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.
Study Type
OBSERVATIONAL
Enrollment
101
Observational cohort study
Central Hospital
Nancy, France
Creatinin level
Acute Kidney injury KDIGO 3
Time frame: Through study completion, an average of 2 years
Hemorrhagic syndrome
Major bleeding requiring blood transfusion
Time frame: Through study completion, an average of 2 years
Death
Death
Time frame: Through study completion, an average of 2 years
Hospitalisation in intensive care unit
Hospitalisation in intensive care unit
Time frame: Through study completion, an average of 2 years
Score performance to predict severity
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
Time frame: Through study completion, an average of 2 years
Hypotension
Lowest systolic blood presure during hospitalisation \< 90mmHg
Time frame: Through study completion, an average of 2 years
Proteinuria
Proteinuria during hospitalisation defined by proteinuria/creatininuria above 500 mg/g or equivalent
Time frame: Through study completion,an average of 2 years
Urinary dipstick
Leucocyturia or hematuria
Time frame: Through study completion, an average of 2 years
ALAT, ASAT
Liver cytolysis
Time frame: Through study completion, an average of 2 years
calcium
hypocalcemia, hypercalcemia
Time frame: Through study completion, an average of 2 years
phosphorus
hypophaspahtaemia, hyperphasphatemia
Time frame: Through study completion, an average of 2 years
potassium
hypokaliemia, hyperkaliemia
Time frame: Through study completion, an average of 2 years
sodium
blood sodium level disorders
Time frame: Through study completion, an average of 2 years
bicarbonate blood level
metabolic acidosis, metabolic alcalosis
Time frame: Through study completion, an average of 2 years
Heamoglobin
Anemia
Time frame: Through study completion, an average of 2 years
platelets level
thrombocytemia
Time frame: Through study completion, an average of 2 years
Urine output
Polyruria above 3 L/day
Time frame: Through study completion, an average of 2 years
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