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Table 1 Summary of Studies that Have Described (A) Serum Creatinine Trajectory Trends during AKI (B) the duration of AKI recovery and poor renal outcomes

From: Subphenotypes in acute kidney injury: a narrative review

Author

Time period

AKI definition

Data source

Data analysis

method

n, patients

Clinical setting

Reported SCr trajectory

Definition of mortality/adverse

renal outcomes

A

Guitterezet al. [22]

NA

Rise in serum creatinine > 25% above baseline

Single US center

Random intercept and slope model

98

Cardiac catherization

Maximum creatinine within 5.5 days ± 5.1 days

NA

Bhatraju et al. [7]

2003–2005

KDIGO SCr criteria

Single and multi-

Center US

Spaghetti plots

1,914 and 1,867

ICU admissions

AKI during the first 72 h in the ICU

Death prior to hospital discharge

Smith et al. [24]

2009–2017

KDIGO SCr criteria

(NHLBI) ARDS Network and Single US center

Dynamic time-warping, the Bray–Curtis dissimilarity and qgglomerative hierarchical clustering

6,816

ICU admissions

AKI during the first 7 days in the ICU

Death prior to hospital discharge

Andrew et al. [23]

2000–2009

KDIGO SCr criteria

Single US center

Latent class mixed modeling

2,647 and 2,647

Cardiac Surgery

AKI experienced within the preoperative and first four postoperative days

Death 3 years postoperatively

B

Ozrazgat-Baslanti et al. [25]

2012-

2019

KDIGO SCr criteria

Single US center

Propensity score-based inverse weighting and Kaplan–Meier curves

156, 699

All hospitalizations

Classified (no AKI, rapidly reversed AKI, persistent AKI with and without renal recovery)

1, 3- year mortality, need for new RRT, new CKD within 90 days or 1-year, CKD progression

Siew et al. [26]

2002–2014

KDIGO stages 2 to 3 AKI

US Veterans

Multivariable Cox proportional hazards regression

47,903

All hospitalizations

AKI recovery to within 120% of baseline SCr level within 90 days

Sustained 40% decline in eGFR from closest SCr

Bhatraju et al. [27]

2009–2015

Modified KDIGO

Multi-center US

ASSESS-AKI study

Cox proportional hazards regression

1,538

All hospitalizations

AKI resolving with 72 h of AKI diagnosis

Major adverse kidney events

  1. AKI Acute kidney injury, ARDS Acute respiratory distress syndrome, CKD Chronic kidney disease, ICU Intensive care unit, KDIGO Kidney diseases improving global outcomes, SCr serum creatinine