Investigating the Prevalence, associated Risk Factors of Community-Acquired Acute Kidney Injury among hospitalized COVID-19 Patients at Almarj Teaching Hospital, Libya

Abstract: With a variety of consequences resulting from the disease, the COVID-19 pandemic has had a substantial influence on global health. Among these, acute kidney damage (AKI) has become a serious issue, especially for patients who are admitted to hospitals. Acute kidney damage (AKI) affects about 10% of these patients. Objective: Evaluating the prevalence of CA-AKI and determine risk factors and knowing how this illness affects COVID-19 mortality. Methods: single-centered retrospective study which was conducted in 2024. It encompassed the medical records of hospitalized patients with severe Covid-19 infection patients who were admitted to isolation department of Elmarj Teaching Hospital in a specific period from August 21, 2020 to December 31 2021. Results: Community acquired acute kidney injury (CA-AKI) was observed in 55 patients (31.3%).Among non-survivors, 78.2% experiencing AKI. In comparison, among survivors and only 21.8%. Predictors of CA-AKI in COVID-19 patients based on logistic regression. Age, Systolic blood pressure (SBP) and SO2. Conversely, oxygen saturation (SO2) was negatively correlated with AKI. Conclusion: About one third of COVID-19 patients developed CA-AKI .These patients had higher mortality rate. CA-AKI were associated with aging, comorbidity and clinical aspect of patient. We recommend that healthcare providers closely observe kidney function and implement effective multimodal therapies when managing patients with COVID-19.