Baseline characteristics | All | No renal disease | AKI | P value | ESRD | P value | Chronic only | P value | Acute-on-chronic | P value |
---|---|---|---|---|---|---|---|---|---|---|
n = 10,363 | n = 92,509 | n = 5273 | n = 1389 | n = 3194 | n = 998 | |||||
Demographics | ||||||||||
Age in years, mean (SD) | 60.2 (19.3) | 59.3 (19.6) | 67.9 (14.2) | <0.001 | 61.1 (14.3) | <0.001 | 71.1 (13.6) | <0.001 | 70.4 (11.4) | <0.001 |
Age in years, median (IQR) | 64 (47–76) | 63 (45–75) | 70 (61–78) | 63 (52–72) | 63 (52–72) | 72 (64–81) | ||||
Length of ICU stay (hours), median (IQR) | 24 (13–60) | 23 (12–53) | 68 (26–189) | <0.001 | 26 (15–58) | <0.001 | 27 (15–63) | <0.001 | 64 (25–156) | <0.001 |
Women, n (%) | 44,480 (43.0) | 40,411 (43.6) | 2086 (39.6) | <0.001 | 500 (36.0) | <0.001 | 1140 (35.7) | <0.001 | 343 (34.4) | <0.001 |
Admissions per patient, mean (SD) | 1.3 (0.88) | 1.31 (0.89) | 1.29 (0.74) | 0.19 | 1.36 (0.86) | <0.001 | 1.35 (0.88) | 0.005 | 1.30 (0.74) | 0.55 |
Admissions per patient, median (IQR) | 1 (1–1) | 1 (1–1) | 1 (1–1) | 1 (1–1) | 1 (1–1) | 1 (1–1) | ||||
Laboratory dataa (median values given with IQR, n denotes number of patients in whom this data was available) | ||||||||||
Highest potassium (mmol/l) | 4.2 (3.9–4.6) | 4.1 (3.9–4.5) | 4.7 (4.1–5.5) | <0.001 | 4.8 (4.2–5.5) | <0.001 | 4.4 (4.0–5.0) | <0.001 | 4.9 (4.3–5.7) | <0.001 |
n | 18,743 | 16,069 | 1605 | 273 | 534 | 262 | ||||
Highest sodium (mmol/l) | 139 (136–142) | 139 (136–142) | 137 (134–141) | <0.001 | 138 (135–140) | <0.001 | 139 (136–142) | 0.65 | 138 (135–141) | <0.001 |
n | 18,792 | 16,121 | 279 | 270 | 535 | 262 | ||||
Lowest sodium (mmol/l) | 136 (133–139) | 136 (133–139) | 133 (130–137) | <0.001 | 134 (132–137) | 136 (133–140) | 134 (130–137) | |||
n | 18,797 | 16,121 | 1604 | |||||||
Highest bilirubin (μmol/l) | 10 (6–18) | 10 (6–17) | 14 (8–26) | <0.001 | 10 (6–17) | 0.92 | 10 (7–17) | 0.42 | 12(7–22) | <0.001 |
n | 19,797 | 16,863 | 1768 | 207 | 633 | 326 | ||||
Lowest arterial pH | 7.36 (7.29–7.41) | 7.36 (7.30–7.41) | 7.29 (7.19–7.38) | <0.001 | 7.35 (7.2–7.4) | <0.001 | 7.34 (7.25–7.4) | <0.001 | 7.28 (7.17–7.36) | <0.001 |
n | 47,318 | 40,449 | 3968 | 598 | 1586 | 717 | ||||
Lowest bicarbonate (mmol/l) | 22 (19–25) | 23 (20–25) | 18 (14–22) | <0.001 | 23 (19–24) | 0.213 | 21 (18–25) | 0.002 | 19(14–21) | <0.001 |
n | 4566 | 3662 | 593 | 62 | 134 | 115 | ||||
Maximum creatinine (μmol/l) | 85 (65–125) | 80 (63–105) | 254 (164–422) | <0.001 | 460 (275–673) | <0.001 | 185 (129–277) | <0.001 | 363 (238–553) | <0.001 |
n | 54,655 | 47,441 | 4076 | 660 | 1738 | 740 | ||||
Maximum urea (mmol/l) | 8 (4.9–14.3) | 6.7 (4.3–10.1) | 17.5 (11–26) | <0.001 | 19.4 (15–25) | <0.001 | 16.6 (11.9–24.5) | <0.001 | 27 (19.3–36.6) | <0.001 |
n | 3519 | 2717 | 532 | 62 | 104 | 104 | ||||
Lowest thrombocyte count (× 109/l) | 228 (166–296) | 230 (170–296) | 199 (123–291) | <0.001 | 217 (153–286) | 0.003 | 220 (152–292) | <0.001 | 203 (131–277) | <0.001 |
n | 37,438 | 32,586 | 2695 | 421 | 1217 | 519 | ||||
Disease severity scoring system (median values given with IQR, n denotes number of patients in whom this data was available) | ||||||||||
APACHE II score | 15 (9–22) | 14 (8–20) | 25 (20–32) | <0.001 | 22 (17–28) | <0.001 | 19 (14–26) | <0.001 | 27 (21–33) | <0.001 |
n | 19,962 | 17,231 | 1620 | 284 | 564 | 263 | ||||
SAPS-II score | 27 (0–44) | 25 (0–41) | 55 (42–70) | <0.001 | 35 (16–52) | <0.001 | 40 (23–53) | <0.001 | 56 (43–68) | <0.001 |
n | 17,074 | 15,376 | 764 | 269 | 503 | 162 | ||||
SAPS-III score | 54 (44–65) | 52 (43–63) | 68 (59–77) | <0.001 | 60 (51–71) | <0.001 | 64 (55–72) | <0.001 | 69 (60–78) | <0.001 |
n | 20,970 | 18,326 | 1437 | 195 | 736 | 276 | ||||
Interventionsb | ||||||||||
Invasive mechanical ventilation, n (%) | 8621 (8.3) | 7155 (7.7) | 994 (18.9) | <0.001 | 93 (6.7) | 0.156 | 201 (6.3) | 0.002 | 178 (17.8) | <0.001 |
Acute surgery, n (%) | 8379 (8.1) | 7282 (7.8) | 662 (12.6) | <0.001 | 109 (7.8) | 1.0 | 228 (7.14) | 0.132 | 98 (9.82) | 0.029 |
Elective surgery, n (%) | 5889 (5.7) | 5237 (5.7) | 295 (5.6) | 1.0 | 83 (6.0) | 0.6 | 201 (6.3) | 0.111 | 69 (6.9) | 0.098 |
Comorbidities | ||||||||||
Charlson comorbidity score, meanc (SD) | 2,03 (2.42) | 1.8 (2.2) | 2.6 (2.5) | <0.001 | 5.2 (2.5) | <0.001 | 5.8 (2.6) | <0.001 | 5.6 (2.6) | <0.001 |
Charlson score with renal points removed, mean (SD) | 1.92 (2.3) | 1.78 (2.2) | 2.6 (2.5) | <0.001 | 3.2 (2.4) | <0.001 | 3.8 (2.6) | <0.001 | 3.6 (2.6) | <0.001 |
Myocardial infarction, n (%) | 14,605 (14.1) | 11,896 (12.9) | 986 (18) | <0.001 | 387 (28.0) | <0.001 | 1047 (32.8) | <0.001 | 289 (29.0) | <0.001 |
Congestive cardiac failure, n (%) | 16,281 (15.7) | 12,521 (13.5) | 1324 (25.1) | <0.001 | 438 (31.5) | <0.001 | 1563 (48.9) | <0.001 | 435 (43.6) | <0.001 |
Peripheral vascular disease, n (%) | 10,948 (10.6) | 8921 (9.6) | 704 (13.4) | <0.001 | 348 (25.0) | <0.001 | 761 (23.8) | <0.001 | 214 (21.4) | <0.001 |
Cerebrovascular disease, n (%) | 17,742 (17.2) | 15,658 (16.9) | 808 (15.3) | <0.001 | 310 (22.3) | <0.001 | 789 (24.7) | <0.001 | 177 (17.7) | 0.497 |
Dementia, n (%) | 2070 (2.0) | 1840 (2.0) | 99 (1.9) | 0.612 | 16 (1.2) | 0.03 | 100 (3.13) | <0.001 | 15 (1.50) | 0.359 |
COPD, n (%) | 14,841 (14.4) | 12,999 (14.1) | 808 (15.3) | 0.010 | 150 (10.8) | <0.001 | 696 (21.8) | <0.001 | 188 (18.8) | <0.001 |
Rheumatological disease, n (%) | 4006 (3.8) | 3311 (3.6) | 269 (5.1) | <0.001 | 93 (6.7) | <0.001 | 262 (8.2) | <0.001 | 71 (7.1) | <0.001 |
Peptic ulcer disease, n (%) | 6729 (6.5) | 5693 (6.2) | 423(8.0) | <0.001 | 154 (11.2) | <0.001 | 362 (11.3) | <0.001 | 97 (9.7) | <0.001 |
Cancer, n (%) | 18,175 (17.6) | 15,726 (17.0) | 1262 (24.0) | <0.001 | 217 (15.7) | 0.183 | 738 (23.1) | <0.001 | 232 (23.3) | <0.001 |
Metastatic disease, n (%) | 3747 (3.6) | 1918 (3.6) | 304 (4.7) | <0.001 | 24 (1.7) | <0.001 | 127 (4.0) | 0.246 | 28 (2.8) | 0.199 |
Mild liver disease, n (%) | 5272 (5.1) | 4504 (4.9) | 369 (7.0) | <0.001 | 123 (8.9) | <0.001 | 210 (6.6) | <0.001 | 66 (6.6) | 0.015 |
Moderate or severe liver disease, n (%) | 2436 (2.4) | 3319 (2.1) | 249 (5.8) | <0.001 | 31 (2.2) | 0.64 | 125 (3.9) | <0.001 | 58 (5.8) | <0.001 |
Uncomplicated diabetes, n (%) | 16,684 (16.1) | 13,168 (14.2) | 1372 (26.2) | <0.001 | 537 (38.7) | <0.001 | 1215 (38.0) | <0.001 | 392 (39.3) | <0.001 |
Diabetes with complications, n (%) | 6756 (6.5) | 4660 (5.0) | 523 (9.9) | <0.001 | 499 (35.9) | <0.001 | 806 (25.2) | <0.001 | 268 (26.9) | <0.001 |
Paraplegia, n (%) | 2004 (1.9) | 1787 (1.9) | 90 (1.7) | 0.287 | 29 (2.07) | 0.624 | 78 (2.44) | 0.043 | 20 (2.00 | 0.817 |
HIV, n (%) | 137 (0.13) | 125 (0.14) | 4 (0.08) | 0.328 | 3 (0.22) | 0.44 | 5 (0.16) | 0.63 | 0 (0) | 0.65 |