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Study reveals kidney disease or injury is associated with much higher risk of mortality for COVID-19 patients

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Researchers, including one of Indian-origin, have found that there is much higher risk of mortality faced by COVID-19 patients in intensive care, who have chronic kidney disease (CKD), or those who develop new (acute) kidney injury (AKI).

CKD is a type of kidney disease in which kidney function declines over a period of months to years, and is more common in older people.

AKI is an abrupt loss of kidney function that takes place over seven days or less and can have several causes, including the damage and inflammation caused by the COVID-19 virus itself.

“To the best of our knowledge, this is the first comprehensive analysis of outcomes in critically unwell COVID-19 patients in the UK with kidney failure, particularly in patients with pre-existing chronic kidney disease,” said study author Sanooj Soni from Imperial College London in the UK.

For the study, published in the journal Anaesthesia, the research team examined the association between AKI and CKD with clinical outcomes in 372 patients with COVID-19 admitted to four regional intensive care units (ICUs) in the UK.

The average age of the patients was around 60 years, and 72 percent of them were male.

A total of 216 (58 percent) patients had some form of kidney impairment (45 percent developed AKI during their ICU stay, while 13 percent had pre-existing CKD), while 42 percent had no CKD or AKI.

The patients who developed AKI had no history of serious kidney disease before their ICU admission, suggesting that the AKI was directly related to their COVID-19 infection.

The authors found that patients with no kidney injury or disease had a mortality of 21 percent.

Those with new-onset AKI caused by the COVID-19 virus had a mortality of 48 percent, whilst for those with pre-existing CKD (Stages 1-4) mortality was 50 percent.

In those patients with end-stage kidney failure (CKD stage 5), where they already required regular out-patient dialysis, mortality was 47 percent.

Mortality was greatest in those patients with kidney transplants, with six out of seven patients (86 percent) dying, highlighting that these patients are an extremely vulnerable group.

The investigators also examined the rates of renal replacement therapy, a form of hospital dialysis, due to COVID-19 in these ICU patients with kidney injury.

Out of 216 patients with any form of kidney impairment, 56 per cent of patients requiring renal replacement therapy, the researchers said.

The authors noted that mortality in patients with end-stage kidney failure and on dialysis, who normally have worse outcomes in many other diseases, was similar to that in patients with less severe kidney disease and Covid-19 associated AKI.

This finding may suggest that such patients benefit equally from ICU admission and thus the threshold for admission should be calibrated accordingly in any future COVID-19 surge.

“Our data demonstrate that kidney disease and failure in critically ill patients with COVID-19 are common, and associated with high mortality,” the authors noted.

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Love to drink your tea piping hot? Beware, it could…

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Coffee, Drinking Coffee, Coffee drinking habit, Death, Kidney disease, Health news, Lifestyle news

Love to drink your tea piping hot? Beware, it could raise the risk of esophageal cancer, finds a study.

The study showed that risk of esophageal cancer more than doubled among those who regularly drank tea at 75 degrees Celsius

However, waiting for at least four minutes before drinking a cup of freshly boiled tea can reduce the risk of the cancer arising from the oesophagus — the food pipe that runs between the throat and the stomach.

Image result for girl DRINKING hot tea

“Many people enjoy drinking tea, coffee, or other hot beverages. However, according to our report, drinking very hot tea can increase the risk of esophageal cancer, and it is therefore advisable to wait until hot beverages cool down before drinking,” said lead author Farhad Islami of the American Cancer Society.

The study, published in the International Journal of Cancer, involved 50,045 individuals aged 40 to 75 years.

Drinking 700 ml per day of tea or more at a higher temperature (60 degrees Celsius or higher) was associated with a 90 per cent higher risk of esophageal cancer, the researchers said.

The results could also be extended to coffee, hot chocolate or other hot beverages.

Image result for Piping hot tea raises esophageal cancer risk: Study

Esophageal cancer is the sixth most common cancer in India and eighth most globally. It affects more men than women.

In 2016, the World Health Organisation (WHO) had warned of the cancer risk associated with drinks above 65 degrees Celsius.

Scalding water irritates the lining of the mouth and throat which can fuel tumours, scientists believe.

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