Table 3.
Outcome | Balanced Crystalloids (N = 6708) | Saline (N = 6639) | Adjusted Odds Ratio (95% CI)* | Adjusted P Value |
---|---|---|---|---|
Median hospital-free days to day 28 (IQR) | 25 (22–26) | 25 (22–26) | 0.98 (0.92–1.04) | 0.41 |
Major adverse kidney event within 30 days — no. (%) | 315 (4.7) | 370 (5.6) | 0.82 (0.70–0.95) | 0.01 |
Death — no. (%) | 94 (1.4) | 102 (1.5) | 0.89 | |
New renal-replacement therapy — no./total no. (%)† | 18/6582 (0.3) | 31/6530 (0.5) | 0.56 | |
Final serum creatinine ≥200% of baseline — no./total no. (%)† | 253/6582 (3.8) | 293/6530 (4.5) | 0.84 | |
Stage 2 or higher acute kidney injury — no./total no. (%)† | 528/6582 (8.0) | 560/6530 (8.6) | 0.91 (0.80–1.03) | 0.14 |
In-hospital death — no. (%) | 95 (1.4) | 105 (1.6) | 0.88 (0.66–1.16) | 0.36 |
Multivariable models were adjusted for age, sex, race, admitting service, and time (days since trial initiation).
Patients with end-stage renal disease who were receiving long-term renal-replacement therapy at the time of emergency department arrival (126 in the balanced-crystalloids group and 109 in the saline group) were not eligible for the following outcomes: new renal-replacement therapy within 30 days, final serum creatinine concentration within 30 days at least 200% of the baseline value, and stage 2 or higher acute kidney injury.