All patients | No AKI | Patients with in-ICU AKI | |||
---|---|---|---|---|---|
AKI = 1 | AKI ≥2 (recurrent) | ||||
N = 405 | N = 69 | N = 252 | N = 79 | p value | |
Age (years), median [IQR] | 68.21 [56.52–77.70] | 55.84 [49.02–69.52] | 69.28 [58.07–78.23] | 74.29 [64.72–79.16] | 0.027 |
Gender (male) | 68.9% | 56.5% | 71.0% | 72.2% | 0.848 |
Hypertension | 47.7% | 27.5% | 50.8% | 58.2% | 0.248 |
Diabetes mellitus | 18.3% | 4.3% | 22.6% | 17.9% | 0.380 |
COPD | 14.8% | 13.0% | 14.3% | 19.0% | 0.313 |
CHF | 6.4% | 4.3% | 7.1% | 6.3% | 0.804 |
Cancer | 13.6% | 10.1% | 13.9% | 15.2% | 0.773 |
Immunosuppressive state | 17.8% | 11.6% | 19.4% | 17.7% | 0.734 |
Source of infection | 0.122 | ||||
Intra-abdominal | 30.9% | 29.0% | 31.0% | 32.9% | |
Lung | 37.3% | 52.2% | 33.3% | 35.4% | |
Endocarditis | 0.5% | 0.0% | 0.0% | 1.3% | |
Line related | 1.5% | 1.4% | 2.0% | 0.0% | |
Urinary tract | 12.3% | 8.7% | 15.5% | 6.3% | |
Skin and soft infection | 2.0% | 0.0% | 2.0% | 3.8% | |
Unknown/others | 15.6% | 8.7% | 16.3%% | 20.3% | |
Leukocytes, median [IQR] | 13.60 [6.90–21.00] | 12.6 [5.15–23.55] | 13.60 [7.00–20.45] | 15.50 [7.35–21.58] | 0.441 |
Lactate (mg/dl), median [IQR] | 23.0 [15.0–37.3] | [–] | 26.0 [16.0–41.0] | 26.0 [17.0–47.0] | 0.437 |
Vasopresors | 84.3% | 83.8% | 85.6% | 79.7% | 0.214 |
Septic shock | 85.4% | 85.5% | 86.4% | 82.3% | 0.366 |
APACHE, median [IQR] | 20 [16–25] | 16 [12–19] | 20 [16–27] | 23 [19–27] | 0.032 |
SOFA, median [IQR] | 8 [6–10] | 7 [5–8] | 9 [7–11] | 9 [6–11] | 0.952 |
Mechanical ventilation | 51.1% | 54.4% | 49.4% | 51.9% | 0.699 |
C-reactive protein (mg/l), median [IQR] | 19.4 [10.30–27.50] | 18.6 [7.85–25.45] | 20.4 [10.7–29.20] | 18.3 [11.05–27.55] | 0.673 |
Procalcitonin (ng/l), median [IQR] | 10.24 [2.54–30.37] | 4.11 [1.25–10.91] | 13.11 [3.31–34.00] | 13.29 [2.32–41.90] | 0.749 |
Baseline creatinine (mg/dl), median [IQR] | 0.97 [0.80–1.13] | 0.88 [0.72–1.00] | 0.95 [0.80–1.15] | 1.05 [0.90–1.20] | 0.022 |
Baseline estimated GFR (ml/min/1.73 m2), median [IQR] | 72.50 [58.36–87.86] | 81.91 [64.79–102.55] | 72.74 [57.23–86.47] | 66.18 [53.84–77.55] | 0.030 |
ICU stay (days), median [IQR] | 4.99 [2.99–11.47] | 4.99 [1.99–8.48] | 3.98 [2.99–10.97] | 9.97 [4.99–17.95] | <0.001 |
Hospital stay (days), median [IQR] | 16.95 [10.22–30.92] | 15.96 [10.97–32.41] | 15.96 [9.97–28.92] | 19.94 [13.96–34.90] | 0.003 |
KDIGO AKI stages | 0.054 | ||||
1, n (%) | 100 (24.7%) | – | 79 (31.3%) | 21 (26.6%) | |
2, n (%) | 121 (29.9%) | – | 98 (38.9%) | 23 (29.1%) | |
3, n (%) | 110 (27.2) | – | 75 (29.8%) | 35 (44.3%) | |
Maximal creatinine (mg/dl), median [IQR] | 2.10 [1.40–3.16] | 1.00 [0.84–1.10] | 2.30 [1.70–3.19] | 2.99 [2.10–4.00] | <0.001 |
Intra-hospital mortality, n (%) | 104 (25.7%) | 7 (10.1%) | 60 (23.8%) | 35 (44.3%) | <0.001 |
90-day mortality, n (%) | 112 (27.7%) | 8 (11.6%) | 64 (25.4%) | 38 (48.1%) | <0.001 |
End of follow-up mortality, n (%) | 190 (46.9%) | 22 (31.9%) | 113 (44.8%) | 53 (67.1%) | 0.001 |