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Table 1 Baseline characteristics of patients by the serum albumin change pattern

From: Worsening or improving hypoalbuminemia during continuous renal replacement therapy is predictive of patient outcome: a single-center retrospective study

 

Alb < 3.0 g/dL at CRRT start

Alb ≥ 3.0 g/dL at CRRT start

Persistent low (N = 299)

Increasing (N = 85)

Decreasing (N = 195)

Persistent high (N = 214)

Demographics

 Age, year

66 (55–75)

63.5 (52.5, 75.3)

70 (61, 77.5)†

64 (52, 75)

 Male, %

67.9

64.3

66.7

60.3

 BMI, kg/m2

23.6 ± 4.7

24.3 ± 4.2

24.0 ± 4.0

24.0 ± 4.3

Comorbidities

 Diabetes, %

40.8

34.8

42.9

40.3

 Hypertension, %

42.7

39.4

53.2

50.0

 Liver cirrhosis, %

12.2

25.8*

8.7

11.1

 CHF, %

22.5

22.7

34.9

33.3

 COPD %

4.2

6.1

11.9

6.9

 CKD, %

8.9

13.6

19.8

17.4

 Cancer, %

19.1

12.9

21.0†

11.7

Disease severity

 Sepsis, %

36.2

22.9

18.6†

6.2

 Anuria, %

59.2

59.3

52.6†

63.3

 MAP, mmHg

79.1 ± 14.7

80.6 ± 16.6

83.9 ± 18.2

83.2 ± 15.9

 Vasopressors, %

68.2

68.6

60.5†

49.3

 Ventilator, %

61.1

68.6

60.5

58.9

 SOFA score

11.4 ± 3.7

11.1 ± 3.3

9.9 ± 3.5

9.0 ± 3.4

Laboratory data

 WBC, 103/μL

14.2 ± 10.9

13.2 ± 11.4

13.5 ± 10.6

13.5 ± 11.8

 Platelet, 103/μL

136.9 ± 116.5

122.2 ± 86.4*

162.1 ± 99.7

150.3 ± 94.3

 Hemoglobin, g/dL

9.9 ± 5.8

9.6 ± 5.1

11.4 ± 3.2

10.7 ± 2.7

 Total protein, g/dL

5.0 ± 1.1

4.8 ± 0.9

6.1 ± 1.4

5.9 ± 1.1

 Albumin, g/dL

2.5 ± 0.4

2.6 ± 0.3

3.5 ± 0.5†

3.6 ± 0.5

 BUN, mg/dL

62.5 ± 36.2

54.7 ± 35.3

57.1 ± 38.5

52.4 ± 34.5

 Creatinine, mg/dL

3.5 ± 2.4

3.2 ± 2.5

4.5 ± 8.8

3.2 ± 2.6

 Sodium, mmol/L

136.4 ± 8.2

137.4 ± 7.8

136.5 ± 8.3

137.8 ± 7.7

 Potassium, mmol/L

4.4 ± 0.9

4.3 ± 0.9

5.8 ± 12.4

4.6 ± 1.0

 CRP, mg/L

13.6 ± 11.3

7.7 ± 8.7*

9.3 ± 10.1†

5.3 ± 7.0

 PT, INR

1.8 ± 1.3

1.8 ± 0.9

1.4 ± 0.4†

1.8 ± 1.7

CRRT operation

 ICU to RRT, days

1 (0, 4)

1 (1, 6)

1 (0, 2)

0 (0, 1)

 Duration, days

6 (4, 11)

8 (5, 13.3)*

6 (5, 8)

6 (5, 10)

 Delivered dose, ml/kg/h

34.1 ± 5.3

34.9 ± 3.9

33.7 ± 4.9

35.3 ± 5.6

IV albumin infusion,%

15 (5.0)

5 (5.9)

9 (4.6)

8 (3.7)

Reasons for CRRT stop

 Kidney recovery

34.4

37.6

46.7

52.8

 Transition to HD

12.4

21.2*

13.8

17.3

 Unable to maintain CRRT (low BP/DNR/death)

53.2

41.2*

39.5†

29.9

  1. *p < 0.05, compared to persistent low, †p < 0.05 compared to persistent high
  2. Alb albumin, CRRT continuous renal replacement therapy, BMI body mass index, CHF congestive heart failure, COPD chronic obstructive pulmonary disease, CKD chronic kidney disease, MAP mean arterial pressure, SOFA Sequential Organ Failure Assessment, WBC white blood cell, BUN blood urea nitrogen, PT prothrombin time, ICU intensive care unit, RRT renal replacement therapy