Research Article

Risk Factors for Mortality in Patients with Septic Acute Kidney Injury in Intensive Care Units in Beijing, China: A Multicenter Prospective Observational Study

Table 4

Regression analysis of risk factors for mortality in ICU.

Univariate analysisMultivariate analysis
OR (95% CI) valueOR (95% CI) value

Age (years)1.026 (1.012–1.041)<0.0011.025 (1.007–1.042)0.005
Hospital acquired infection2.025 (1.314–3.120)0.001
Nonrenal organ failure
 Systolic heart failure2.754 (1.293–5.866)0.009
Comorbid disease
 Malignancy 1.748 (1.050–2.911)0.032
 Heart function IV2.242 (1.114–4.516)0.024
 APACHE II score 1.092 (1.059–1.129)<0.0011.072 (1.037–1.109)<0.001
 SOFA score1.090 (1.046–1.135)<0.0010.952 (0.889–1.020)0.160
Mechanical ventilation
 Patients on mechanical ventilation2.703 (1.543–4.737)0.001
 Duration on mechanical ventilation1.136 (1.071–1.206)<0.0011.080 (1.008–1.158)0.03
Fluid management
 Daily fluid balance (mL/24 h)1.000 (1.000–1.001)0.001
Hemodynamic data
 Duration for MAP < 65 mmHg1.195 (1.083–1.319)<0.0011.149 (1.032–1.279)0.011
Vasoactive agents
 Vasopressors1.211 (1.126–1.302)<0.0011.082 (0.985–1.188)0.102
RRT
 Need for RRT (%)1.825 (1.180–2.822)0.007
 Time until RRT started (days)1.261 (1.146–1.388)<0.0011.238 (1.115–1.374)<0.001
Worst KDIGO
 Stage 1 (%)0.379 (0.216–0.665)0.001
 Stage 2 (%)0.625 (0.384–1.019)0.060
 Stage 3 (%)2.645 (1.718–4.073)<0.0011.466 (0.822–2.613)0.195
Progress KDIGO class
 Progressive AKI 3.341 (2.039–5.475)<0.0013.374 (1.918–5.933)<0.001

OR: odd ratio; APACHE II score, first 24 h in ICU; SOFA score, first 24 h in ICU.