Table 1B.
Kashani et al., 201311 | Malhotra et al., 201713 | Flechet et al., 201714# | |
---|---|---|---|
| |||
Demographics and comorbidities | |||
| |||
Agea | X | X | |
Gender | |||
Race | |||
BMI >30 kg/m2 | |||
Baseline SCr | X | ||
CKDb | X | X | |
Diabetes mellitus | X | X | |
Hypertension | X | X | |
Congestive heart failure | X | ||
Chronic liver disease | X | X | |
Chronic lung disease | |||
Cardiovascular disease | X | ||
Cancer | |||
HIV | |||
Drug abuse | |||
| |||
Acute severity-of-illness variables | |||
| |||
Planned vs unplanned ICU admission | X | ||
Surgical vs medical | X | ||
Major surgery | |||
Sepsis | X | X | X |
Burns or trauma | |||
Mechanical ventilation | X | ||
Serum albumin | |||
Anemiac | X | ||
Nephrotoxin exposured | X | X | |
IV or IA radiocontrast exposure | |||
Blood pH ≤7.30 | X | ||
Blood glucose on ICU admission | X | ||
Hemodynamic supporte | X | ||
SCr at time of enrollment/ICU Day 1 | X | X | |
APACHE II or III score on Day 1 | X | X | |
Serum lactate on Day 1 | X | ||
Serum bilirubin on Day 1 | X | ||
Total hours in ICU on Day 1 | X |
Blue and red boxes indicate variables that were assessed and were (blue) or were not (red) significant predictors of AKI in the final model; white boxes indicate that the variable was not assessed in the study. “X” denotes that the clinical parameter was included in the final model.
APACHE = Acute Physiologic Assessment and Chronic Health Evaluation; BMI = body mass index; CKD = chronic kidney disease; HIV = human immunodeficiency virus; IA = intra-arterial; ICU = intensive care unit; IV = intravenous; SCr = serum creatinine.
Based on “Day 1 model” only.
Age >70 years (Malhotra et al.); used as a continuous variable in the other 2 studies.
Recorded from the patient’s medical history (Kashani et al.); defined as eGFR <60 ml/min/1.73m2, calculated using the CKD Epidemiology Collaboration equation (Malhotra et al.).
Hematocrit <30% (Kashani et al.); Hemoglobin <9 mg/dL or hematocrit <27% (Malhotra et al.).
Exposure to any of the following drugs within 5 days prior to and including the day of enrollment: NSAIDs, ACE inhibitors, Angiotensin II receptor blockers, calcineurin inhibitors, beta-lactam antibiotics, aminoglycosides, vancomycin, acyclovir, amphotericin, allopurinol, colistin (Kashani et al.); exposure within 7 days prior to ICU admission to IV or IA radiocontrast, ≥3 nephrotoxins (amphotericin, aminoglycosides, chemotherapy, anti-retroviral drugs, or NSAIDs), or ≥3 days of aminoglycosides (Malhotra et al.); exposure to nephrotoxins as a category was not evaluated by Flechet et al., but the following individual medication exposures during the first day of ICU stay were examined, and none was a significant predictor of AKI in the final model: vancomycin, aminoglycosides, anti-retrovirals, beta-lactam antibiotics, diuretics, calcineurin inhibitors, antifungals, NSAIDs, ACE inhibitors, and IV or IA radiocontrast.
Hypotension (MAP <70 mmHg) within five days prior to and including the day of enrollment (Kashani et al.); MAP <70 mmHg or use of any vasopressor (Malhotra et al.); mechanical or pharmacological hemodynamic support (Flechet et al.).