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Summary

195 in-text citations · 154 references
14 high-severity flags need attention
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Ambiguous refs

Flags 40

High severity 14
high Venue risk match Predatory venue match for 4

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Reference ID
4
Title
Elevated Monocyte to Lymphocyte Ratio and Increased Mortality among Patients with Chronic Kidney Disease Hospitalized for COVID-19
DOI
10.3390/jpm11030224
Journal
Journal of Personalized Medicine
Publisher
Multidisciplinary Digital Publishing Institute
Year
2021
Resolution confidence
1.00
Venue risk signal detected Curated watchlists

Context

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high Venue risk match Predatory venue match for 6

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Reference ID
6
Title
Acute Kidney Disease and Mortality in Acute Kidney Injury Patients with COVID-19
DOI
10.3390/jcm10194599
Journal
Journal of Clinical Medicine
Publisher
Multidisciplinary Digital Publishing Institute
Year
2021
Resolution confidence
1.00
Venue risk signal detected Curated watchlists

Context

No context available for this citation.

high Retracted work cited Retracted work cited: 10.1016/s0140-6736(20)32656-8

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Reference ID
15
Title
RETRACTED: 6-month consequences of COVID-19 in patients discharged from hospital: a cohort study
DOI
10.1016/s0140-6736(20)32656-8
Journal
The Lancet
Publisher
Elsevier BV
Year
2021
Resolution confidence
1.00
Retraction signal detected Verified registries

Context

No context available for this citation.

high Venue risk match Predatory venue match for 19

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Reference ID
19
Title
Clinical Symptoms and Types of Samples Are Critical Factors for the Molecular Diagnosis of Symptomatic COVID-19 Patients: A Systematic Literature Review
DOI
10.1155/2021/5528786
Journal
International Journal of Microbiology
Publisher
Hindawi Publishing Corporation
Year
2021
Resolution confidence
1.00
Venue risk signal detected Curated watchlists

Context

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high Venue risk match Predatory venue match for 25

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Reference ID
25
Title
Prognosis of COVID-19 in Patients with Liver and Kidney Diseases: An Early Systematic Review and Meta-Analysis
DOI
10.3390/tropicalmed5020080
Journal
Tropical Medicine and Infectious Disease
Publisher
Multidisciplinary Digital Publishing Institute
Year
2020
Resolution confidence
1.00
Venue risk signal detected Curated watchlists

Context

No context available for this citation.

high Venue risk match Predatory venue match for 31

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Reference ID
31
Title
SARS-CoV-2 and Endothelial Cells: Vascular Changes, Intussusceptive Microvascular Growth and Novel Therapeutic Windows
DOI
10.3390/biomedicines10092242
Journal
Biomedicines
Publisher
Multidisciplinary Digital Publishing Institute
Year
2022
Resolution confidence
1.00
Venue risk signal detected Curated watchlists

Context

No context available for this citation.

high Venue risk match Predatory venue match for 47

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Reference ID
47
Title
Acute Kidney Injury in COVID-19 Patients: Pathogenesis, Clinical Characteristics, Therapy, and Mortality
DOI
10.3390/diseases10030053
Journal
Diseases
Publisher
Multidisciplinary Digital Publishing Institute
Year
2022
Resolution confidence
1.00
Venue risk signal detected Curated watchlists

Context

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high Venue risk match Predatory venue match for 52

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Reference ID
52
Title
Urinalysis, but Not Blood Biochemistry, Detects the Early Renal Impairment in Patients with COVID-19
DOI
10.3390/diagnostics12030602
Journal
Diagnostics
Publisher
Multidisciplinary Digital Publishing Institute
Year
2022
Resolution confidence
1.00
Venue risk signal detected Curated watchlists

Context

No context available for this citation.

high Venue risk match Predatory venue match for 56

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Reference ID
56
Title
Kidney Injury in COVID-19: Epidemiology, Molecular Mechanisms and Potential Therapeutic Targets
DOI
10.3390/ijms23042242
Journal
International Journal of Molecular Sciences
Publisher
Multidisciplinary Digital Publishing Institute
Year
2022
Resolution confidence
1.00
Venue risk signal detected Curated watchlists

Context

No context available for this citation.

high Venue risk match Predatory venue match for 66

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Reference ID
66
Title
Hyperthrombotic Milieu in COVID-19 Patients
DOI
10.3390/cells9112392
Journal
Cells
Publisher
Multidisciplinary Digital Publishing Institute
Year
2020
Resolution confidence
1.00
Venue risk signal detected Curated watchlists

Context

No context available for this citation.

high Venue risk match Predatory venue match for 105

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Reference ID
105
Title
Coordinated innate and T-cell immune responses in mild COVID-19 patients from household contacts of COVID-19 cases during the first pandemic wave
DOI
10.3389/fimmu.2022.920227
Journal
Frontiers in Immunology
Publisher
Frontiers Media
Year
2022
Resolution confidence
1.00
Venue risk signal detected Curated watchlists

Context

No context available for this citation.

high Venue risk match Predatory venue match for 140

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Reference ID
140
Title
Effectiveness and Safety of SARS-CoV-2 Vaccines among Children and Adolescents: A Systematic Review and Meta-Analysis
DOI
10.3390/vaccines10030421
Journal
Vaccines
Publisher
MDPI AG
Year
2022
Resolution confidence
1.00
Venue risk signal detected Curated watchlists

Context

No context available for this citation.

high Venue risk match Predatory venue match for 148

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Reference ID
148
Title
Serostatus of IgG antibody against mumps virus in adult population of Al Madinah Al Munawarah, Saudi Arabia
DOI
10.15537/smj.2021.42.8.20210228
Journal
Saudi Medical Journal
Publisher
Ministry of Defence and Aviation
Year
2021
Resolution confidence
1.00
Venue risk signal detected Curated watchlists

Context

No context available for this citation.

high Venue risk match Predatory venue match for 154

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Reference ID
154
Title
Case Report: Tocilizumab for Acute Kidney Graft Dysfunction in Patient Affected by COVID-19
DOI
10.3389/fmed.2021.732792
Journal
Frontiers in Medicine
Publisher
Frontiers Media
Year
2021
Resolution confidence
1.00
Venue risk signal detected Curated watchlists

Context

No context available for this citation.

Medium severity 19
medium Unresolved reference Bibliography item could not be confidently resolved: 1

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Reference ID
1
Year
2020
Resolution confidence
0.00

Context

No context available for this citation.

Bibliography entry

1. Xinhua, M.A.; Xizhe, L.I.; Liang, F.; Yujin, W.A.N.; Qiang, S.H.I.; Yonghui, W.A.N.G.; Wei, G.U.O. China's CDC detects a large number of new coronaviruses in the South China seafood market in Wuhan. Xinhua 2020 , 1 , 901-915.

medium Unresolved reference Bibliography item could not be confidently resolved: 2

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Reference ID
2
Year
2021
Resolution confidence
0.00

Context

No context available for this citation.

Bibliography entry

2. Mishra, S.; Chand, M.; Barrett, J.C.; Johnson, R.; Geidelberg, L.; Ferguson, N.M. Assessing transmissibility of SARS-CoV-2 lineage B. 1.1. 7 in England. Nature 2021 , 13 , 266-269.

medium Unresolved reference Bibliography item could not be confidently resolved: 26

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Reference ID
26
Year
2021
Resolution confidence
0.00

Context

No context available for this citation.

Bibliography entry

26. Menon, G.R.; Sharma, R.K.; Sahu, D.; Wig, N.; Kumar, G.; Mukherjee, A.; National Clinical Registry for COVID-19 Team. Clinical profile of hospitalized COVID-19 patients in first & second wave of the pandemic: Insights from an Indian registry based observational study. Indian J. Med. Res. 2021 , 153 , 619.

medium Unresolved reference Bibliography item could not be confidently resolved: 123

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Reference ID
123
Year
2022
Resolution confidence
0.00

Context

No context available for this citation.

Bibliography entry

123. Micke, O.; Vormann, J.; Kisters, K. Magnesium and COVID-19-cardiovascular implications. Trace Elem. Electrolytes 2022 , 39 , 82-83.

medium Unresolved reference Bibliography item could not be confidently resolved: 145

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Reference ID
145
Year
2022
Resolution confidence
0.00

Context

No context available for this citation.

Bibliography entry

145. D'Agati, D.A.NI.E.L.A.; Drago, V.; Leonardi, G.; La Morella, M.L. Biomarkers [timp-2]*[igfbp7]: Application in clinical practice for acute kidney injury prevention. Acta Med. 2022 , 38 , 2505.

medium Potentially inappropriate citation Inappropriate citation (0.95)

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Reference ID
13
In-text citation
[13]
Locator
13
Title
Safety and immunogenicity of an inactivated SARS-CoV-2 vaccine, BBIBP-CorV: a randomised, double-blind, placebo-controlled, phase 1/2 trial
DOI
10.1016/s1473-3099(20)30831-8
Journal
The Lancet Infectious Diseases
Publisher
Elsevier BV
Year
2020
Resolution confidence
1.00
Automated signal: inappropriate Confidence: 0.95

Context

Beyond 4 weeks after the onset of symptoms, the long-term complications of SARSCoV-2 infection are further classified as sub-acute and chronic, or post-COVID-19 syndrome [13,14].

medium Potentially inappropriate citation Inappropriate citation (0.90)

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Reference ID
46
In-text citation
[46]
Locator
46
Title
Characterization of the receptor-binding domain (RBD) of 2019 novel coronavirus: implication for development of RBD protein as a viral attachment inhibitor and vaccine
DOI
10.1038/s41423-020-0400-4
Journal
Cellular and Molecular Immunology
Publisher
Springer Nature
Year
2020
Resolution confidence
1.00
Automated signal: inappropriate Confidence: 0.90

Context

AKI could also be caused by direct SARS-CoV-2 infection of renal tubular epithelial cells [28,46,47], and considering the participation of additional epithelia (lung, gastrointestinal tract, etc.), it appears to be a very plausible contributing factor in AKI [48].

medium Potentially inappropriate citation Inappropriate citation (0.95)

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Reference ID
17
In-text citation
[17]
Locator
17
Title
Longitudinal characteristics of lymphocyte responses and cytokine profiles in the peripheral blood of SARS-CoV-2 infected patients
DOI
10.1016/j.ebiom.2020.102763
Journal
EBioMedicine
Publisher
Elsevier BV
Year
2020
Resolution confidence
1.00
Automated signal: inappropriate Confidence: 0.95

Context

Both the mRNA vaccine and the inactivated vaccine have the potential to cause new-onset and relapsing glomerular diseases; these diseases could occur after the first or second dose of vaccination [17,18].

medium Potentially inappropriate citation Inappropriate citation (1.00)

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Reference ID
41
In-text citation
[41]
Locator
41
Title
Pulsed electric field‐assisted drying: A review of its underlying mechanisms, applications, and role in fresh produce plant‐based food preservation
DOI
10.1111/1541-4337.13052
Journal
Comprehensive Reviews in Food Science and Food Safety
Publisher
Wiley
Year
2022
Resolution confidence
1.00
Automated signal: inappropriate Confidence: 1.00

Context

The majority of AKI developed within 7 days, but it was much more severe and occurred much sooner in patients with higher baseline serum creatinine levels, whereas patients with normal baseline creatinine had a later onset of AKI and recovered quickly [41].

medium Potentially inappropriate citation Inappropriate citation (0.90)

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Reference ID
55
In-text citation
[55]
Locator
55
Title
Pulmonary post-mortem findings in a series of COVID-19 cases from northern Italy: a two-centre descriptive study
DOI
10.1016/s1473-3099(20)30434-5
Journal
The Lancet Infectious Diseases
Publisher
Elsevier BV
Year
2020
Resolution confidence
1.00
Automated signal: inappropriate Confidence: 0.90

Context

This type of glomerulopathy has been associated with a number of illnesses, including viral infections [55].

medium Potentially inappropriate citation Inappropriate citation (0.90)

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Reference ID
37
In-text citation
[37]
Locator
37
Title
Pathogenic T-cells and inflammatory monocytes incite inflammatory storms in severe COVID-19 patients
DOI
10.1093/nsr/nwaa041
Journal
National Science Review
Publisher
Oxford University Press
Year
2020
Resolution confidence
1.00
Automated signal: inappropriate Confidence: 0.90

Context

Since uremia is connected to reduced leucocyte function, patients with end-stage renal disease (ESRD) receiving hemodialysis (HD) or peritoneal dialysis (PD) may be more at risk [37].

medium Potentially inappropriate citation Inappropriate citation (0.90)

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Reference ID
84
In-text citation
[84]
Locator
84
Title
SARS‐CoV‐2 has not been detected directly by electron microscopy in the endothelium of chilblain lesions
DOI
10.1111/bjd.19572
Journal
British Journal of Dermatology
Publisher
Oxford University Press
Year
2020
Resolution confidence
1.00
Automated signal: inappropriate Confidence: 0.90

Context

Cytokine storm, hypoxemia, direct viral invasion via angiotensin-converting enzyme 2 and cathepsin L, electrolyte imbalance, and fever are among the pathophysiological mechanisms underlying these clinical symptoms, which may also relate to renal injury and/or functional decline in the majority of seriously impacted patients [83,84].

medium Potentially inappropriate citation Inappropriate citation (0.95)

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Reference ID
82
In-text citation
[82]
Locator
82
Title
2019-nCoV pandemic: A disruptive and stressful atmosphere for Indian academic fraternity
DOI
10.1016/j.bbi.2020.04.025
Journal
Brain Behavior and Immunity
Publisher
Elsevier BV
Year
2020
Resolution confidence
1.00
Automated signal: inappropriate Confidence: 0.95

Context

The pathophysiology of COVID-19 AKI is considered to involve endothelial damage, activation of coagulation pathways, local and systemic inflammatory and immunological responses, and the renin-angiotensin system [82].

medium Potentially inappropriate citation Inappropriate citation (1.00)

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Reference ID
111
In-text citation
[111]
Locator
111
Title
Mental Morbidities and Chronic Fatigue in Severe Acute Respiratory Syndrome Survivors
DOI
10.1001/archinternmed.2009.384
Journal
Archives of Internal Medicine
Publisher
American Medical Association (AMA)
Year
2009
Resolution confidence
0.95
Automated signal: inappropriate Confidence: 1.00

Context

The national clinical management protocol stated that remdesivir is contraindicated in patients with a GFR < 30 mL/min and in patients on hemodialysis [111].

medium Potentially inappropriate citation Inappropriate citation (0.95)

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Reference ID
38
In-text citation
[38]
Locator
38
Title
SARS-CoV-2 binds platelet ACE2 to enhance thrombosis in COVID-19
DOI
10.1186/s13045-020-00954-7
Journal
Journal of Hematology & Oncology
Publisher
BioMed Central
Year
2020
Resolution confidence
1.00
Automated signal: inappropriate Confidence: 0.95

Context

In fact, 93% of ICU patients admitted to hospitals had hypokalemia at that time [38].

medium Potentially inappropriate citation Inappropriate citation (0.95)

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Reference ID
136
In-text citation
[136]
Locator
136
Title
Effect of Vaccination on Transmission of SARS-CoV-2
DOI
10.1056/nejmc2106757
Journal
New England Journal of Medicine
Publisher
Massachusetts Medical Society
Year
2021
Resolution confidence
1.00
Automated signal: inappropriate Confidence: 0.95

Context

It is further divided into two categories based on recent literature: (1) subacute or ongoing symptomatic COVID-19, which includes symptoms and abnormalities present from 4-12 weeks beyond acute COVID-19; and (2) chronic or post-COVID-19 syndrome, which includes symptoms and abnormalities persisting or present beyond 12 weeks of the onset of acute COVID-19 and not attributable to alternative diagnoses [133,136].

medium Potentially inappropriate citation Inappropriate citation (0.95)

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Reference ID
15
In-text citation
[15]
Locator
15
Title
RETRACTED: 6-month consequences of COVID-19 in patients discharged from hospital: a cohort study
DOI
10.1016/s0140-6736(20)32656-8
Journal
The Lancet
Publisher
Elsevier BV
Year
2021
Resolution confidence
1.00
Automated signal: inappropriate Confidence: 0.95

Context

At six months following the acute SARS-CoV-2 infection, 35% of patients reported a decreased estimated glomerular filtration rate (eGFR), and 13% of those patients experienced a new beginning of eGFR decline following the acute SARS-CoV-2 infection but with confirmed normal renal function [15].

medium Potentially inappropriate citation Inappropriate citation (0.95)

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Reference ID
148
In-text citation
[148]
Locator
148
Title
Serostatus of IgG antibody against mumps virus in adult population of Al Madinah Al Munawarah, Saudi Arabia
DOI
10.15537/smj.2021.42.8.20210228
Journal
Saudi Medical Journal
Publisher
Ministry of Defence and Aviation
Year
2021
Resolution confidence
1.00
Automated signal: inappropriate Confidence: 0.95

Context

On the other hand, a number of studies point to the vaccine-induced anti-S IgG antibodies persisting for a longer time in hemodialysis patients, which would allay concerns about their rapid drop due to repeated dialysis over time [148].

medium Potentially inappropriate citation Inappropriate citation (0.95)

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Reference ID
98
In-text citation
[98]
Locator
98
Title
Viral infection and transmission in a large, well-traced outbreak caused by the SARS-CoV-2 Delta variant
DOI
10.1038/s41467-022-28089-y
Journal
Nature Communications
Publisher
Nature Portfolio
Year
2022
Resolution confidence
1.00
Automated signal: inappropriate Confidence: 0.95

Context

Within 90 days, 37 patients' scores returned to baseline, and six patients had no results reported [98].

Low severity 7
low Needs manual review Citation may be inappropriate

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Reference ID
53
In-text citation
[53]
Locator
53
Title
Comparison of COVID-19 versus influenza on the incidence, features, and recovery from acute kidney injury in hospitalized United States Veterans
DOI
10.1016/j.kint.2021.05.029
Journal
Kidney International
Publisher
Elsevier BV
Year
2021
Resolution confidence
1.00
Automated signal: uncertain Confidence: 0.70

Context

Proteinuria is common during SARS-CoV-2 infection and has been reported in 7-63% of cases [53,54].

low Needs manual review Citation may be inappropriate

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Reference ID
48
In-text citation
[48]
Locator
48
Title
Digestive symptoms of COVID-19 and expression of ACE2 in digestive tract organs
DOI
10.1038/s41420-020-00307-w
Journal
Cell Death Discovery
Publisher
Springer Nature
Year
2020
Resolution confidence
1.00
Automated signal: uncertain Confidence: 0.80

Context

Depending on the series described, there were anywhere from 0.7 to 47.6% of patients with known CKD [48,71].

low Needs manual review Citation may be inappropriate

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Reference ID
99
In-text citation
[99]
Locator
99
Title
Electrolyte imbalances in patients with severe coronavirus disease 2019 (COVID-19)
DOI
10.1177/0004563220922255
Journal
Annals of Clinical Biochemistry International Journal of Laboratory Medicine
Publisher
SAGE Publishing
Year
2020
Resolution confidence
1.00
Automated signal: uncertain Confidence: 0.70

Context

ACE2 functions as an enzyme within the renin-angiotensin system, metabolizing angiotensin II by cleaving a terminal peptide to generate angiotensin (1-7) (Ang 1-7) in addition to mediating SARS-CoV-2 entrance into cells [99].

low Needs manual review Citation may be inappropriate

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Reference ID
109
In-text citation
[109]
Locator
109
Title
The incidence, risk factors and prognosis of acute kidney injury in severe and critically ill patients with COVID-19 in mainland China: a retrospective study
DOI
10.1186/s12890-020-01305-5
Journal
BMC Pulmonary Medicine
Publisher
BioMed Central
Year
2020
Resolution confidence
1.00
Automated signal: uncertain Confidence: 0.80

Context

Examples of these antibiotics are vancomycin, colistin, and aminoglycosides [109].

low Needs manual review Citation may be inappropriate

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Reference ID
117
In-text citation
[117]
Locator
117
Title
Severe Intraabdominal Hypertension in Critically Ill COVID-19 Patients With Acute Kidney Injury
DOI
10.1016/j.chest.2021.03.019
Journal
CHEST Journal
Publisher
Elsevier BV
Year
2021
Resolution confidence
1.00
Automated signal: uncertain Confidence: 0.70

Context

The observed link between the risk of AKI and the use of vasopressors and mechanical ventilation further supports the idea that hemodynamic variables are a factor in COVID-19 AKI [117].

low Needs manual review Citation may be inappropriate

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Reference ID
114
In-text citation
[114]
Locator
114
Title
The evolution of cardiovascular COVID-19 research
DOI
10.1093/eurheartj/ehab240
Journal
European Heart Journal
Publisher
Oxford University Press
Year
2021
Resolution confidence
1.00
Automated signal: uncertain Confidence: 0.80

Context

Uncommon instances of acute myocarditis [113] and myocardial injury [114] have been described in patients with COVID-19, which might affect cardiac function, reduce cardiac output, congest renal veins, and compromise kidney perfusion [115].

low Needs manual review Citation may be inappropriate

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Reference ID
130
In-text citation
[130]
Locator
130
Title
Factors Associated With Death in Critically Ill Patients With Coronavirus Disease 2019 in the US
DOI
10.1001/jamainternmed.2020.3596
Journal
JAMA Internal Medicine
Publisher
American Medical Association
Year
2020
Resolution confidence
1.00
Automated signal: uncertain Confidence: 0.70

Context

Early research on patients needing renal replacement therapy (RRT) revealed that between 27 and 64% were independent of dialysis by 28 days following ICU release [130,137].

Recommendations

Relevance analysis suggests additional references and improvement opportunities. Use [R#] markers to jump to the full reference list below.

To strengthen this review, the primary focus should be on integrating foundational clinical data from early 2020 outbreaks [R48, R51] to ground the introduction in established epidemiological facts. Priority 2 involves deepening the discussion on the specific mechanisms of kidney injury, particularly by incorporating more recent narrative reviews [R54, R58] that synthesize multi-organ damage. Finally, Priority 3 suggests justifying the use of older, non-COVID specific citations [R30, R31] to ensure the review remains focused on the current pandemic's unique renal challenges.

Top priorities

  1. Priority 1: Add early clinical data from Wuhan to provide a more robust baseline for the initial outbreak description. - Insert this after the mention of the virus being described as a coronavirus in early January.

    Add

    This is a foundational study that established the first clinical features of the virus.

    On January 7, the virus was described as a coronavirus [1].

    Supporting refs: [R48]
  2. Priority 2: Include specific hospitalization statistics to support the severity of pneumonia and renal involvement. - Add this when discussing the severity of illness and the impact on the kidney.

    Add

    It provides essential context on the scale of organ failure seen in early hospitalized patients.

    the kidney is among the different organs that are significantly affected with the SARS-CoV-2 infection [2,3].

    Supporting refs: [R51]
  3. Priority 3: Address the conflicting evidence regarding direct viral presence in renal tissue - In section 2.1, after the discussion of US autopsies

    Justify

    The text presents viral particles in podocytes as fact, but other high-quality studies in the references could not distinguish definitive virions, suggesting a need for a more balanced discussion.

    definitive virions could not be distinguished at the ultrastructural level [29]

    Supporting refs: [R79], [R109]
  4. Priority 4: Integrate ICU-specific AKI incidence and mortality predictors - In section 2.2, after the mention of ICU AKI rates

    Add

    It provides specific clinical markers (albumin, age, comorbidities) that correlate with AKI-related mortality in the ICU.

    AKI rates were significantly elevated to 14.5-50% in patients in the ICU

    Supporting refs: [R43]
  5. Priority 5: Integrate recent epidemiological insights on kidney disease progression - At the end of the first paragraph of section 3

    Add

    It provides a comprehensive 2022 perspective on how COVID-19 transitions from acute injury to long-term kidney disease.

    functional decline in the majority of seriously impacted patients [83,84].

    Supporting refs: [R45]

Other changes by section

Section Insights into COVID-19 and Its Potential Implications for Kidney Dysfunction 3 actions
  1. Provide context for the frequency of vaccine-related renal side effects

    Justify

    The mention of vaccine harms is currently anecdotal; adding context regarding the rarity of these events compared to the benefits of vaccination would provide a more balanced perspective.

    Where: At the end of the sentence discussing hospitalization after vaccination.

    necessitated hospitalization after receiving COVID-19 vaccinations.

  2. Elaborate on the specific renal pathologies mentioned

    Strengthen

    The list of pathologies is currently a brief enumeration and would benefit from a more detailed description of how these manifest in COVID-19 patients.

    Where: In the middle of the paragraph after the mention of thrombosis complications.

    acute tubular necrosis, proteinuria, hematuria, and thrombosis complications.

  3. Clarify the role of Cathepsin L in viral entry

    Add

    While ACE2 is well-known, the specific role of Cathepsin L in the context of renal cell invasion is less commonly detailed and needs a brief explanatory phrase.

    Where: Within the sentence describing pathophysiological mechanisms.

    direct viral invasion via angiotensin-converting enzyme 2 and cathepsin L

Section 1. Introduction 3 actions
  1. Clarify the debate regarding direct viral invasion versus indirect injury

    Justify

    Some early studies suggested AKI was not a common outcome, which contrasts with the 'direct invasion' theory presented later.

    Where: In the second paragraph, when discussing the ACE2 pathway.

    SARS-CoV-2 can directly infect kidney podocytes and proximal tubular cells

    Supporting refs: [R1], [R4]
  2. Include pediatric renal involvement to broaden the scope of the introduction

    Add

    The text mentions these groups are affected but lacks the specific 28-day mortality rates (approx. 21-25%) found in large collaborations.

    Where: After the discussion of chronic replacement therapies and kidney transplants.

    COVID-19 also affects patients receiving chronic replacement therapies and those receiving kidney transplants [9,10].

    Supporting refs: [R63], [R148]
  3. Synthesize the reported incidence rates of AKI to show the range of clinical observations

    Strengthen

    The current text mentions a 25% severity and a 28% ICU incidence, but other studies show rates as high as 43%, indicating significant variability.

    Where: In the first paragraph, after the mention of ICU patients.

    The contributing factors for developing AKI have been evaluated in 161 intensive care unit (ICU) patients with a 28% incidence of AKI.

    Supporting refs: [R15], [R77]
Section 2. COVID-19 and Manifestations of Kidney Dysfunction 3 actions
  1. Incorporate specific risk factors for ICU mortality in AKI patients

    Strengthen

    The current text lists general symptoms but lacks specific clinical predictors of mortality in critically ill patients which are available in the provided literature.

    Where: At the end of section 2.2

    Some of the clinical symptoms of COVID-19 include a cough, shortness of breath, muscle aches, disorientation, headache, sore throat, rhinorrhea, and chest pain [19,20].

    Supporting refs: [R43], [R21]
  2. Expand on the systemic nature of COVID-19 and its multi-organ impact

    Add

    Kidney dysfunction often occurs as part of a broader multi-organ failure syndrome which is central to the pathophysiology of severe COVID-19.

    Where: In the opening paragraph of section 2

    Some of the clinical symptoms of COVID-19 include a cough

    Supporting refs: [R44], [R9]
  3. Connect coagulopathy findings to anti-phospholipid antibodies

    Add

    The text mentions coagulopathy and fibrin thrombi; this reference provides a potential immunological explanation.

    Where: In section 2.1, after the mention of focal fibrin thrombi

    focal fibrin thrombi seen in 6 of the 42 autopsies

    Supporting refs: [R68]
Section 3. Pathophysiology of COVID-19-Induced Kidney Dysfunction 3 actions
  1. Clarify the debate regarding direct viral presence in kidney tissue

    Justify

    The text presents direct viral damage as a primary driver, but some studies suggest systemic factors are more dominant or that viral detection in the kidney is inconsistent.

    Where: In section 3.1, after the mention of nucleocapsid protein

    associated with a possible direct tubular injury from the virus.

    Supporting refs: [R1], [R109]
  2. Contextualize the clinical impact and mortality risk of AKI in COVID-19

    Strengthen

    The opening paragraph lists mechanisms but lacks the clinical significance and high incidence rates that justify the study of these pathways.

    Where: At the beginning of section 3

    The pathophysiology of COVID-19 AKI is considered to involve endothelial damage

    Supporting refs: [R15], [R77]
  3. Incorporate the role of patient comorbidities in pathophysiology

    Add

    Host factors like age and pre-existing conditions significantly influence the progression of kidney dysfunction and ACE2 expression levels.

    Where: In the transition between general pathophysiology and direct viral damage

    Thus, a direct viral infection may influence the mechanisms causing kidney damage.

    Supporting refs: [R78], [R94]
Section 4. Limitations 3 actions
  1. Elaborate on the 'heterogeneity in diagnostic criteria'

    Justify

    Different definitions of Acute Kidney Injury (AKI) or chronic stages can significantly alter prevalence rates across studies.

    Where: Middle of the section.

    the heterogeneity in diagnostic criteria, treatment protocols, and severity classification

  2. Provide specific examples of confounding comorbidities

    Strengthen

    The mention of comorbidities is currently too abstract and needs to specify which conditions (e.g., diabetes, hypertension) most complicate the causal link to kidney dysfunction.

    Where: In the second sentence of the paragraph.

    due to the presence of other comorbidities and variations in patient populations.

  3. Address the limitation of 'long-COVID' data

    Add

    The text mentions insufficient follow-up but should explicitly link this to the emerging need for longitudinal data on chronic kidney disease (CKD) progression post-infection.

    Where: After the mention of follow-up periods.

    insufficient follow-up periods, making it difficult to draw definitive conclusions.

Section 5. Conclusions 3 actions
  1. Elaborate on the mention of vaccine-associated kidney injury

    Justify

    This is a significant claim that requires more nuance to avoid overstating risks compared to the benefits of vaccination.

    Where: After the mention of current vaccinations

    However, some of the current vaccinations are associated with a slight increase in kidney injury.

  2. Remove the redundant Figure 1 captions and metadata from the text body

    Reconsider

    The conclusion text is currently interrupted by repeated figure captions and author contribution metadata which should be in the back matter.

    Where: End of the section

    There is an association between COVID-19 and the kidney due to the high expression of ACE2 in kidney tissue.

  3. Synthesize the clinical implications of the identified pathways

    Strengthen

    The section lists pathologies but does not explicitly connect them to the 'great caution' needed in drug delivery mentioned later.

    Where: Middle of the paragraph

    Acute tubular injury, glomerular fibrin thrombi, pigmented tubular casts, and collapsing localized segmental glomerulosclerosis are all examples of kidney pathology.

Section Literature Review 3 actions
  1. Incorporate findings from this 2025 narrative review to provide a more modern synthesis of AKI outcomes.

    Strengthen

    Using a very recent review helps bridge early findings with long-term clinical observations.

    Where: Use this to expand the paragraph discussing the incidence of AKI in ICU patients.

    The contributing factors for developing AKI have been evaluated in 161 intensive care unit (ICU) patients with a 28% incidence of AKI.

    Supporting refs: [R54]
  2. Use this source to detail the specific molecular pathways of COVID-associated kidney injury.

    Strengthen

    It offers a more comprehensive look at the pathophysiology than the earlier 2020 sources alone.

    Where: Add this to the section describing the ACE2 pathway and mitochondrial dysfunction.

    SARS-CoV-2 can directly infect kidney podocytes and proximal tubular cells and cause acute tubular necrosis

    Supporting refs: [R58]
  3. Evaluate if this 2002 study on microvascular permeability is necessary given the abundance of COVID-specific vascular data.

    Reconsider

    The review should prioritize recent findings that account for the specific behavior of the SARS-CoV-2 spike protein.

    Where: Review the necessity of this citation in the section on coagulopathy and thrombosis.

    COVID-19 patients have organ failure and coagulopathy, resulting in a higher mortality rate [8].

    Supporting refs: [R31]
Section Future Work 1 actions
  1. Reference this review on Long COVID to suggest directions for studying permanent renal scarring.

    Add

    It provides a framework for understanding the long-term autoimmune and epidemiological aspects of the post-viral phase.

    Where: Include this in the closing discussion about long-term outcomes and post-COVID syndrome.

    the long-term complications of SARSCoV-2 infection are further classified as sub-acute and chronic, or post-COVID-19 syndrome [13,14].

    Supporting refs: [R57]

Potential reviewers

28 suggested

Derived from citation-coupled works that cite many of your references.

Complete reference list

All deep-analysis references, alphabetized by author. Use the filter to show only references from a given group.

Groups are derived from deep-analysis reference categories.

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