Table 4. Subgroup analysis to investigate the strategies of ACEi/ARB usage and incidence of AKI in patients grouped by different causes of ICU admission and risk factors of AKI.
| Subgroup (event/subjects, %) | ACEi/ARB users vs. non-users | |||
| Crude HR | 95% CI | p effect | p interaction | |
| Overall (653/952, 68.6%) | 1.13 | 0.97-1.32 | 0.126 | |
| Acute respiratory failure | ||||
| No (424/668, 63.5%) | 1.13 | 0.94-1.37 | 0.200 | 0.907 |
| Yes (229/284, 80.6%) | 1.15 | 0.89-1.49 | 0.297 | |
| Hemodynamic instability | ||||
| No (481/754, 63.8%) | 1.08 | 0.90-1.29 | 0.400 | 0.425 |
| Yes (172/198, 86.9%) | 1.27 | 0.94-1.71 | 0.127 | |
| Major surgery | ||||
| No (507/668, 75.9%) | 1.19 | 1.00-1.42 | 0.048 | 0.286 |
| Yes (146/284, 51.4%) | 0.99 | 0.72-1.37 | 0.950 | |
| Acute heart failure | ||||
| No (540/788, 68.5%) | 1.16 | 0.98-1.37 | 0.095 | 0.588 |
| Yes (113/164, 68.9%) | 1.02 | 0.70-1.47 | 0.922 | |
| Massive bleeding | ||||
| No (559/840, 66.6%) | 1.13 | 0.96-1.34 | 0.146 | 0.938 |
| Yes (94/112, 83.9%) | 1.10 | 0.74-1.66 | 0.634 | |
| Sepsis | ||||
| No (319/537, 59.4%) | 1.02 | 0.82-1.27 | 0.850 | 0.128 |
| Yes (334/415, 80.5%) | 1.29 | 1.04-1.60 | 0.021 | |
| Nephrotoxins exposure | ||||
| No (585/869, 67.3%) | 1.11 | 0.94-1.30 | 0.227 | 0.447 |
| Yes (68/83, 81.9%) | 1.33 | 0.82-2.16 | 0.243 | |
| Hypotension (MAP < 65 mmHg or inotrope/vasopressor usage) | ||||
| No (153/292, 52.4%) | 0.95 | 0.69-1.30 | 0.735 | 0.190 |
| Yes (500/660, 75.8%) | 1.21 | 1.02-1.44 | 0.034 | |
| CKD (baseline eGFR < 60) | ||||
| No (311/463, 67.2%) | 1.18 | 0.95-1.48 | 0.142 | 0.486 |
| Yes (342/489, 69.9%) | 1.07 | 0.87-1.33 | 0.510 |
ACEi, angiotensin-converting enzyme inhibitor; AKI, acute kidney injury; ARB, angiotensin-receptor blocker; CI, confidence interval; CKD, chronic kidney disease; eGFR, estimated glomerular filtration rate; HR, hazard ratio; ICU, intensive care unit; MAP, mean arterial pressure.