Skip to main content
. 2020 Jun 29;8(1):e000467. doi: 10.1136/jitc-2019-000467

Table 4.

Risk factors for AKI in patients receiving ICPi

Variable OR (95% CI) P value
Univariable analysis
 Age 1.02 (0.99 to 1.04) 0.17
 Female sex 0.58 (0.31 to 1.10) 0.1
 Baseline sCr (per 0.1 mg/dL or 9 umol/L) 1.02 (0.90 to 1.16) 0.72
 Charlson score 1.16 (1.01 to 1.33) 0.042
 Other IRAE 3.19 (1.68 to 6.05) <0.001
 Cerebrovascular disease 9.24 (2.13 to 40.0) 0.003
 Chronic heart failure 1.27 (0.14 to 11.6) 0.83
 COPD/asthma 0.68 (0.10 to 4.70) 0.69
 Dementia 2.58 (0.46 to 14.5) 0.28
 Depression 1.29 (0.41 to 4.02) 0.66
 Diabetes 1.78 (0.75 to 4.20) 0.19
 Hypertension 4.27 (2.28 to 8.01) <0.001
 Myocardial infarction 1.91 (0.58 to 6.26) 0.29
 Rheumatic disease 1.25 (0.14 to 11.4) 0.84
 ACE/ARBi 2.90 (1.47 to 5.69) 0.002
 PPI 1.90 (0.83 to 4.35) 0.13
 Diuretics 4.34 (1.93 to 9.79) <0.001
 NSAIDs 0.77 (0.17 to 3.52) 0.74
 Steroids 1.94 (1.06 to 3.57) 0.033
 Antibiotics 1.22 (0.81 to 1.86) 0.34
Multivariable analysis
 Other IRAE 2.82 (1.45 to 5.48) 0.002
 Hypertension 2.96 (1.33 to 6.59) 0.008
 Use of ACE/ARBi 1.18 (0.51 to 2.72) 0.69
 Use of diuretics 1.96 (0.78 to 4.94) 0.15
Sensitivity* multivariable analysis
 Other IRAE 5.59 (2.18 to 14.33) <0.001
 Hypertension 1.66 (0.59 to 4.65) 0.34
 Use of ACE/ARBi 1.60 (0.54 to 4.70) 0.39
 Use of diuretics 2.33 (0.68 to 7.95) 0.18

*Sensitivity analysis includes only AKI events that were biopsy- or nephrologist-confirmed to be ICPi-related or possible ICPi-related (ie, excluding AKI events likely related to other causes); n=288.

ACE, angiotensin-converting enzyme; AKI, acute kidney injury; ARBi, angiotensin-receptor blocker inhibitors; COPD, chronic obstructive pulmonary disease; ICPi, immune checkpoint inhibitors; IRAE, immune-related adverse event; NSAIDs, non-steroidal anti-inflammatory drugs; PPI, proton pump inhibitors.