ahmad Non-Communicable Pediatric Disease Research Center - Health Research Institute - Babol University of Medical Sciences - Babol, Iran , Salehiomran, Mohammadreza Non-Communicable Pediatric Disease Research Center - Health Research Institute - Babol University of Medical Sciences - Babol, Iran , Payandeh, Paiam Non-Communicable Pediatric Disease Research Center - Health Research Institute - Babol University of Medical Sciences - Babol, Iran , Mohammadzadeh, Iraj Non-Communicable Pediatric Disease Research Center - Health Research Institute - Babol University of Medical Sciences - Babol, Iran , Hosseinpour, Sareh Non-Communicable Pediatric Disease Research Center - Health Research Institute - Babol University of Medical Sciences - Babol, Iran
Abstract :
Background: The New coronavirus (SARS COV-2) can cause acute respiratory disease and also multiorgan dysfunction. There is insufficient data about kidney involvement in children. So, this study was done on children with COVID-19 to evaluate nephrological involvement.
Methods: All children with confirmed or suspected COVID-19 who were admitted in Children Hospital .were enrolled. They were admitted in hospital from March 2020 to July 2020. Serum Blood Urea Nitrogen (BUN), creatinine, sodium, potassium, calcium and urinalysis were evaluated. Also, glomerular filtration rate (GFR) was calculated by Schertz's formula. All patients were evaluated by chest x-ray and/or computerized tomography scanning (CTS). The data were analyzed by SPSS software and P value less than 0.05 was determined as significant.
Results: Forty-seven children with confirmed or suspected COVID-19 were enrolled to this study. At admission, 23.4% and 27.7% of children with COVID-19 had abnormal increase in serum BUN and creatinine, respectively. Also 78.8% and 25.5% of children had GFR less than 90 and 60 ml/min /1.732, respectively. Additionally, 13/47 (27.7%) of children had abnormal urine analysis (microscopic hematuria and/or proteinuria). There wasn’t a significant relationship between pulmonary lesions and abnormal reduction of GFR (P<0/05).
Conclusion: In the study, the risk of AKI (acute kidney injury) and decrease of GFR and also abnormal urinalysis is high in children with COVID-19. So, more attention for detection of kidney involvement is necessary and more conservative management for prevention of AKI and decrease of GFR are recommended.
