Research Article

Longitudinal Changes of Serum Creatine Kinase and Acute Kidney Injury among Patients with Severe COVID-19

Table 1

Cohort characteristics at the time of hospital admission.

Parameter at the time of hospital admissionTotal
n = 1551
HA-AKI
n = 126 (8.1%)
NonAKI
n = 1425 (91.9%)

Age, years52 (43–62)53 (43–65)52 (42–62)0.33
Male sex, n(%)949 (61)88 (70)861 (60)0.04
Time since symptom onset, days8 (6–11)7 (5–10)8 (6–11)<0.001
DM, n(%)380 (24.)36 (29)344 (24)0.27
HTN, n(%)366 (23)36 (29)330 (23)0.17
Obesity, n(%)633 (41)54 (43)579 (41)0.62
BMI, kg/m229.1 (26.0–32.4)29.4 (25.9–34.7)29.1 (26.0–32.3)0.6
Charlson comorbidity index, points1 (0–2)1 (0–2)1 (0–2)0.78
NEWS2 score, points7 (6–8)8 (7–9)7 (6–8)0.67
Serum creatinine, mg/dl0.79 (0.69–0.93)0.83 (0.71–0.93)0.79 (0.69–0.93)0.24
CK, IU/L79 (44–163)92 (52–185)78 (43–163)0.54
CK 1000–5000 IU/L, n(%)24 (1.5)14 (11)10 (0.7)<0.001
CK >5000 IU/L, n(%)1 (0)1(0.7)01.00
LDH, IU/L (IQR)327 (258–432)422 (314–521)321 (253–423)<0.001
C-reactive protein, mg/dl13.7 (7.2–20.6)18.9 (12.0–25.3)13.2 (7.0–20.2)<0.001
Ferritin, mg/dl525 (267–933)629 (338–989)521 (260–930)<0.001
Hs-cTnI, pg/mL4.8 (3.2–8.2)7.9 (4.8–23.1)4.7 (3.1–7.6)<0.001
Fibrinogen, mg/dl660 (490–774)698 (540–838)655 (485–770)<0.001
D-dimer, ng/dl755 (480–1198)1008 (547–2154)742 (476–1169)<0.001
Hemoglobin, g/dl15.4 (14.2–16.4)15.3 (14.0–16.3)15.4 (14.3–16.4)0.14
Leucocytes, cells/mcl8.2 (6–11.7)10.2 (7.5–14.0)8.1 (6.0–11.5)<0.001
Total lymphocytes, cells/mcl786 (549–1085)685 (535–969)793 (551–1087)<0.001
PaO2/FiO2222 (138–280)158 (106–244)226 (144–281)<0.001

value shows a comparison between HA-AKI versus nonAKI groups. Quantitative data are presented as median (interquartile range). BMI, body mass index; CK, creatine phosphokinase; HA-AKI, hospital-acquired acute kidney injury; HTN, hypertension; Hs-cTnI, high-sensitive cardiac troponin I; LDH, lactate dehydrogenase; DM, diabetes mellitus. Obesity was defined as a BMI ≥30 kg/m2.