Research Article

Metabolic Acidosis and Strong Ion Gap in Critically Ill Patients with Acute Kidney Injury

Table 1

Characteristics of the ICU patients with metabolic acidosis.

Nonacute kidney injury (n = 38)Acute kidney injury (n = 40)P

Age (y)67.3 ± 10.472.5 ± 17.90.120
Sex (M : F)*18 : 2022 : 180.5
WBC count13152 ± 436417496 ± 106640.022
Hct33.71 ± 5.5232.28 ± 6.940.319
BUN42.1 ± 18.691.7 ± 54.8<0.0001
Cr2.16 ± 0.915.73 ± 3.46<0.0001
Glucose213 ± 194276.7 ± 257.00.219
Uric acid7.39 ± 2.709.82 ± 3.560.001
Lactate63.3 ± 42.267.3 ± 61.70.743
albumin2.89 ± 0.572.95 ± 0.600.650
Bilirubin2.02 ± 2.221.75 ± 2.580.623
Na (meq/L)139.41 ± 4.8142.03 ± 10.050.150
K (meq/L)4.39 ± 0.775.04 ± 1.590.024
Cl (meq/L)108.7 ± 6.4104.4 ± 10.90.036
Ca (meq/L)8.3 ± 0.57.8 ± 1.20.023
Mg (meq/L)2.43 ± 0.482.81 ± 0.840.017
Phosphate (meq/L)5.2 ± 1.47.2 ± 3.40.001
pH7.219 ± 0.1107.195 ± 0.1520.417
PaCO231.96 ± 5.7231.71 ± 11.140.903
PaO2174.79 ± 92.57121.63 ± 61.660.004
HCO314.73 ± 2.9212.89 ± 4.660.041
SBE−11.68 ± 3.88−13.68 ± 6.310.098
APA II24.3 ± 4.732.1 ± 7.2<0.0001
APA IV98 ± 17.7112.5 ± 30.40.013
aSID28.70 ± 4.9434.75 ± 7.61<0.0001
SIG10.62 ± 3.2017.15 ± 7.63<0.0001
AG15.63 ± 5.0120.42 ± 9.510.007
CAG11.65 ± 4.9615.87 ± 9.210.015

Chi-square test.