Hantavirus Infection, Hantavirus Nephropathy
Conditions
Keywords
Acute kidney injury, Hantavirus infection, Hantavirus nephropathy
Brief summary
Hantaviruses are emerging pathogens responsible for hemorrhagic fever with renal syndrome. Severity risks factors aren't consensual in litterature, mostly related to scandinavian cohorts. A prognostic score was created to help patient's orientation in healthcare system but wasn't independantly validated (Hentzien, Emerging infectious diseases 2018). This retrospective cohort of hantavirus infected hospitalized adults patients in the north-eastern quarter of France between 2013 and 2022 will specify the kidney damage during infection and risk factors for a severe form (defined par acute kidney injury KDIGO 3). The previous prognostic score performance will be evaluated in this cohort.
Interventions
OTHERHANTA-NE
Observational cohort study
Sponsors
Central Hospital, Nancy, France
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 125 Years
Healthy volunteers
No
Inclusion criteria
* hantavirus proven by serology infection * age above 18 years * Hospitalisation
Exclusion criteria
* age under 18 years * fulfill opposition form
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Creatinin level | Through study completion, an average of 2 years | Acute Kidney injury KDIGO 3 |
| Hemorrhagic syndrome | Through study completion, an average of 2 years | Major bleeding requiring blood transfusion |
| Death | Through study completion, an average of 2 years | Death |
| Hospitalisation in intensive care unit | Through study completion, an average of 2 years | Hospitalisation in intensive care unit |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| ALAT, ASAT | Through study completion, an average of 2 years | Liver cytolysis |
| calcium | Through study completion, an average of 2 years | hypocalcemia, hypercalcemia |
| phosphorus | Through study completion, an average of 2 years | hypophaspahtaemia, hyperphasphatemia |
| potassium | Through study completion, an average of 2 years | hypokaliemia, hyperkaliemia |
| Score performance to predict severity | Through study completion, an average of 2 years | Correlation between severity predicted by the score and bio-clinical severity during hospitalization. Score composition : Hematuria = 7 Visual disorders = 8 Leucocyte count \> 10 x 10\^9 cells/L = 9 Nephrotoxic drug exposure (NSAID, iodinated contrast media, diuretics, renin angiotensin aldosterone system inhibitors, aminoglycosides, glycopeptides) = 10 Thrombocytopenia \< or = 90 000/mm3 = 11 Risk group according score scale 0-10 Low risk 11-19 intermediate risk 20-45 high risk |
| bicarbonate blood level | Through study completion, an average of 2 years | metabolic acidosis, metabolic alcalosis |
| Heamoglobin | Through study completion, an average of 2 years | Anemia |
| platelets level | Through study completion, an average of 2 years | thrombocytemia |
| Urine output | Through study completion, an average of 2 years | Polyruria above 3 L/day |
| sodium | Through study completion, an average of 2 years | blood sodium level disorders |
| Hypotension | Through study completion, an average of 2 years | Lowest systolic blood presure during hospitalisation \< 90mmHg |
| Proteinuria | Through study completion,an average of 2 years | Proteinuria during hospitalisation defined by proteinuria/creatininuria above 500 mg/g or equivalent |
| Urinary dipstick | Through study completion, an average of 2 years | Leucocyturia or hematuria |
Countries
France
Outcome results
None listed