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. Author manuscript; available in PMC: 2017 Dec 1.
Published in final edited form as: J Clin Pharmacol. 2016 Sep 12;56(12):1500–1506. doi: 10.1002/jcph.805

Table II.

Association of Proton Pump Inhibitor Use with subsequent Risk of Acute Kidney Injury

Model Odds Ratio (95% confidence interval), p value
No acid suppressive medications Proton Pump Inhibitors Histamine Receptor Antagonists
Unadjusted
Ref. 1.28
1.17–1.41
p<0.001
1.10
0.91–1.30
p=0.31
Adjusted
Model 1. Demographics Ref. 1.20
1.08–1.31
p<0.001
1.03
0.85–1.22
p=0.78
Model 2. Model 1+ cardiovascular comorbidities Ref. 1.14
1.03–1.25
p=0.01
0.98
0.82–1.17
p=0.86
Model 3. Model 2 + possible clinical indications for PPI use Ref. 1.10
1.00–1.21
p=0.05
0.98
0.81–1.17
p=0.80
Model 4. Model 3 + severity of illness Ref. 1.04
0.94–1.15
p=0.46
0.94
0.78–1.14
p=0.57
Model 5. Model 4 + outpatient medication use Ref. 1.02
0.91–1.13
p=0.73
0.94
0.78–1.15
p=0.59

Model 1. Adjusted for age, sex, race (n=15,044)

Model 2 Adjusted for mode 1 plus admission intensive care unit type, history of diabetes, congestive heart failure, cardiac arrhythmia, hypertension or pulmonary circulation. (n=15,024)

Model 3. Adjusted for model 2 plus history liver disease, peptic ulcer disease, alcohol abuse, weight loss, obesity and metastatic cancer (n=15,024)

Model 4. Adjusted for model 3 plus admission systolic blood pressure, diastolic blood pressure, heart rate, glucose, white blood cell count, hemoglobin, and platelet count. (n=13,305)

Model 5. Adjusted for model 4 plus use of diuretics, ace inhibitor, angiotensin receptor blocker, and statins. (n=13,209)