COVID-19 & Kidney Injury: Vaccination Reduces Risks
- Patients hospitalized with COVID-19 who had received vaccinations and subsequently developed acute kidney injury (AKI) experienced more favorable outcomes compared to their unvaccinated counterparts, according to a new...
- AKI is a frequent complication in COVID-19 patients, potentially leading to decreased kidney function or, in severe instances, the necessity for dialysis.
- The findings,slated for publication in Kidney Medicine,suggest that COVID-19 vaccination can mitigate long-term kidney function decline and mortality risk.
COVID-19 Vaccination Reduces Risk of Kidney Injury, Dialysis
Updated June 13, 2025
Patients hospitalized with COVID-19 who had received vaccinations and subsequently developed acute kidney injury (AKI) experienced more favorable outcomes compared to their unvaccinated counterparts, according to a new study. The research indicates that vaccinated individuals were less likely to require continued dialysis following discharge and demonstrated a higher survival rate.

AKI is a frequent complication in COVID-19 patients, potentially leading to decreased kidney function or, in severe instances, the necessity for dialysis. The long-term effects on kidney health and survival remained unclear until this study.
The findings,slated for publication in Kidney Medicine,suggest that COVID-19 vaccination can mitigate long-term kidney function decline and mortality risk. Dr. Niloofar Nobakht, a health sciences clinical associate professor of medicine at UCLA’s David Geffen School of Medicine, led the research.
“The COVID-19 vaccine is an meaningful intervention,” Nobakht said, “that can decrease the chances of developing complications from the COVID-19 infection in patients hospitalized with acute kidney injuries.” She emphasized the importance of discussing vaccination benefits with doctors,as it can reduce the likelihood of needing dialysis and its associated complications.
Researchers analyzed data from approximately 3,500 patients hospitalized with COVID-19 between March 1, 2020, and March 30, 2022. Among them, 972 developed AKI; 42.3% were unvaccinated, while 48% had received at least two doses of an mRNA vaccine (Pfizer or Moderna) or one dose of Johnson & Johnson’s vaccine. The study highlights the importance of COVID-19 vaccination for kidney health.
The study revealed that 15.8% of unvaccinated patients were more likely to require continuous renal replacement therapy (CRRT), a type of dialysis for critically ill patients, compared to 10.9% of vaccinated patients.
Furthermore, unvaccinated patients faced 2.56 times greater odds of needing CRRT after discharge, a 5.54 times higher risk of in-hospital death, and a 4.78 times higher risk of death during long-term follow-up, compared to vaccinated patients. These findings underscore the protective benefits of COVID-19 vaccination against acute kidney injury.
Limitations of the study included missing baseline creatinine data and a lack of facts on COVID-19 illness severity, even though all patients required hospitalization. The study also did not account for the effects of booster vaccinations.
“This study also emphasizes the importance of the need for continued research in understanding how COVID-19 infections affect the kidney and how we should manage and monitor kidney complications from COVID-19 infections to improve patient outcomes,” Nobakht said.
What’s next
Further research is needed to fully understand the long-term effects of COVID-19 on kidney function and to develop optimal management strategies for kidney complications following infection. The role of booster vaccinations also warrants further inquiry.
