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vol.7 suppl.2Recommendations of the Colombian Association of Nephrology in renal transplantation during the coronavirus pandemic (COVID-19)Colombian Expert Consensus on Evidence-Informed Recommendations for the Prevention, Diagnosis, and Management of SARS-CoV-2 / COVID-19 Infection in Patients with Chronic Kidney Disease on Dialysis índice de autoresíndice de assuntospesquisa de artigos
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Revista Colombiana de Nefrología

versão On-line ISSN 2500-5006

Resumo

GONZALEZ, Camilo et al. Colombian consensus of experts on recommendations informed in the evidence for the prevention, diagnosis and management of acute kidney injury by SARS-CoV-2/COVID-19. Rev. colom. nefrol. [online]. 2020, vol.7, suppl.2, pp.89-117.  Epub 10-Maio-2021. ISSN 2500-5006.  https://doi.org/10.22265/acnef.7.supl.2.73.

Introduction:

Acute kidney injury is a frequent complication in patients with COVID-19 and its occurrence is a potential indicator of multi-organ dysfunction and disease severity.

Objective:

Develop, through an expert consensus, evidence-based recommendations for the prevention, diagnosis, and management of acute kidney injury in patients with SARS CoV2 / COVID-19 infection.

Materials and methods:

Based on a rapid systematic review in Embase and Pubmed databases and documents from scientific societies, we made preliminary recommendations and consulted with an expert group through an online tool. Then we defined agreement after at least 70 % consensus approval. Quality evidence was evaluated according to the type of document included. The strength of the recommendations was graded as strong or weak.

Results:

Fifty clinical experts declared their conflict of interest; the consultation took place between May 2 and 29, 2020. The range of agreement ranged from 75.5 % to 100 %. Recommendations for prevention, diagnosis and management of acute kidney injury in patients with SARS CoV2 infection are presented.

Conclusions:

Although the good quality information available regarding acute kidney injury in patients with COVID-19 is scarce, the recommendations of clinical experts will guide clinical decision-making and strategies around patients with this complication, guaranteeing care focused on the people, with high quality standards, and the generation of safety, health and wellness policies for multidisciplinary care teams.

Palavras-chave : SARS-CoV-2; COVID-19; acute kidney injury (MeSH).

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