Research Article

Prevalence, Risk Factors and Outcomes Associated with Acute Kidney Injury in Patients Hospitalized for COVID-19: A Comparative Study between Diabetic and Nondiabetic Patients

Table 1

Baseline characteristics of patients with COVID-19, by diabetes status.

VariableTotalDiabetesNondiabetes value
Age (yrs)65.7 (±12.5)66.4 (±12.5)65.0 (±12.5)0.33
Sex
 Male142 (55.9)71 (55.9)71 (55.9)0.55
 Female112 (44.1)56 (44.1)56 (44.1)
Respiratory rate (breaths/min)18 (17-20)18 (18-20)18 (16-20)0.02
Pulse rate (bpm)88 (±15)88 (±15)88 (±15)0.85
Oxygen saturation (%)91 (87-94)90 (85-92)93 (90-95)<0.001
SBP (mm/Hg)120 (±17)121 (±18)119 (±15)0.41
DBP (mm/Hg)77 (±10)78 (±10)76 (±10)0.44
Body mass index (kg/m2)26.1 (24.0-29.2)26.7 (25.0-30.8)25.7 (23.4-27.6)0.001
Positive RT-PCR assay194 (76.4)103 (81.1)91 (71.7)0.19
HbA1c (%)8.6 (7.5-10.5)
 ≤725 (20.7)
 >796 (79.3)
Duration of diabetes
 New-onset10 (7.9)
 <5 years23 (18.1)
 5-10 years38 (29.9)
 10-15 years24 (18.9)
 >15 years32 (25.2)
Presenting symptoms
 Cough163 (64.6)89 (70.1)74 (58.3)0.04
  Productive34 (20.2)16 (18.0)18 (24.3)0.34
  Nonproductive129 (79.8)73 (82.0)56 (75.7)
 Chills62 (24.4)33 (26.0)29 (22.8)0.33
 Fever109 (42.9)53 (41.7)56 (44.1)0.40
 Dyspnea152 (59.8)83 (65.4)69 (54.3)0.05
 Chest pain29 (11.4)14 (11.0)15 (11.8)0.51
 Fatigue92 (36.2)49 (38.6)43 (33.9)0.26
 Nausea/vomiting44 (17.3)26 (20.5)18 (14.2)0.12
 Abdominal pain16 (6.3)7 (5.5)9 (7.1)0.40
 Diarrhea16 (6.3)11 (8.7)5 (3.9)0.10
 Anorexia43 (16.9)21 (16.5)22 (17.3)0.50
 Headache20 (7.9)10 (7.9)10 (7.9)0.59
 Loss of consciousness16 (6.3)11 (8.7)5 (3.9)0.10
 Seizure5 (2.0)4 (3.1)1 (0.8)0.19
 Myalgia74 (29.1)36 (28.3)38 (29.9)0.45
Comorbidities
 Smoking
  Current smoker9 (3.5)6 (4.7)3 (2.4)0.55
  Ex-smoker5 (2.0)2 (1.6)3 (2.4)
  Nonsmoker240 (94.5)119 (93.7)121 (95.3)
 COPD7 (2.8)4 (3.1)3 (2.4)0.50
 Hypertension109 (42.9)68 (53.5)41 (32.3)<0.001
 Cerebrovascular disease21 (8.3)16 (12.6)5 (3.9)0.01
 Malignancy11 (4.3)4 (3.1)7 (5.5)0.27
 Immunodeficiency5 (2.0)4 (3.1)1 (0.8)0.19
 Chronic kidney disease21 (8.3)16 (12.6)5 (3.9)0.01
 Cardiovascular disease64 (25.2)39 (30.7)25 (19.7)0.03
 Thyroid disease12 (4.7)6 (4.7)6 (4.7)0.62
Outcomes
 CT severity score10 (7-14)11 (8-14)10 (7-13)0.02
 Clinical outcome
  Death48 (18.9)29 (22.8)19 (15.0)0.11
  Recovery206 (81.1)98 (77.2)108 (85.0)
 Invasive mechanical ventilation
  Yes27 (10.6)19 (15.0)8 (6.3)0.03
  No227 (89.4)108 (85.0)119 (93.7)
 Septic shock21 (8.3)13 (10.2)8 (6.3)0.18
 Multiple organ failure25 (9.8)15 (11.8)10 (7.9)0.20
 Length of hospitalization (days)6 (3-10)7 (5-12)5 (2-9)<0.001
Laboratory data
 Leukocyte (×103/μL)6.1 (±3.3)6.8 (±4.6)6.4 (±7.6)0.07
 Lymphocyte (/μL)1204 (818-1797)1209 (790-1795)1194 (876-1846)0.98
  ≤1500161 (63.4)80 (63.0)81 (63.8)0.96
 Neutrophil (/μL)4417 (3289-7127)4624 (3704-7544)4137 (2912-6192)0.04
 Hemoglobin (g/dL)12.5 (±2.0)12.3 (±2.0)12.7 (±2.0)0.05
 Platelet (×103/μL)200 (±86)208 (±92)191 (±80)0.13
 ESR (mm/h)47.9 (±26.1)47.9 (±27.7)47.9 (±24.5)0.90
 LDH (U/L)483 (±552)335 (±259)427 (±382)0.17
 CRP (mg/L)53.0 (±45.3)64.5 (±61.9)54.6 (±65.1)0.66
 D-dimer (ng/mL)564 (±191)514 (±1673)576 (±1565)0.85
 Procalcitonin, ng/mL0.23 (±0.37)0.30 (±0.36)0.28 (±1.11)0.85
 CPK (U/L)123 (±160)147 (±197)114 (±126)0.67
 Albumin (g/dL)3.8 (±0.6)3.8 (±0.5)3.9 (±0.6)0.05
 AST (U/L)46 (± 24)32 (± 16)33 (± 27)0.83
 ALT (U/L)23 (±18)27 (± 11)25 (± 25)0.39
 Creatinine (mg/dL)
  Admission1.8 (1.4-2.4)1.9 (1.4-2.5)1.7 (1.4-2.2)0.45
  Peak2.1 (1.5-3.3)2.3 (1.5-3.5)1.9 (1.6-2.7)0.16
  Discharge1.6 (1.2-2.6)1.7 (1.2-2.8)1.5 (1.2-1.9)0.16
 Blood urea (mg/dL)39.0 (27.2-60.6)42.8 (29.0-65.5)36.6 (26.5-49.8)0.01
 GFR (at admission) (mL/min/1.73 m2)53.08 (38.62-66.14)52.33 (34.76-65.14)54.74 (44.17-67.08)0.14

Data are presented as mean (± SD), median (IQR), and (%). SBP: systolic blood pressure; DBP: diastolic blood pressure; RT-PCR: reverse transcriptase polymerase chain reaction; COPD: chronic obstructive pulmonary disease; ESR: erythrocyte sedimentation rate; LDH: lactate dehydrogenase; CRP: C-reactive protein; CPK: creatine phosphokinase; GFR: glomerular filtration rate; AST: aspartate aminotransferase; ALT: alanine aminotransferase.