| COVID-19 ARDS CCCC cohort (n = 1699)a | Non-COVID-19 ARDS LUNG-SAFE cohort (n = 1947)a | p valueb |
---|---|---|---|
AKI severity category | |||
 No AKI | 1344 (79.0) | 1084 (55.4) | < 0.001 |
 Stage 1 AKI | 110 (6.5) | 319 (16.3) |  |
 Stage 2 AKI | 94 (5.5) | 194 (9.9) |  |
 Stage 3 AKI | 151 (9.0) | 360 (18.4) |  |
Age (years) | |||
 No AKI | 56 (15) | 57 (17) | 0.129 |
 Stage 1 AKI | 62 (15) | 64 (15) | 0.229 |
 Stage 2 AKI | 61 (14) | 66 (16) | 0.007 |
 Stage 3 AKI | 58 (15) | 61 (16) | 0.044 |
Sex (male) | |||
 No AKI | 889 (66) | 680 (63) | < 0.001 |
 Stage 1 AKI | 71 (65) | 196 (61) |  |
 Stage 2 AKI | 58 (62) | 119 (61) |  |
 Stage 3 AKI | 95 (63) | 211 (59) |  |
Body mass index (kg/m2) | |||
 No AKI | 30 (8) | 26 (7) | < 0.001 |
 Stage 1 AKI | 30 (8) | 28 (14) | 0.071 |
 Stage 2 AKI | 32 (10) | 29 (8) | 0.012 |
 Stage 3 AKI | 31 (9) | 28 (7) | 0.002 |
Chronic diseased | |||
 No AKI | 537 (40) | 552 (51) | < 0.001 |
 Stage 1 AKI | 58 (53) | 192 (60) |  |
 Stage 2 AKI | 45 (48) | 110 (57) |  |
 Stage 3 AKI | 69 (46) | 212 (59) |  |
Ventilator settingsc | |||
Fraction of inspired oxygen (FiO2, %) | |||
 No AKI | 79 (22) | 66 (23) | < 0.001 |
 Stage 1 AKI | 79 (20) | 68 (23) | < 0.001 |
 Stage 2 AKI | 86 (21) | 70 (24) | < 0.001 |
 Stage 3 AKI | 84 (20) | 72 (23) | < 0.001 |
Tidal volume (mL) | |||
 No AKI | 398 (121) | 508 (126) | < 0.001 |
 Stage 1 AKI | 408 (125) | 497 (122) | < 0.001 |
 Stage 2 AKI | 367 (131) | 523 (134) | < 0.001 |
 Stage 3 AKI | 397 (140) | 496 (125) | < 0.001 |
Positive end-expiratory pressure (PEEP, cm H2O) | |||
 No AKI | 11.6 (3.4) | 8.9 (3.4) | < 0.001 |
 Stage 1 AKI | 12.0 (3.7) | 9.0 (3.2) | < 0.001 |
 Stage 2 AKI | 12.1 (4.0) | 9.1 (3.3) | < 0.001 |
 Stage 3 AKI | 11.4 (4.2) | 9.8 (3.8) | < 0.001 |
Respiratory rate (breaths per minute) | |||
 No AKI | 26 (8) | 22 (11) | < 0.001 |
 Stage 1 AKI | 27 (8) | 23 (6) | < 0.001 |
 Stage 2 AKI | 27 (9) | 23 (7) | < 0.001 |
 Stage 3 AKI | 28 (8) | 23 (6) | < 0.001 |
Peak pressure (cm H2O) | |||
 No AKI | 25.3 (6.0) | 27.8 (8.2) | < 0.001 |
 Stage 1 AKI | 25.1 (5.8) | 29.1 (8.5) | < 0.001 |
 Stage 2 AKI | 26.2 (9.2) | 28.9 (8.3) | 0.007 |
 Stage 3 AKI | 27.3 (6.1) | 29.4 (9.3) | 0.004 |
P/F ratio (%) | |||
 No AKI | 127 (84) | 149 (63) | < 0.001 |
 Stage 1 AKI | 118 (62) | 145 (63) | < 0.001 |
 Stage 2 AKI | 100 (51) | 139 (65) | < 0.001 |
 Stage 3 AKI | 109 (77) | 138 (62) | < 0.001 |
PaCO2 (mmHg) | |||
 No AKI | 51 (17) | 49 (16) | 0.003 |
 Stage 1 AKI | 47 (11) | 50 (18) | 0.041 |
 Stage 2 AKI | 57 (15) | 49 (15) | < 0.001 |
 Stage 3 AKI | 57 (22) | 49 (16) | < 0.001 |
pH | |||
 No AKI | 7.34 (0.12) | 7.34 (0.10) | 0.999 |
 Stage 1 AKI | 7.26 (0.15) | 7.29 (0.12) | 0.06 |
 Stage 2 AKI | 7.22 (0.12) | 7.25 (0.13) | 0.054 |
 Stage 3 AKI | 7.23 (0.14) | 7.23 (0.14) | 0.999 |
Sequential organ failure assessment (cardiovascular score) | |||
 No AKI | 0.18 (0.45) | 2.14 (1.70) | < 0.001 |
 Stage 1 AKI | 0.35 (0.48) | 2.65 (1.62) | < 0.001 |
 Stage 2 AKI | 0.35 (0.61) | 3.11 (1.39) | < 0.001 |
 Stage 3 AKI | 0.27 (0.58) | 3.29 (1.32) | < 0.001 |
Sequential organ failure assessment (platelet score score) | |||
 No AKI | 0.30 (0.75) | 1.21 (1.46) | < 0.001 |
 Stage 1 AKI | 0.28 (0.64) | 1.39 (1.44) | < 0.001 |
 Stage 2 AKI | 0.21 (0.54) | 1.37 (1.40) | < 0.001 |
 Stage 3 AKI | 0.26 (0.60) | 1.79 (1.43) | < 0.001 |
Outcomes | |||
Length of stay on invasive mechanical ventilation (days) | |||
 No AKI | 18 (23) | 12 (14) | < 0.001 |
 Stage 1 AKI | 16 (14) | 12 (13) | 0.01 |
 Stage 2 AKI | 15 (17) | 11 (12) | 0.043 |
 Stage 3 AKI | 12 (13) | 13 (15) | 0.453 |
Length of stay in ICU (days) | |||
 No AKI | 22 (41) | 15 (15) | < 0.001 |
 Stage 1 AKI | 10 (74) | 14 (15) | 0.575 |
 Stage 2 AKI | 20 (19) | 12 (12) | < 0.001 |
 Stage 3 AKI | 17 (17) | 16 (17) | 0.544 |
ICU mortality | |||
 No AKI | 655 (49) | 269 (25) | < 0.001 |
 Stage 1 AKI | 63 (58) | 114 (36) |  |
 Stage 2 AKI | 68 (74) | 104 (54) |  |
 Stage 3 AKI | 106 (72) | 190 (53) |  |
Hospital mortality | |||
 No AKI | 674 (50) | 318 (30) | < 0.001 |
 Stage 1 AKI | 64 (58) | 126 (40) |  |
 Stage 2 AKI | 70 (74) | 115 (59) |  |
 Stage 3 AKI | 106 (72) | 209 (58) |  |