Table 2 Comparisons of baseline characteristics and outcomes between patients with persistent and transient AKI.
Variables | Total (n = 955) | Transient AKI (n = 579) | Persistent AKI (n = 376) | P-value |
|---|---|---|---|---|
Age (years), mean (SD) | 63.3 ± 16.9 | 63.2 ± 17 | 63.5 ± 16.7 | 0.793 |
Male, n (%) | 628 (65.8) | 381 (65.8) | 247 (65.7) | 1 |
Smoking, n (%) | 384 (40.2) | 233 (40.2) | 151 (40.2) | 1 |
Alcohol drinking, n (%) | 375 (39.3) | 233 (40.2) | 142 (37.8) | 0.485 |
SOFA (score), mean (SD) | 6.9 ± 3.4 | 6.4 ± 3.2 | 7.8 ± 3.6 | < 0.001 |
APACHE II (score), mean (SD) | 19.3 ± 7.2 | 18.6 ± 6.7 | 20.3 ± 7.8 | < 0.001 |
Surgery time (hours), mean (SD) | 3.1 ± 2.3 | 3 ± 2 | 3.2 ± 2.6 | 0.276 |
Surgery, n (%) | < 0.001 | |||
Abdominal | 242 (25.3) | 169 (29.2) | 73 (19.4) | |
Cerebral | 172 (18) | 84 (14.5) | 88 (23.4) | |
Orthopaedic | 240 (25.1) | 143 (24.7) | 97 (25.8) | |
Cardiothoracic | 105 (11) | 81 (14) | 24 (6.4) | |
Others | 196 (20.5) | 102 (17.6) | 94 (25) | |
Contrast agent use, n (%) | 624 (65.3) | 361 (62.3) | 263 (69.9) | 0.019 |
Antibiotic use, n (%) | 43 (4.5) | 14 (2.4) | 29 (7.7) | < 0.001 |
Diuretic use, n (%) | 778 (81.5) | 445 (76.9) | 333 (88.6) | < 0.001 |
AKI stage | < 0.001 | |||
1 | 588 (61.6) | 424 (73.7) | 161 (42.8) | |
2 | 229 (24) | 124 (21.4) | 105 (27.9) | |
3 | 138 (14.5) | 28 (4.8) | 110 (29.3) | |
Uo_6h (mL), mean (SD) | 324.8 ± 455.5 | 239.2 ± 400.5 | 456.7 ± 501.9 | < 0.001 |
Uo_24h (mL), median (IQR) | 1735 (1100, 2400) | 1700 (1150, 2350) | 1787.5 (1000, 2556.25) | 0.792 |
Comorbidities, n (%) | ||||
Hypertension | 429 (44.9) | 245 (42.3) | 184 (48.9) | 0.052 |
Diabetes | 125 (13.1) | 56 (9.7) | 69 (18.4) | < 0.001 |
Myocardial infarction, n (%) | 87 (9.1) | 32 (5.5) | 55 (14.6) | < 0.001 |
Chronic obstructive pulmonary disease | 74 (7.7) | 45 (7.8) | 29 (7.7) | 1 |
Solid tumour | 110 (11.5) | 79 (13.6) | 31 (8.2) | 0.014 |
Sepsis | 550 (57.6) | 337 (58.2) | 213 (56.6) | 0.683 |
Biochemical indexes on ICU admission, mean (SD) | ||||
Creatinine (mmol/L) | 106 ± 59.9 | 83.4 ± 32.4 | 140.8 ± 74.2 | < 0.001 |
Urea (mmol/L) | 9.2 ± 4.6 | 8.1 ± 3.5 | 10.9 ± 5.5 | < 0.001 |
White blood cell (× 109/L) | 12.5 ± 6.6 | 12 ± 6 | 13.1 ± 7.4 | 0.016 |
Red blood cell (× 109/L) | 3.6 ± 0.8 | 3.6 ± 0.7 | 3.5 ± 0.9 | 0.024 |
Platelet count (× 109/L) | 151.4 ± 78.2 | 157.5 ± 79.8 | 142 ± 74.7 | 0.002 |
pH | 7.4 ± 0.1 | 7.4 ± 0.1 | 7.3 ± 0.1 | < 0.001 |
Bicarbonate (mmol/L) | 20.9 ± 3.8 | 21.6 ± 3.1 | 19.7 ± 4.4 | < 0.001 |
Lactate (mmol/L) | 3.4 ± 3.2 | 2.7 ± 2.3 | 4.4 ± 4.1 | < 0.001 |
Prothrombin time (s) | 16.4 ± 6.2 | 15.6 ± 2.7 | 17.7 ± 9.2 | < 0.001 |
Potassium (mmol/L) | 4.2 ± 0.7 | 4.1 ± 0.6 | 4.3 ± 0.8 | 0.012 |
Sodium (mmol/L) | 141.1 ± 4.9 | 140.7 ± 4.5 | 141.8 ± 5.5 | 0.002 |
Vital signs on first day ICU admission, mean (SD) | ||||
Minimum glucose (mmol/L) | 6.6 ± 1.8 | 6.5 ± 1.6 | 6.9 ± 2 | 0.006 |
Maximum glucose (mmol/l) | 11.6 ± 4.9 | 10.8 ± 3.6 | 13 ± 6.3 | < 0.001 |
Mean glucose (mmol/l) | 8.9 ± 2.4 | 8.4 ± 2 | 9.6 ± 2.9 | < 0.001 |
Minimum systolic pressure (mmHg) | 92.9 ± 19.7 | 96.3 ± 19.1 | 87.8 ± 19.6 | < 0.001 |
Maximum systolic pressure (mmHg) | 179.2 ± 126.9 | 186.9 ± 151 | 167.4 ± 75 | 0.008 |
Mean systolic pressure (mmHg) | 125.3 ± 16.9 | 127.8 ± 16.6 | 121.4 ± 16.8 | < 0.001 |
Minimum diastolic pressure (mmHg) | 49.9 ± 10.1 | 51.2 ± 9.8 | 47.9 ± 10.2 | < 0.001 |
Maximum diastolic pressure (mmHg) | 91.8 ± 43.5 | 90.4 ± 34.6 | 94 ± 54.4 | 0.244 |
Mean diastolic pressure (mmHg) | 66.6 ± 9.8 | 67.1 ± 9.6 | 65.9 ± 10.1 | 0.088 |
Mean temperature (°C) | 37.2 ± 0.7 | 37.2 ± 0.6 | 37.1 ± 0.8 | < 0.001 |
Minimum temperature (°C) | 36.1 ± 0.9 | 36.2 ± 0.8 | 35.9 ± 1.1 | < 0.001 |
Maximum temperature (°C) | 38.1 ± 0.8 | 38.1 ± 0.7 | 38 ± 0.9 | 0.552 |
Mean heart rate (bpm) | 89.8 ± 19 | 86.5 ± 17 | 94.9 ± 20.7 | < 0.001 |
Minimum heart rate (bpm) | 69.6 ± 18.2 | 67.5 ± 15.9 | 72.8 ± 20.9 | < 0.001 |
Maximum heart rate (bpm) | 115.8 ± 27.2 | 111.7 ± 25.7 | 122 ± 28.2 | < 0.001 |
Clinical outcomes | ||||
ICU length of stay (days), median (IQR) | 5.97 (3.67, 12.67) | 5.23 (3.12, 11.63) | 7.36 (4.51, 13.92) | < 0.001 |
Ventilation duration (days), median (IQR) | 2.16 (0.7, 8.44) | 1.65 (0.56, 7.74) | 3.32 (0.81, 9.38) | 0.002 |
Hosp. LOS (days), median (IQR) | 22 (14, 33) | 22 (14.5, 33) | 22 (13, 33) | 0.497 |
Cost (× 103 yuan) | 71.63 (46.73, 108.8) | 64.18 (44.23, 94.55) | 83.16 (52.1, 139.01) | < 0.001 |
Hospital mortality, n (%) | 171 (17.9) | 57 (9.8) | 114 (30.3) | < 0.001 |