Table 4.
Ninety-day Mortality | Hospital Cost | |||||
---|---|---|---|---|---|---|
Unadjusted odds ratio (95% CI) | Risk-adjusted odds ratio (95% CI) | Risk-adjusted mean % (95% CI) | Risk-adjusted relative cost ratio (95% CI) | Risk-adjusted incremental cost per patient (95% CI) | Risk-adjusted average cost per patient (95% CI) | |
No Kidney Disease | 1 (Reference) | 1 (Reference) | 5.8 (4.1, 7.5) | 1 (Reference) | 0 (Reference) | $39,200 ($37,800, $40,600) |
Acute Kidney Injury without Chronic Kidney Disease | 5.44 (3.85, 7.69)* | 2.21 (1.49, 3.28)* | 10.7 (9.3, 12.0)* | 1.23 (1.18, 1.29)* | $9,100 ($7,200, $11,000)* | $48,300 ($46,900, $49,600)* |
Acute Kidney Injury with Chronic Kidney Disease | 8.37 (5.53, 12.67)* | 1.80 (1.07, 3.04)* | 9.2 (6.9, 11.5)* | 1.49 (1.38, 1.60)* | $19,100 ($15,000, $23,100)* | $58,300 ($54,700, $61,800)* |
Chronic Kidney Disease without Acute Kidney Injury | 6.85 (4.39, 10.68)* | 2.09 (1.17, 3.72)* | 10.2 (7.1, 13.3)* | 1.23 (1.13, 1.33)* | $8,900 ($5,100, $12,700)* | $48,100 ($44,700, $51,500)* |
Abbreviations. CI, confidence interval.
The risk-adjusted ratios and means were derived using generalized linear models adjusted for age, gender, ethnicity, primary payer, Charlson Comorbidity Index, emergent surgery status, weekend admission, estimated GFR (glomerular filtration rate), and all postoperative complications.
P<0.05 using generalized linear models to compare to no known kidney disease group.