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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.