Table 2 Characteristics of the CKD stage 3–5 patients divided by pyuria (Urine WBC ≥ 50/hpf) episodes.

From: Pyuria, urinary tract infection and renal outcome in patients with chronic kidney disease stage 3–5

Variable

All

Group 0

Group 1

Group 2

p for trend

No pyuria

1 pyuria episode

 > 1 pyuria episodes

No. of subjects

3226

2661

199

366

 

Demographics and Medical History

Age (yr)

63.5 ± 13.5

62.6 ± 13.5

66.0 ± 12.9

67.9 ± 12.8

 < 0.001

Gender (female)

1366 (42.3%)

964 (36.2%)

145 (72.9%)

257 (70.2%)

 < 0.001

BMI (Kg/m2)

24.7 ± 4.0

24.8 ± 4.0

24.6 ± 4.0

24.4 ± 4.1

0.085

Mean BP (mmHg)

100.0 ± 13.8

100.0 ± 13.6

99.1 ± 13.0

100.3 ± 15.3

0.686

Smoker

354 (11.0%)

314 (11.8%)

17 (8.5%)

23 (6.3%)

0.003

Ischemic heart disease

487 (15.1%)

368 (13.8%)

40 (20.1%)

79 (21.6%)

 < 0.001

CHF

413 (12.8%)

288 (10.8%)

42 (21.1%)

83 (22.7%)

 < 0.001

Stroke

557 (17.3%)

405 (15.2%)

50 (25.1%)

102 (27.9%)

 < 0.001

Diabetes Mellitus

1448 (44.9%)

1090 (41.0%)

120 (60.3%)

238 (65.0%)

 < 0.001

Cancer

267 (8.3%)

205 (7.7%)

17 (8.5%)

45 (12.3%)

 < 0.001

Hypertension

2175 (67.4%)

1754 (65.9%)

137 (68.8%)

284 (77.6%)

 < 0.001

Cardiovascular disease

854 (26.5%)

637 (23.9%)

69 (34.7%)

148 (40.4%)

 < 0.001

Laboratory data

Hemoglobin (g/dl)

10.9 ± 2.4

11.2 ± 2.4

10.2 ± 1.9

9.7 ± 1.8

 < 0.001

WBC (× 1,000 cells/μl)

7.2 ± 2.3

7.1 ± 2.2

7.6 ± 2.8

7.5 ± 2.4

 < 0.001

Albumin (g/dl)

3.8 ± 0.5

3.9 ± 0.5

3.7 ± 0.5

3.6 ± 0.5

 < 0.001

Cholesterol (mg/dl)

191 (162–222)

192 (164–221)

189 (159–224)

186 (155–216)

0.837

Triglyceride (mg/dl)

127 (91–185)

126 (91–184)

123 (85–179)

135 (93–187)

0.761

CRP (mg/l)

1.2 (0.4–5.3)

1.1 (0.4–5.0)

1.5 (0.5–6.4)

2.3 (0.5–9.3)

0.004

HbA1C (%)

6.5 ± 1.6

6.4 ± 1.5

6.9 ± 1.9

6.8 ± 1.9

 < 0.001

Potassium (mEq/l)

4.4 ± 0.6

4.4 ± 0.6

4.4 ± 0.6

4.4 ± 0.6

0.71

Phosphorus (mg/dl)

4.4 ± 1.3

4.4 ± 1.3

4.6 ± 1.2

4.8 ± 1.3

 < 0.001

Calcium (mg/dl)

9.1 ± 0.8

9.1 ± 0.8

9.1 ± 0.8

9.0 ± 0.8

0.008

Bicarbonate (mEq/l)

21.7 ± 4.4

22.0 ± 4.3

21.0 ± 4.5

20.2 ± 4.5

 < 0.001

Uric acid (mg/dl)

7.9 ± 2.0

7.9 ± 1.9

7.9 ± 1.9

8.0 ± 2.1

0.195

eGFR (ml/min/1.73 m2)

24.7 ± 15.1

26.0 ± 15.4

20.9 ± 11.9

17.9 ± 12.1

 < 0.001

UPCR (mg/g)

1125 (411–2553)

1035 (370–2269)

1513 (617–3241)

2089 (765–4810)

 < 0.001

Medication

ACEI or ARB

1734 (53.8%)

1375 (51.7%)

128 (64.3%)

231 (63.1%)

 < 0.001

Other anti-HTN drugs

1513 (45.8%)

1175 (43.4%)

103 (50.5%)

235 (60.3%)

 < 0.001

Diuretics

737 (22.8%)

547 (20.6%)

66 (33.2%)

124 (33.9%)

 < 0.001

OAD

972 (30.1%)

714 (26.8%)

86 (43.2%)

172 (47.0%)

 < 0.001

Insulin

267 (8.1%)

182 (6.7%)

22 (10.8%)

63 (16.2%)

 < 0.001

Statin

1081 (32.7%)

839 (31.0%)

83 (40.7%)

159 (40.8%)

 < 0.001

Clinical Outcomes

Follow-up days

1084 (651–1710)

1156 (712–1752)

1004 (581–1583)

714 (465–1246)

 < 0.001

eGFR slope

(ml/min/1.73 m2/yr)

-2.2

(-5.7 to -0.2)

-2.1

(-5.2 to -0.2)

-2.6

(-5.4 to -0.4)

-3.3

(-8.3 to -0.1)

 < 0.001

Rapid eGFR decline

900 (28.1%)

699 (26.5%)

55 (27.6%)

146 (40.0%)

 < 0.001

ESRD

1061 (32.9%)

819 (30.8%)

79 (39.7%)

163 (44.5%)

 < 0.001

Mortality

531 (16.5%)

374 (14.1%)

44 (22.1%)

113 (30.9%)

 < 0.001

  1. CHF, congestive heart failure; BMI, body mass index; WBC, white blood cells; CRP, C-reactive protein; HbA1c, glycated hemoglobin; eGFR, estimated glomerular filtration rate; UPCR, urine protein-to-creatinine ratio; ACEI, angiotensin converting enzyme inhibitors; ARB, angiotensin receptor blocker; OAD, oral anti-diabetic drug; ESRD, end-stage renal disease.
  2. Continuous variables are expressed as mean ± standard deviation or median (IQR), and categorical variables are expressed as number (percentage).
  3. P for trend < 0.05 indicates a significant trend for increasing pyuria levels.