Table 2. Multivariable regression for predictors of AKI and hemodialysis use in AMI-CS.
Total cohort (N = 440,257) |
Acute kidney injury | Hemodialysis Use | |||||||
---|---|---|---|---|---|---|---|---|---|
OR | 95 CI | P | OR | 95 CI | P | ||||
LL | UL | LL | UL | ||||||
Age group (years) | 19–49 | Reference category | Reference category | ||||||
50–59 | 1.07 | 1.03 | 1.11 | <0.001 | 1.03 | 0.94 | 1.13 | 0.47 | |
60–69 | 1.07 | 1.02 | 1.11 | 0.002 | 0.80 | 0.73 | 0.88 | <0.001 | |
70–79 | 1.20 | 1.15 | 1.25 | <0.001 | 0.79 | 0.71 | 0.88 | <0.001 | |
≥80 | 1.26 | 1.20 | 1.32 | <0.001 | 0.51 | 0.45 | 0.56 | <0.001 | |
Female sex | 0.73 | 0.72 | 0.74 | <0.001 | 0.88 | 0.85 | 0.92 | <0.001 | |
Race | White | Reference category | Reference category | ||||||
Black | 1.29 | 1.25 | 1.33 | <0.001 | 1.25 | 1.17 | 1.34 | <0.001 | |
Hispanic | 1.10 | 1.07 | 1.13 | <0.001 | 1.43 | 1.35 | 1.52 | <0.001 | |
Asian | 1.13 | 1.08 | 1.18 | <0.001 | 1.38 | 1.26 | 1.51 | <0.001 | |
Native American | 0.97 | 0.87 | 1.08 | 0.57 | 1.54 | 1.24 | 1.91 | <0.001 | |
Others | 1.07 | 1.03 | 1.12 | <0.001 | 1.32 | 1.21 | 1.44 | <0.001 | |
Primary payer | Medicare | Reference category | Reference category | ||||||
Medicaid | 1.08 | 1.04 | 1.12 | <0.001 | 1.17 | 1.08 | 1.26 | <0.001 | |
Private | 0.93 | 0.91 | 0.95 | <0.001 | 1.04 | 0.98 | 1.09 | 0.21 | |
Uninsured | 0.86 | 0.82 | 0.89 | <0.001 | 0.79 | 0.71 | 0.87 | <0.001 | |
No Charge | 1.13 | 1.01 | 1.26 | 0.03 | 1.36 | 1.07 | 1.73 | 0.01 | |
Others | 0.95 | 0.90 | 1.00 | 0.06 | 1.05 | 0.93 | 1.19 | 0.39 | |
Quartile of median household income |
0-25th | Reference category | Reference category | ||||||
26th-50th | 1.02 | 1.00 | 1.04 | 0.07 | 1.05 | 1.00 | 1.11 | 0.07 | |
51st-75th | 1.02 | 1.00 | 1.05 | 0.04 | 1.02 | 0.97 | 1.08 | 0.37 | |
75th-100th | 0.98 | 0.96 | 1.00 | 0.11 | 1.00 | 0.94 | 1.06 | 0.93 | |
Hospital teaching status and location |
Rural | Reference category | Reference category | ||||||
Urban Non-Teaching | 1.30 | 1.26 | 1.35 | <0.001 | 1.39 | 1.25 | 1.54 | <0.001 | |
Urban Teaching | 1.59 | 1.54 | 1.64 | <0.001 | 1.80 | 1.62 | 2.00 | <0.001 | |
Hospital bed-size | Small | Reference category | Reference category | ||||||
Medium | 0.97 | 0.94 | 1.00 | 0.05 | 1.03 | 0.94 | 1.11 | 0.55 | |
Large | 1.08 | 1.05 | 1.11 | <0.001 | 1.33 | 1.24 | 1.44 | <0.001 | |
Hospital region | Northeast | Reference category | Reference category | ||||||
Midwest | 0.95 | 0.93 | 0.98 | <0.001 | 1.08 | 1.01 | 1.15 | 0.02 | |
South | 0.99 | 0.97 | 1.02 | 0.57 | 0.89 | 0.85 | 0.94 | <0.001 | |
West | 0.98 | 0.96 | 1.00 | 0.10 | 1.33 | 1.25 | 1.41 | <0.001 | |
Charlson Comorbidity Index | 0–3 | Reference category | Reference category | ||||||
4–6 | 1.80 | 1.75 | 1.85 | <0.001 | 1.94 | 1.81 | 2.08 | <0.001 | |
≥ 7 | 3.12 | 3.02 | 3.23 | <0.001 | 3.89 | 3.60 | 4.21 | <0.001 | |
Acute organ dysfunction | Respiratory | 1.55 | 1.52 | 1.58 | <0.001 | 1.35 | 1.29 | 1.40 | <0.001 |
Hepatic | 4.24 | 4.11 | 4.37 | <0.001 | 2.71 | 2.59 | 2.83 | <0.001 | |
Hematologic | 1.53 | 1.49 | 1.57 | <0.001 | 2.01 | 1.92 | 2.10 | <0.001 | |
Metabolic | 2.25 | 2.20 | 2.29 | <0.001 | 1.75 | 1.68 | 1.83 | <0.001 | |
Neurologic | 1.39 | 1.36 | 1.42 | <0.001 | 1.12 | 1.07 | 1.18 | <0.001 | |
Cardiac arrest | 0.90 | 0.88 | 0.91 | <0.001 | 0.84 | 0.81 | 0.88 | <0.001 | |
Coronary angiography | 0.81 | 0.79 | 0.82 | <0.001 | 1.01 | 0.96 | 1.06 | 0.75 | |
Percutaneous coronary intervention | 0.76 | 0.75 | 0.78 | <0.001 | 0.70 | 0.67 | 0.73 | <0.001 | |
Invasive hemodynamic assessment | 1.33 | 1.30 | 1.35 | <0.001 | 1.31 | 1.26 | 1.37 | <0.001 | |
Mechanical circulatory support | 1.08 | 1.06 | 1.10 | <0.001 | 1.09 | 1.04 | 1.13 | <0.001 | |
Invasive mechanical ventilation | 1.20 | 1.17 | 1.22 | <0.001 | 1.97 | 1.89 | 2.06 | <0.001 |
Abbreviations: AKI: acute kidney injury; AMI: acute myocardial infarction; CI: confidence interval; CS: cardiogenic shock; LL: lower limit; OR: odds ratio; UL: upper limit