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. 2019 Sep 18;14(9):e0222894. doi: 10.1371/journal.pone.0222894

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