Table 3. Risk-adjusted association between acute and chronic kidney disease and hospital and ninety-day mortality.
Variables | Hospital mortality Adjusted Odds Ratio (95% Confidence Interval) | Ninety-day mortality Adjusted Odds Ratio (95% Confidence Interval) |
---|---|---|
No known kidney disease | 1 (Reference) | 1 (Reference) |
Acute Kidney Injury without chronic kidney disease | 3.62 (1.9, 6.87)* | 2.21 (1.49, 3.28)* |
Acute kidney injury with chronic kidney disease | 2.93 (1.38, 6.23)* | 1.8 (1.07, 3.04)* |
Chronic kidney disease with no acute kidney injury | 2.28 (0.94, 5.53) | 2.09 (1.17, 3.72)* |
Female gender (vs. male) | 1.1 (0.79, 1.54) | 1.11 (0.85, 1.44) |
Age, per 1-year increase | 1.04 (1.02, 1.06)* | 1.05 (1.03, 1.06)* |
Charlson Comorbidity Index Score, per unit increase | 1.23 (1.1, 1.38)* | 1.25 (1.15, 1.36)* |
Emergent surgery (vs. Elective) | 1.99 (1.43, 2.77)* | 2.56 (1.97, 3.33)* |
Estimated glomerular filtration rate | 0.99 (0.99, 1)* | 0.99 (0.99, 1) |
Postoperative Complications | ||
Pulmonary complications and/or mechanical ventilation (vs. None) | 5.06 (2.42, 10.56)* | 1.68 (1.17, 2.4)* |
Cardiovascular complications and/or need for vasopressors (vs. None) | 9.83 (5.13, 18.86)* | 2.53 (1.83, 3.51)* |
Procedural complications (vs. None) | 1.98 (1.39, 2.82)* | 1.74 (1.28, 2.35)* |
Infectious complications (vs. None)† | 3.26 (2.32, 4.58)* | 2.45 (1.8, 3.32)* |
Other complications (vs. None)‡ | 1.77 (1.26, 2.48)* | 1.94 (1.47, 2.56)* |
p-value<0.05.
Infectious complications include severe sepsis and mechanical wound complications and/or surgical infections.
Other complications include neurological complications, delirium, gastrointestinal complications and venous thromboembolism. Area under the receiving operating characteristics curves are 0.92 (95% confidence interval 0.91-0.93), and 0.85 (95% confidence interval 0.82- 0.87) for hospital and ninety-day mortality, respectively.