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Table 3 Univariable and multivariable regression analyses for factors associated with progression of AKI in patients with severe sepsis

From: Hemodynamic variables and progression of acute kidney injury in critically ill patients with severe sepsis: data from the prospective observational FINNAKI study

 

Univariable analysis

 

Multivariable analysis

Model 1

Model 2

Odds ratio (95% CI)

P-value

Odds ratio (95% CI)

P-value

Odds ratio (95% CI)

P-value

CKD

4.696 (1.901, 11.600)

0.001

6.72 (2.19, 20.63)

0.001

7.24 (2.36, 22.23)

0.001

Diabetes mellitus

1.665 (1.041, 2.662)

0.033

NS

 

NS

 

Hypotension prior to ICU

1.883 (1.239, 2.863)

0.003

NS

 

NS

 

Radiocontrast dye prior to ICU

1.677 (1.056, 2.664)

0.029

NS

 

NS

 

Operative admission

1.685 (1.079, 2.631)

0.022

NS

 

NS

 

Abdominal infection

1.786 (1.117, 2.855)

0.015

NS

 

NS

 

SOFA D1 without renal point

1.136 (1.056, 1.223)

0.001

NS

 

NS

 

Use of sepsis corticosteroids

2.715 (1.715, 4.298)

<0.001

NS

 

NS

 

Use of dobutamine within first 24 h in the ICU

4.607 (2.259, 9.395)

<0.001

2.42 (1.00, 5.81)

0.049

2.68 (1.11, 6.48)

0.028

Norepinephrine max dose 24 h

4.234 (2.036, 8.803)

<0.001

NS

 

NS

 

Daily dose of furosemide (iv, mg)

1.006 (1.002, 1.009)

0.001

1.00 (1.00, 1.01)

0.002

1.01 (1.00, 1.01)

0.001

Fluid balance per hour on D1 in ICU

1.002 (1.000, 1.003)

0.005

NS

 

NS

 

Lactate 24 h highest

1.374 (1.218, 1.549)

<0.001

1.36 (1.18, 1.57)

<0.001

1.35 (1.17, 1.55)

<0.001

Time-adjusted MAP

0.952 (0.931, 0.973)

<0.001

0.96 (0.94, 0.99)

0.006

-

 

Time-adjusted MAP below 73 mmHg

2.440 (1.602, 3.716)

<0.001

-

 

2.57 (1.48, 4.46)

0.001

  1. CKD, chronic kidney disease defined as structural or functional abnormalities of the kidney or glomerular filtration rate (GFR) <60 ml/miute/1.73 m2 at least one week prior to ICU admission; hypotension, systolic blood pressure <90 mmHg for 1 h; SOFA D1, sequential organ failure assessment, first score during the ICU stay; iv, intravenous; MAP, mean arterial pressure; NS, not significant.