Organ support & nutrition

Impact of dexamethasone in severe COVID-19-induced acute kidney injury: a multicenter cohort study

Ann Intensive CarePublished Multicentre cohort study

Main finding · AKI occurrenceResult — go to the resultHazard ratio 0.67 95% CI 0.55–0.81

Authors' conclusion

DXM was associated with a decrease in the risk of AKI in severe COVID-19 patients admitted to ICU.

Study context

Population
Intensive care unit (ICU) patients with severe COVID-19 without preexistent acute kidney injury (AKI) or prior dexamethasone (DXM), three French ICUs, March 2020–August 2021
Participants
798 patients
Exposure
DXM vs no DXM at ICU entry
Outcome
Occurrence of AKI
Methodological detailsthree French ICUs, multivariate cause-specific Cox models
  • Three French ICUs
  • Multivariate cause-specific Cox models

Main finding

AKI occurrence

Hazard ratio

0.67

95% CI 0.55–0.81

DXM vs Without DXM
HR 0.67 (95% CI 0.55–0.81)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Sensitivity analyses (excluding DXM-to-AKI delay <12 h; accounting for pandemic waves)

Results consistent

Original publication

Impact of dexamethasone in severe COVID-19-induced acute kidney injury: a multicenter cohort study. Ann Intensive Care. Published 13 February 2024. doi:10.1186/s13613-024-01258-6

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