Research Article

A Simple Method to Detect Recovery of Glomerular Filtration Rate following Acute Kidney Injury

Table 2

AUC comparisons for detection of any decrease in plasma creatinine.

VariableDetection of any decrease in plasma creatinineDetection of >0.3 mg/dL decrease in plasma creatinine
AUC (95% CI) Optimal cutpoint compared with / (Bjornsson [6]) AUC (95% CI) Optimal cutpoint compared with / (Bjornsson [6])

(Bjornsson [6])0.70 (0.65 to 0.74)0.87na0.75 (0.67 to 0.84)1.12na
/ (Cockcroft and Gault [7])0.69 (0.65 to 0.74)0.890.180.75 (0.67 to 0.84)1.180.91
/ (Ix et al. [8])0.70 (0.65 to 0.74)0.830.920.75 (0.67 to 0.83)1.010.63
Urine output in first 4 h (mL)0.52 (0.47 to 0.57)271<0.00010.59 (0.50 to 0.68)2730.0002
Creatinine clearance (mL/h)0.59 (0.54 to 0.64)60<0.00010.50 (0.41 to 0.59)83<0.0001
Plasma creatinine on entry (mg/dL)0.59 (0.54 to 0.64)1.010.00560.83 (0.75 to 0.90)1.130.119
Absolute change in plasma creatinine from baseline (mg/dL)*0.62 (0.57 to 0.67)0.090.0500.83 (0.76 to 0.91)0.260.084
Relative change in plasma creatinine from baseline (%)*0.62 (0.57 to 0.67)110.0440.81 (0.74 to 0.89)370.196
(Bjornsson [6]) (mg/h)0.52 (0.47 to 0.58)53<0.00010.57 (0.48 to 0.66)490.004
(Cockcroft and Gault [7]) (mg/h)0.53 (0.47 to 0.58)44<0.00010.57 (0.48 to 0.66)470.003
(Ix et al. [8]) (mg/h)0.51 (0.45 to 0.56)50<0.00010.57 (0.48 to 0.65)540.003
: creatinine excretion (mg/h)0.68 (0.63 to 0.73)390.300.75 (0.67 to 0.83)560.89

Changes in plasma creatinine are between the preadmission baseline determined from clinical notes and the first creatinine measurement in the ICU.