Sequential organ failure assessment (SOFA) score as a predictor of acute kidney injury in COVID-19 patients: a systematic review and meta-analysis
DOI:
https://doi.org/10.36216/jpd.v7i1.206Keywords:
AKI, COVID-19, SOFA score, predictorAbstract
Background: The sequential organ failure assessment (SOFA) score is a tool used to describe organ failure in critically ill patients. Studies have showed that coronavirus disease 2019 (COVID-19) patients who develop predictor of acute kidney injury (AKI) often have an increased SOFA.
Objective: This study aimed to evaluate the potential of SOFA score as a predictor AKI in COVID-19 patients.
Methods: A systematic search was conducted on PubMed, Google Scholar, EBSCO-Host, and ProQuest. The risk of bias was assessed using the Newcastle-Ottawa Scale .
Result: Out of the 9 studies reviewed, 7 showed a significant association between SOFA score and AKI. The meta-analysis of 3 studies gave mean differences of 1.66 in favor of the AKI group (95% CI 1.12 - 2.21). The heterogeneity was low (Tau2 result = 0.06, I2 result = 22% with p = 0.28) and the significant results for the overall effect showed a value of p < 0.00001.
Conclusion: The SOFA score has the potential to be a good predictor of AKI development in COVID-19 patients, with a significant mean difference.
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Wu YC, Chen CS, Chan YJ. The outbreak of COVID-19: An overview. J Chin Med Assoc. 2020;83(3):217–220.
Guan WJ, Ni ZY, Hu Y, et al. Clinical characteristics of Coronavirus Disease 2019 in China. N Engl J Med. 2020;382(18):1708–1720.
Hirsch JS, Ng JH, Ross DW, et al. Acute kidney injury in patients hospitalized with COVID-19. Kidney Int. 2020;98(1):209.
Dhama K, Khan S, Tiwari R, et al. Coronavirus Disease 2019–COVID-19. Clin Microbiol Rev. 2020;33(4):e00028-20.
Tzotzos SJ, Fischer B, Fischer H, et al. Incidence of ARDS and outcomes in hospitalized patients with COVID-19: a global literature survey. Crit Care. 2020;24(1):516.
Panitchote A, Mehkri O, Hastings A, et al. Factors associated with acute kidney injury in acute respiratory distress syndrome. Ann Intensive Care. 2019;9(1):74.
Lin W, Hu L, Zhang Y, et al. Single-cell analysis of ACE2 expression in human kidneys and bladders reveals a potential route of 2019-nCoV infection. bioRxiv. 2020;2020.02.08.939892.
Kant S, Menez SP, Hanouneh M, et al. The COVID-19 nephrology compendium: AKI, CKD, ESKD and transplantation. BMC Nephrol. 2020;21(1):449.
Diao B, Wang C, Wang R, et al. Human kidney is a target for novel severe acute respiratory syndrome coronavirus 2 infection. Nat Commun. 2021;12(1):2506.
Ahmadian E, Hosseiniyan Khatibi SM, Razi Soofiyani S, et al. Covid-19 and kidney injury: Pathophysiology and molecular mechanisms. Rev Med Virol. 2021;31(3):e2176.
Vincent JL, Moreno R, Takala J, et al. The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/failure. Intensive Care Med. 1996;22(7):707–710.
Singer M, Deutschman CS, Seymour CW, et al. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA. 2016;315(8):801–810.
Lee CW, Kou HW, Chou HS, et al. A combination of SOFA score and biomarkers gives a better prediction of septic AKI and in-hospital mortality in critically ill surgical patients: a pilot study. World J Emerg Surg WJES. 2018;13:41.
Joseph A, Zafrani L, Mabrouki A, et al. Acute kidney injury in patients with SARS-CoV-2 infection. Ann Intensive Care. 2020;10(1):117.
Cui X, Yu X, Wu X, et al. Acute kidney injury in patients with the coronavirus disease 2019: a multicenter study. Kidney Blood Press Res. 2020;45(4):612–622.
Rubin S, Orieux A, Prevel R, et al. Characterization of acute kidney injury in critically ill patients with severe coronavirus disease 2019. Clin Kidney J. 2020;13(3):354–361.
Xu J, Xie J, Du B, et al. Clinical characteristics and outcomes of patients with severe COVID-19 induced acute kidney injury. J Intensive Care Med. 2020;885066620970858.
Xia P, Wen Y, Duan Y, et al. Clinicopathological features and outcomes of acute kidney injury in critically ill COVID-19 with prolonged disease course: a retrospective cohort. J Am Soc Nephrol. 2020;31(9):2205–2221.
Wang F, Ran L, Qian C, et al. Epidemiology and outcomes of acute kidney injury in COVID-19 patients with acute respiratory distress syndrome: a multicenter retrospective study. Blood Purif. 2021;50(4-5):499–505.
Alfano G, Ferrari A, Fontana F, et al; Modena Covid-19 Working Group (MoCo19). Incidence, risk factors and outcome of acute kidney injury (AKI) in patients with COVID-19. Clin Exp Nephrol. 2021;25(11):1203-1214.
Molina Barragan AM, Pardo E, Galichon P, et al. SARS-CoV-2 renal impairment in critical care: an observational study of 42 cases (Kidney COVID). J Clin Med. 2021;10(8):1571.
Zhang X, Guo W, Hua J, et al. The incidence, risk factors and clinical outcomes of acute kidney injury in critically ill patients with COVID-19: a multicenter study. Rochester, NY: Social Science Research Network; 2020 Apr [cited 2021 Jan 5]. Report No.: ID 3572908. Available from: https://papers.ssrn.com/abstract=3572908
Gilbert A, Robertson L, Heron JE, et al. Risk factors for development of acute kidney injury in hospitalised adults in Zimbabwe. PloS One. 2020;15(10):e0241229.
Cartin-Ceba R, Kashiouris M, Plataki M, et al. Risk factors for development of acute kidney injury in critically ill patients: a systematic review and meta-analysis of observational studies. Crit Care Res Pract. 2012;2012:691013.
Singh P, Rifkin DE, Blantz RC. Chronic kidney disease: an inherent risk factor for acute kidney injury?. Clin J Am Soc Nephrol. 2010;5(9):1690–1695.
Hsu RK, Hsu CY. The role of acute kidney injury in chronic kidney disease. Semin Nephrol. 2016;36(4):283–292.
Kellum JA, Lameire N, Aspelin P, et al. Kidney disease: improving global outcomes (KDIGO) acute kidney injury work group. KDIGO clinical practice guideline for acute kidney injury. Kidney Int Suppl. 2012;2(1):1–138.
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