Table 3.
Ref. | Type | Patient No.a | %WRNb | Mean INRc | Mean SCr increase, mg/dl | ↑ CKD Progression | ↑ Mortality in WRN | ||
---|---|---|---|---|---|---|---|---|---|
WRN | No WRN | WRN | No WRN | ||||||
Brodsky et al.1 | R | 49 | 37 | 4.91±3.1 | 4.21±1.3 | 0.61±0.44 | 0.04±0.19 | Yes | ND |
Brodsky et al.13 | R | 4006 | 20.5 | 4.44±2.46 | 4.15±2.15 | 1.13±1.01 | 0.09±0.56 | Yes | Yes |
Lim and Campbell30 | P | 150 | 63d | Mean ∆ 4.8±2.2e | NR | NR | NR | NR | |
An et al.31 | R | 1297 | 19.3 | 4.19±1.56 | 3.82±1.14 | 0.81±0.94 | −0.05±0.29 | Yes | Yes |
Berger et al.32 | R | 25Wf | 42 | NR | NR | 39.9±10g | NR | NR | Yes |
15Dh | 53 | NR | NR | NR | Yes |
WRN, warfarin-related nephropathy; IRN, international normalized ratio; SCr, serum creatinine; R, retrospective; ND, not done; P, prospective; NR, not reported; W, warfarin; D, dabigatran.
Number of patients with acute increase in INR>3.0 and SCr measured within 1 week of INR>3.0.
Percentage of patients with INR>3.0 who developed AKI on the basis of the AKIN criteria (see text). D-treated patients are reported as the percentage of patients with AKI (27).
At the discovery of AKI.
This study reported that 30.7% of the warfarin-treated patients developed AKI. However, of those with INR>3.0, 63% developed AKI. That is the value reported here, because it conforms to the criteria for WRN used in the other four studies.
The INRs of the AKI and no AKI groups were not reported separately, but the mean difference between the group was reported as NS (P=0.34).
Number of patients with coagulopathy attributed to warfarin therapy.
Reported as percentage changes from baseline.
Number of patients with coagulopathy attributed to D therapy.