Table 1.
Variables | No known kidney disease (n=28644, 56%) | Acute kidney injury without chronic kidney disease (n=16854, 33%) | Acute kidney injury with chronic kidney disease (n=3171, 6%) | Chronic kidney disease without acute kidney injury (n=853, 2%) | End stage renal disease (n=1935, 4%) |
---|---|---|---|---|---|
Age (years), Mean (SD) | 53 (17) | 57 (17)a | 62 (15)a | 65 (16)a | 53 (15) |
Age >=65 years, n (%) | 7864 (27) | 6326 (38)a | 1491 (47)a | 493 (58)a | 481 (25) |
Female sex, n (%) | 15012 (52) | 7658 (45)a | 11224 (39)a | 415 (49) | 811 (42)a |
African-American ethnicity, n (%) | 3345 (12) | 1859 (11) | 591 (19)a | 118 (14) | 671 (35)a |
Rural area residency, n (%) | 9277 (32) | 5311 (32) | 1008 (32) | 274 (32) | 534 (28)a |
Distance from residing neighborhood to hospital (km), Median (25th,75th) | 52 (23, 117) | 56 (27, 120)a | 57 (27, 120) | 49 (23, 118) | 76 (28, 171) |
Population living in poverty in residing neighborhood, % (SD) | 14.9 (8.4) | 14.6 (8.1)a | 15.0 (8.4) | 14.7 (8.1) | 15.4 (8.6)a |
Primary Insurance, n (%) | |||||
Medicare | 9310 (33) | 7173 (43)a | 1897 (60)a | 560 (66)a | 1280 (66)a |
Medicaid | 3835 (13) | 2233 (13) | 307 (10)a | 74 (9)a | 133 (7)a |
Private | 12972 (45) | 6343 (38)a | 879 (28)a | 204 (24) a | 510 (26)a |
Uninsured | 2527 (9) | 1105 (7)a | 88 (3)a | 15 (2)a | 12 (1)a |
Emergent surgery, n (%) | 10543 (37) | 9545 (57)a | 1909 (60)a | 318 (37) | 1276 (66)a |
Weekend admission, n (%) | 3175 (11) | 2940 (17)a | 533 (17)a | 89 (10) | 378 (20)a |
Charlson-Deyo Comorbidity Score, n (%) | |||||
0 | 13297 (46) | 4782 (28)a | 267 (8)a | 141 (17)a | 5 (0.3)a |
1 | 5420 (19) | 3932 (23)a | 386 (12)a | 107 (13)a | 8 (0.4)a |
2 | 4898 (17) | 3534 (21)a | 688 (22)a | 185 (22)a | 643 (33)a |
>=3 | 5029 (18) | 4606 (27)a | 1830 (58)a | 420 (49)a | 1279 (66)a |
Comorbidities, n (%) | |||||
Hypertension | 10953 (38) | 7386 (44)a | 1781 (56)a | 550 (64)a | 1184 (61)a |
Cancer | 5901 (21) | 3553 (21) | 455 (14)a | 171 (20) | 72 (4)a |
Diabetes | 3956 (14) | 2863 (17)a | 968 (31)a | 268 (31)a | 728 (38)a |
Chronic Pulmonary Disease | 3962 (14) | 3247 (19)a | 694 (22)a | 165 (19)a | 235 (12) |
Peripheral Vascular Disease | 2427 (8) | 2558 (15)a | 696 (22)a | 168 (20)a | 218 (11)a |
Cerebrovascular Disease | 1786 (6) | 1945 (12)a | 315 (10)a | 76 (9)a | 119 (6) |
Congestive Heart Failure | 984 (3) | 1931 (11)a | 787 (25)a | 128 (15)a | 274 (14)a |
Myocardial Infarction | 1276 (4) | 1451 (9)a | 380 (12)a | 99 (12)a | 170 (9)a |
Liver Disease | 871 (3) | 1209 (7)a | 312 (10)a | 29 (3) | 104 (5)a |
Surgery Type, n (%) | |||||
Cardiothoracic Surgery | 2354 (8) | 3329 (20)a | 842 (27)a | 114 (13)a | 251 (13)a |
Neurologic Surgery | 5667 (20) | 2340 (14)a | 240 (8)a | 112 (13)a | 63 (3)a |
Non-Cardiac General Surgery | 5901 (22) | 3799 (23)a | 646 (20) | 196 (23) | 439 (23) |
Specialty Surgeriesb | 10733 (37) | 3469 (21)a | 613 (19)a | 350 (41) | 120 (6)a |
Other Surgeriesc | 3989 (14) | 3917 (23)a | 830 (26)a | 81 (10)a | 1062 (55)a |
Admission Hemoglobin, g/dL, n (%) | |||||
Missing | 10371 (36) | 3268 (19)a | 564 (18)a | 291 (34) | 374 (19)a |
<10 | 3201 (11) | 3320 (20)a | 813 (26)a | 146 (17)a | 355 (18)a |
[10,12) | 5912 (21) | 4438 (26)a | 962 (30)a | 238 (28)a | 589 (30)a |
>=12 | 9160 (32) | 5828 (35) | 832 (26)a | 178 (21)a | 617 (32) |
Chronic Kidney Disease, n (%) | |||||
Mild to moderate (eGFR≥30 ml/min per 1.73m2) | NA | NA | 2022 (64) | 787 (92) | NA |
Severe (eGFR<30 ml/min per 1.73m2) | NA | NA | 1149 (36)d | 66 (8) | NA |
Abbreviations. SD, standard deviation; eGFR, estimated glomerular filtration rate.
p-value <0.05 for comparison with respect to no known kidney disease group using Bonferroni adjustment.
Specialty surgeries include orthopedic, gynecological, ear-nose-throat, urology and plastic surgeries.
Other surgeries include trauma, burn and transplant surgeries.
p-value <0.05 for comparison with respect to mild to moderate chronic kidney disease group.