Table 1.
AKI n=6 | No AKI n=33 | P value | |
---|---|---|---|
Demographic findings | |||
Age, years | 43 (29–62) | 46 (28–69) | 0.89 |
Male gender | 3 (50 %) | 30 (91 %) | <0.05 |
Ethnicity | 1.00 | ||
Caucasian | 2 (33 %) | 9 (27 %) | 1.00 |
African | 4 (67 %) | 22 (67 %) | 1.00 |
Asian | 0 (0 %) | 2 (6 %) | 1.00 |
Adequate prophylaxis use | 0 (0 %) | 0 (0 %) | 1.00 |
Symptoms ≥8 days | 2 (33 %) | 6 (19 %) | 0.58 |
Nephrotoxic co-medicationa | 1 (17 %) | 4 (12 %) | 1.00 |
Clinical findings | |||
Temperature °C | 39.5 (38.3–40.1) | 38.4 (35.5–40.7) | 0.11 |
Systolic blood pressure, mmHg | 100 (73–140) | 125 (95–170) | 0.08 |
Pulse rate beats/minute | 111 (100–140) | 95 (56–129) | <0.05 |
Glasgow coma scale | 15 (15–15) | 15 (11–15) | 0.54 |
Laboratory findings | |||
Creatinine, µmol/L | 196 (77–1081) | 96 (39–133) | <0.01 |
Urea, mmol/L | 14.8 (9.1–55.8) | 5.6 (2.7–33.6) | <0.001 |
Sodium, mmol/L | 129 (120–136) | 137 (127–141) | <0.01 |
Potassium, mmol/L | 3.2 (2.9–3.9) | 3.7 (3.3–4.5) | <0.05 |
Lactate, mmol/L | 4.5 (1.9–5.8) | 1.5 (0.6–4.6) | <0.001 |
Parasitaemia, parasites/µL | 386,600 (45,900–1,380,600) | 39,200 (64–678,400) | <0.05 |
sNGAL, ng/ml | 700 (174–2287) | 91 (19–204) | <0.001 |
uNGAL, ng/ml | 5792 (376–22,028) | 9 (1–240) | <0.001 |
uKIM-1, ng/ml | 3.9 (1.8–7.8) | 1.2 (0.1–8.7) | <0.01 |
uNGAL/ sNGAL | 10.1 (0.4–25.1) | 0.1 (0.0–2.6) | <0.001 |
uNGAL/uCreatinine | 815.0 (5.4–2172.7) | 0.8 (0.1–42.5) | <0.001 |
uKIM-1/uCreatinine | 0.04 (0.02–0.08) | 0.1 (0.0–2.9) | 0.04 |
Concomitant bacterial infection | 1 (17 %) | 0 (0 %) | 0.15 |
Outcome | |||
Severe malaria (WHO 2014) | 5 (83 %) | 5 (15 %) | <0.01 |
Renal replacement therapy | 3 (50 %) | 0 (0 %) | <0.01 |
ICU admission | 4 (67 %) | 4 (12 %) | <0.05 |
Death | 1 (17 %) | 0 (0 %) | 0.15 |
Continuous variables are given as median (range). Nominal variables are given as number (percentage)
P values <0.05 are considered significant
aSelf-reported use of non-steroidal anti-inflammatory drugs (NSAIDs), ACE-inhibitors, diuretics or lithium