No AKI (n= 97) | Transient AKI (n= 54) | Persistent AKI (n= 93) | P valuea | |
---|---|---|---|---|
Patient characteristics | ||||
Male gender | 56 (57.7) | 34 (62.9) | 66 (71.0) | 0.16 |
Age (years) | 60 (49 to 70) | 65 (52 to 74) | 67 (56 to 76) | 0.02 |
Knaus C or D | 30 (30.9) | 18 (35.3) | 31 (36.0) | 0.73 |
LOD score at admission | 4 (2 to 7) | 5 (3 to 8) | 6 (4 to 9) | 0.006 |
SAPS II score at admission | 41 (31 to 54) | 43 (34 to 52) | 46 (36 to 59) | 0.06 |
Baseline plasma creatinine (μmol/l) | 55 (45 to 65) | 56 (44 to 69) | 65 (53 to 89) | 0.0006 |
Risk factors for AKI | ||||
Chronic heart failure | 11 (11.3) | 11 (20.3) | 18 (19.4) | 0.22 |
Chronic kidney diseaseb | 2 (2.1) | 1 (1.9) | 12 (12.9) | 0.02 |
Sepsis | 36 (38.7) | 32 (60.4) | 48 (55.2) | 0.02 |
Aminoglycosides | 6 (6.7) | 7 (14.6) | 12 (14.0) | 0.22 |
Ionidated contrast agents | 37 (41.1) | 11 (22.9) | 22 (25.3) | 0.03 |
Diabetes mellitus | 8 (8.3) | 15 (27.8) | 24 (25.8) | 0.002 |
Reason for ICU admission | ||||
Acute respiratory failure | 24 (24.7) | 17 (31.5) | 19 (20.5) | 0.32 |
Coma | 36 (37.1) | 8 (14.8) | 15 (16.1) | 0.0006 |
Sepsis/shock | 13 (13.4) | 19 (35.2) | 43 (46.3) | < 0.0001 |
Treatments | ||||
Need for vasoactive drugs | 80 (51.6) | 25 (46.3) | 55 (59.1) | 0.29 |
Mechanical ventilation | 79 (81.4) | 30 (55.6) | 55 (59.4) | 0.0006 |
Renal replacement therapy | 1 (1.0) | 0 | 13 (14.0) | < 0.0001 |
Diuretics | 30 (30.9) | 17 (31.5) | 33 (35.5) | 0.78 |
Renal function at admission | ||||
Diuresis (ml/kg/hour) | 1.29 (0.69 to 1.99) | 1.14 (0.73 to 2.00) | 0.79 (0.48 to 1.22) | 0.0005 |
Plasma urea (mmol/l) | 5.9 (4.4 to 8.1) | 10.8 (7.3 to 14.9) | 14.1 (7.6 to 25.2) | < 0.0001 |
Plasma creatinine (μmol/l) | 64 (53 to 80) | 111 (76 to 170) | 139 (95 to 253) | < 0.0001 |
Urinary indices | ||||
FeNa (%) | 0.7 (0.2 to 1.7) | 0.8 (0.3 to 2.7) | 1.1 (0.4 to 2.8) | 0.03 |
FeUrea (%) | 35 (24 to 45) | 29 (21 to 39) | 29 (21 to 36) | 0.03 |
U/P urea | 23 (14 to 34) | 11 (7 to 22) | 10 (4 to 19) | < 0.0001 |
U/P creatinine | 70 (39 to 129) | 37 (17 to 98) | 38 (17 to 74) | < 0.0001 |
Outcome | ||||
ICU mortality | 22 (22.7) | 12 (22.2) | 21 (22.5) | 0.99 |
Hospital mortality | 25 (25.8) | 17 (31.5) | 26 (28.0) | 0.56 |