Table 5.
Univariate and multivariate logistic regression analyses of risk factors associated with the development of AKI
Variable | Unadjusted OR | 95% CI | P value | Adjusted ORa | 95% CI | P value |
---|---|---|---|---|---|---|
Age (yr) | 1.03 | 1.02–1.03 | <0.001 | 1.03 | 1.03–1.04 | <0.001b |
Male | 1.21 | 1.08–1.35 | 0.001 | 1.14 | 0.97–1.33 | 0.10 |
White race | Reference | Reference | Reference | Reference | Reference | Reference |
Asian | 0.84 | 0.68–1.04 | 0.11 | 0.83 | 0.61–1.12 | 0.23 |
Black | 0.93 | 0.80–1.08 | 0.32 | 1.23 | 1.01–1.50 | 0.04b |
Other/mixed | 0.81 | 0.71–0.93 | 0.003 | 0.84 | 0.69–1.03 | 0.09 |
Unknown | 0.9 | 0.69–1.18 | 0.44 | 0.74 | 0.50–1.11 | 0.15 |
Tertiary hospital | 0.89 | 0.79–1.00 | 0.05 | 0.90 | 0.77–1.06 | 0.20 |
Diabetes | 1.84 | 1.64–2.06 | <0.001 | 1.76 | 1.49–2.07 | <0.001b |
Hypertension | 1.81 | 1.61–2.02 | <0.001 | 1.25 | 1.04–1.50 | 0.02b |
Cardiovascular diseasec | 2.05 | 1.77–2.37 | <0.001 | 1.48 | 1.22–1.80 | <0.001b |
Respiratory diseased | 1.09 | 0.93–1.26 | 0.29 | — | — | — |
Obesity, BMI ≥30 kg/m2 | 1.12 | 1.00–1.26 | 0.05 | 1.11 | 0.94–1.31 | 0.22 |
HIV | 0.69 | 0.33–1.44 | 0.33 | — | — | — |
Cancer | 1.2 | 0.96–1.51 | 0.11 | 1.09 | 0.82–1.45 | 0.54 |
Chronic liver disease | 1.01 | 0.69–1.49 | 0.95 | — | — | — |
Mechanical ventilation | 31.60 | 25.80–38.60 | <0.001 | 10.7 | 6.81–16.70 | <0.001b |
Vasoactive medicatione | 31.40 | 25.60–38.40 | <0.001 | 4.53 | 2.88–7.13 | <0.001b |
ACE-I or ARB use | 1.61 | 1.42–1.82 | <0.001 | 0.87 | 0.73–1.04 | 0.12 |
ACE-I, angiotensin-converting enzyme inhibitor; AKI, acute kidney injury; ARB, angiotensin II receptor blocker; BMI, body mass index; CI, confidence interval; OR, odds ratio.
Variables were entered into the model when the α level of risk factor was less than 0.15. Age, sex, and race were added into the model regardless of α level.
Independent risk factors include increased age, black race, diabetes, hypertension, cardiovascular disease, mechanical ventilation, and vasoactive medication.
Cardiovascular diseases include coronary artery disease, heart failure, and peripheral vascular disease.
Respiratory diseases include asthma and chronic obstructive pulmonary disease.
Vasoactive medications include inotropes and vasopressors.