Table 4.
Incidence rates and odds ratios for PPI use and risk of acute kidney injury
AKI Cohort | Propensity-Matched AKI Cohort | |||
---|---|---|---|---|
PPI Users (n = 16,593) |
PPI Nonusers (n = 76,742) |
PPI Users (n = 13,889) |
PPI Nonusers (n = 13,889) |
|
Number of events (%) | 148 (0.89) | 67 (0.09) | 115 (0.83) | 29 (0.21) |
Incident rate per 1000 person-years | 36.4 | 3.54 | 33.7 | 8.48 |
Odds Ratio (95% CI) |
p value |
Odds Ratio (95% CI) |
p value |
|
Unadjusted PPI use vs. no PPI use | 10.3 (7.71 – 13.8) | <0.0001 | 3.99 (2.65 – 6.00) | <0.0001 |
PPI use vs. no PPI use | 4.35 (3.14 – 6.04) a | <0.0001 | 3.93 (2.61– 5.93)b | <0.0001 |
Abbreviations: AKI, acute kidney injury; PPI, proton pump inhibitors; CI, confidence interval; ACE, angiotensin-converting enzyme; ARBs, angiotensin II receptor blockers; H2, histamine-2; NSAIDs, nonsteroidal anti-inflammatory drugs
Adjusted for age, diabetes, heart failure, hypertension, and use of fluoroquinolones, ACE inhibitors, ARBs, diuretics, and H2-receptor blockers
Adjusted for age, cerebrovascular disease, heart failure, hypertension, hyperlipidemia, and use of macrolides, tetracyclines, NSAIDs, and H2-receptor blockers