Table 2.
Variable | Detection of any decrease in plasma creatinine | Detection of >0.3 mg/dL decrease in plasma creatinine | ||||
---|---|---|---|---|---|---|
AUC (95% CI) | Optimal cutpoint | P compared with E/eG (Bjornsson [6]) | AUC (95% CI) | Optimal cutpoint | P compared with E/eG (Bjornsson [6]) | |
E/eG (Bjornsson [6]) | 0.70 (0.65 to 0.74) | 0.87 | na | 0.75 (0.67 to 0.84) | 1.12 | na |
E/eG (Cockcroft and Gault [7]) | 0.69 (0.65 to 0.74) | 0.89 | 0.18 | 0.75 (0.67 to 0.84) | 1.18 | 0.91 |
E/eG (Ix et al. [8]) | 0.70 (0.65 to 0.74) | 0.83 | 0.92 | 0.75 (0.67 to 0.83) | 1.01 | 0.63 |
Urine output in first 4 h (mL) | 0.52 (0.47 to 0.57) | 271 | <0.0001 | 0.59 (0.50 to 0.68) | 273 | 0.0002 |
Creatinine clearance (mL/h) | 0.59 (0.54 to 0.64) | 60 | <0.0001 | 0.50 (0.41 to 0.59) | 83 | <0.0001 |
Plasma creatinine on entry (mg/dL) | 0.59 (0.54 to 0.64) | 1.01 | 0.0056 | 0.83 (0.75 to 0.90) | 1.13 | 0.119 |
Absolute change in plasma creatinine from baseline (mg/dL)* | 0.62 (0.57 to 0.67) | 0.09 | 0.050 | 0.83 (0.76 to 0.91) | 0.26 | 0.084 |
Relative change in plasma creatinine from baseline (%)* | 0.62 (0.57 to 0.67) | 11 | 0.044 | 0.81 (0.74 to 0.89) | 37 | 0.196 |
eG (Bjornsson [6]) (mg/h) | 0.52 (0.47 to 0.58) | 53 | <0.0001 | 0.57 (0.48 to 0.66) | 49 | 0.004 |
eG (Cockcroft and Gault [7]) (mg/h) | 0.53 (0.47 to 0.58) | 44 | <0.0001 | 0.57 (0.48 to 0.66) | 47 | 0.003 |
eG (Ix et al. [8]) (mg/h) | 0.51 (0.45 to 0.56) | 50 | <0.0001 | 0.57 (0.48 to 0.65) | 54 | 0.003 |
E: creatinine excretion (mg/h) | 0.68 (0.63 to 0.73) | 39 | 0.30 | 0.75 (0.67 to 0.83) | 56 | 0.89 |
*Changes in plasma creatinine are between the preadmission baseline determined from clinical notes and the first creatinine measurement in the ICU.