| Total cohort | 1-year survivors | 1-year nonsurvivors | P value | MAKE | P value | |
---|---|---|---|---|---|---|---|
1-year absent | 1-year present | ||||||
Number of patients | 959 | 340 | 619 | Â | 102 | 752 | Â |
Demographics | |||||||
 Age, years | 65 (55–75) | 64 (52–74) | 65 (55–75) | 0.030 | 66 (57–74) | 65 (55–75) | 0.802 |
 Male sex, % | 65.4 | 70.0 | 62.8 | 0.026 | 64.6 | 64.0 | 0.892 |
 Black race, % | 0.2 | 0 | 0.3 | 0.294 | 0 | 0.3 | 0.593 |
Comorbid conditions | |||||||
 Diabetes mellitus, % | 27.5 | 27.4 | 27.6 | 0.928 | 29.4 | 28.6 | 0.864 |
 Baseline CKD KDIGO stage ≥3, % | 39.6 | 44.2 | 37.0 | 0.084 | 51.6 | 37.3 | 0.010 |
 Baseline eGFR, ml/minute/1.73 m2 | 69.0 (47.0–91.1) | 63.4 (44.4–82.9) | 74.1 (49.2–93.8) | 0.004 | 57.3 (42.8–76.5) | 72.9 (49.2–93.4) | 0.001 |
 Baseline serum creatinine, mg/dl | 1.07 (0.82–1.41) | 1.15 (0.92–1.48) | 1.00 (0.79–1.31) | <0.001 | 1.21 (0.96–1.58) | 1.03 (0.80–1.34) | <0.001 |
Characteristics at ICU admission | |||||||
 Type of ICU | |||||||
  Medical, % | 45.8 | 36.4 | 51.1 | <0.001 | 32.0 | 49.6 | 0.001 |
  Surgical, % | 54.2 | 63.6 | 48.9 | 68.0 | 50.4 | ||
 Timing of surgery | |||||||
  Urgent, % | 61.0 | 60.2 | 61.8 | 0.729 | 60.2 | 61.8 | 0.729 |
  Elective, % | 39.0 | 39.8 | 38.2 | 39.8 | 38.2 | ||
 Severity of illness | |||||||
  SAPS II | 63 (45–78) | 52 (39–69) | 70 (54–83) | <0.001 | 49 (34–69) | 68 (49–82) | <0.001 |
Characteristics at initiation of RRT | |||||||
 Severity of illness | |||||||
  SOFA score, total | 10 (6–14) | 9 (5–12) | 12 (8–15) | <0.001 | 5 (1–9) | 11 (7–14) | <0.001 |
  SOFA score, nonrenal | 7 (3–11) | 6 (2–9) | 8 (5–12) | <0.001 | 8 (5–12) | 8 (4–11) | <0.001 |
  Mechanical ventilation, % | 88.6 | 82.4 | 92.0 | <0.001 | 80.8 | 90.1 | 0.006 |
  Vasoactive medication, % | 66.2 | 52.0 | 74.0 | <0.001 | 48.0 | 70.4 | <0.001 |
 Renal characteristics | |||||||
  Oliguria, % | 48.9 | 45.8 | 50.8 | 0.171 | 36.6 | 50.9 | 0.010 |
  Fluid balance, ml | 2163 (1180–3578) | 2021 (1019–3220) | 2200 (1268–4000) | 0.049 | 1919 (1003–2996) | 2229 (1311–4000) | 0.054 |
  Urine output, ml | 561 (178–1080) | 621 (246–1230) | 529 (157–1020) | 0.055 | 792 (297–1483) | 529 (152–1055) | 0.007 |
  Diuretics, % | 49.3 | 56.7 | 45.2 | 0.001 | 61.3 | 45.9 | <0.001 |
  ICU to RRT length of stay, days | 2 (1–7) | 2 (1–5) | 2 (1–8) | 0.050 | 2 (1–6) | 3 (1–8) | 0.144 |
  Serum creatinine, mg/dl | 3.57 (2.62–4.69) | 4.23 (3.26–5.58) | 3.26 (2.38–4.25) | <0.001 | 4.18 (3.11–5.14) | 3.38 (2.47–4.44) | <0.001 |
 Laboratory parameters | |||||||
  Serum hemoglobin, g/dl | 9.3 (8.3–10.3) | 9.5 (8.6–10.5) | 9.2 (8.2–10.2) | 0.001 | 9.4 (8.6–10.4) | 9.2 (8.2–10.2) | 0.001 |
  Platelets, ×103/mm3 | 115 (67–184) | 146 (89–219) | 100 (55–158) | <0.001 | 144 (89–202) | 104 (60–177) | <0.001 |
  Serum sodium, mmol/L | 139 (135–144) | 138 (134–142) | 140 (136–145) | <0.001 | 137 (133–142) | 140 (136–144) | <0.001 |
  Serum potassium, mmol/L | 4.6 (4.1–5.3) | 4.8 (4.2–5.4) | 4.6 (4.1–5.2) | 0.012 | 4.9 (4.2–5.4) | 4.6 (4.1–5.2) | 0.007 |
  Serum chloride, mmol/L | 102 (98–107) | 101 (97–106) | 103 (98–108) | 0.051 | 101 (97–106) | 103 (98–108) | 0.005 |
  Serum bilirubin, mg/dl | 1.6 (0.7–4.2) | 1.3 (0.6–3.3) | 1.7 (0.7–4.8) | 0.004 | 1.35 (0.60–2.90) | 1.27 (0.86–1.82) | 0.001 |
  Serum urea, g/dl | 1.28 (0.90–1.83) | 1.33 (0.99–1.83) | 1.26 (0.85–1.87) | 0.062 | 1.36 (1.00–1.85) | 1.27 (0.86–1.82) | 0.173 |
  Serum albumin, g/dl | 2.2 (1.8–2.6) | 2.3 (2.0–2.8) | 2.1 (1.8–2.5) | <0.001 | 2.3 (2.0–2.6) | 2.2 (1.8–2.6) | 0.003 |
  Lactate, mg/dl | 24 (12–82) | 15 (10–36) | 34 (15–100) | <0.001 | 14 (9–29) | 29 (14–94) | <0.001 |
  pH | 7.30 (7.24–7.37) | 7.34 (7.27–7.39) | 7.29 (7.21–7.36) | <0.001 | 7.33 (7.27–7.38) | 7.29 (7.22–7.36) | <0.001 |
  Base excess | −5.2 (−8.3, −2.2) | −4.2 (−6.4, −1.6) | −6.0 (−9.4, −2.5) | <0.001 | −4.5 (−7.1, −1.8) | −5.5 (−9.1, −2.5) | 0.001 |
RRT modality | |||||||
 IHD, % | 54.0 | 67.6 | 46.4 | <0.001 | 72.5 | 49.5 | <0.001 |
 SLEDD, % | 15.8 | 16.2 | 15.6 | 14.7 | 15.5 | ||
 CRRT, % | 30.2 | 16.2 | 38.0 | 12.7 | 35.0 | ||
Timing of initiation of RRT | |||||||
 Late (KDIGO stage ≥3), % | 54.1 | 58.9 | 51.6 | 0.087 | 61.1 | 58.8 | 0.735 |