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. Author manuscript; available in PMC: 2015 Nov 3.
Published in final edited form as: Am J Kidney Dis. 2014 Nov 5;65(4):592–602. doi: 10.1053/j.ajkd.2014.10.015

Table 2.

Comparisons of clinical and pathological kidney failure etiologies by baseline kidney function classification among incident hemodialysis patients with in-hospital renal replacement therapy initiation.

Clinical and pathological diagnoses of kidney failure by baseline kidney function classification*
All
(n=281)
Acute Kidney
Injury
(n=42)
Acute on CKD
(n=155)
CKD stage 5
(n=56)
Acuity Unknown
(n=28)
Acute clinical and pathological etiologies#
Infection/Sepsis 56 (20%) 13 (31%) 39 (25%) 2 (4%) 2 (7%)
Postoperative 33 (12%) 8 (19%) 22 (14%) 3 (4%) 0 (0%)
Glomerulonephritis/Tubulointerstitial nephritis 30 (11%) 7 (17%) 17 (11%) 2 (4%) 4 (14%)
Drugs 16 (6%) 5 (12%) 8 (5%) 2 (4%) 1 (4%)
Other/Unknown 76 (27%) 9 (21%) 48 (31%) 9 (16%) 10 (36%)
None 70 (25%) 0 (0%) 21 (14%) 38 (68%) 11 (39%)

Chronic clinical and pathological etiologies#
Diabetes 77 (27%) 2 (5%) 46 (30%) 23 (41%) 6 (21%)
Hypertension 21 (7%) 0 (0%) 6 (4%) 10 (18%) 5 (18%)
Glomerulonephritis/Tubulointerstitial nephritis 37 (13%) 2 (5%) 22 (14%) 10 (18%) 3 (11%)
Polycystic kidney disease 5 (2%) 0 (0%) 2 (1%) 3 (5%) 0 (0%)
Refractory acute tubular necrosis 5 (2%) 2 (5%) 3 (2%) 0 (0%) 0 (0%)
Failing kidney transplant 19 (7%) 0 (0%) 16 (10%) 2 (4%) 1 (4%)
Other/Unknown 57 (20%) 3 (7%) 40 (26%) 8 (14%) 6 (21%)
None 60 (21%) 33 (79%) 20 (13%) 0 (0%) 7 (25%)
*

Baseline kidney function classifications include: Acute kidney injury (baseline eGFR ≥60 mL/min/1.73m2); Acute on chronic kidney disease (baseline eGFR≥15 and <60); Chronic kidney disease stage 5 (baseline eGFR <15); Acuity unknown (baseline eGFR unknown). CKD: chronic kidney disease; eGFR: estimated glomerular filtration rate calculated from the CKD-Epi equation.

#

Patients could have either acute, chronic, or both (acute and chronic) clinical and pathological etiologies for kidney injury.