Research Article

Degree of Acute Kidney Injury before Dialysis Initiation and Hospital Mortality in Critically Ill Patients

Table 1

Baseline characteristics in AKI requiring dialysis patients by groups of severity of injury before dialysis initiation.

Risk factors in AKI requiring dialysisGroup IGroup IIGroup IIIGroup IVP value
(N, 2,744)N = 1,006%N = 574%N = 856%N = 308%

Gender 0.010
 Male (N, 2,694; 98.2%)98.498.498.695.7
 Female (N, 50; 1.8%)1.61.61.44.3
Age0.014
 <39 years (N, 29; 1%)0.90.91.01.9
 40 to 59 years (N, 869; 31.7%)32.828.929.239.9
 60 to 79 years (N, 1,525; 55.6%)55.156.658.547.1
 >80 years (N, 321; 11.7%)11.213.611.223.7
Race <0.0001
 White (N, 1,701; 61.2%)56.659.26564.9
 Black (N, 627; 22.8%)29.726.821.123.7
 Other (N, 416; 15.2%)13.713.913.911.4
Creatinine* (mg/dL)
2.3 (1.4–3.1)
3.0 (2.4–3.6)2.2 (1.7–2.8)1.3 (1.0–1.7)3.0 (2.2–3.7)<0.0001
BUN* (mg/dL)
34 (20–56)
47 (29–68)38 (25–52)21 (14–30)52 (30–78)<0.0001
CHF (N, 415; 15.1%)19.313.111.715.3<0.0001
Cardiac arrhythmias (N, 457; 16.6%)15.518.316.717.20.545
Peripheral circulation disorders
(N, 203; 7.4%)
5.68.710.52.3<0.0001
Hypertension (N, 284; 10.3%)8.710.411.2130.122
Chronic pulmonary disease
(N, 445; 16.22%)
17.615.814.816.20.446
Diabetes (uncomplicated)
(N, 478; 17.4%)
1919.313.320.10.0020
Diabetes (complicated)
(N, 228; 8.3%)
11.48.54.19.4<0.0001
Renal failure (N, 484; 17.6%) 22.320.911.313.4<0.0001
Liver disease (N, 255; 9.3%)11.57.77.410.40.0073
Solid tumors—no metastasis
(N, 207; 7.5%)
5.78.4105.20.0013
Coagulopathy (N, 444; 16.2%)15.716.516.914.90.815
Fluid and electrolyte disorders (N, 887; 32.3%)31.33028.750<0.0001

Groups based on creatinine elevation before dialysis initiation: I: 0.3 mg/dL to <2 times increase in creatinine; II: 2 to <3 times increase; III: >3 times increase; IV: <0.3 mg/dL increase; *creatinine and blood urea nitrogen values: median and interquartile range; Chi-square tests and Kruskal-Wallis test.