Risk of PO-AKI and S-PO-AKI analyzed by multivariable logistic regression according to clinicodemographic factors.
. | PO-AKI . | . | S-PO-AKI . | . |
---|---|---|---|---|
. | Multivariable . | . | Multivariable . | . |
. | OR (95% CI) . | P . | OR (95% CI) . | P . |
Demographic characteristics | ||||
Age, years | ||||
<40 | Reference | Reference | ||
≥40 and <59 | 1.13 (1.02–1.26) | .019 | 1.05 (0.81–1.38) | .733 |
≥60 and <79 | 1.28 (1.15–1.42) | <.001 | 1.32 (1.02–1.75) | .042 |
≥80 | 1.51 (1.31–1.74) | <.001 | 1.53 (1.05–2.22) | .027 |
Sex | ||||
Male | Reference | Reference | ||
Female | 0.72 (0.68–0.77) | <.001 | 0.87 (0.74–1.01) | .071 |
Smoking | ||||
Never | Reference | Reference | ||
Current | 1.10 (1.03–1.17) | .003 | 1.11 (0.95–1.3) | .185 |
Ex-smoker | 1.21 (1.07–1.37) | .003 | 1.29 (0.94–1.73) | .096 |
BMI, kg/m2 | ||||
≥18.5 and <25.0 | Reference | Reference | ||
<18.5 | 1.13 (1.00–1.27) | .055 | 1.11 (0.83–1.46) | .475 |
≥25.0 and <30.0 | 1.09 (1.04–1.15) | .001 | 1.15 (1–1.31) | .046 |
≥30.0 | 1.33 (1.20–1.47) | <.001 | 1.69 (1.32–2.14) | <.001 |
Laboratory findings | ||||
eGFR, mL/min/1.73 m2 | ||||
≥90 | Reference | Reference | ||
≥60 and <90 | 1.11 (1.05–1.18) | <.001 | 0.66 (0.58–0.77) | <.001 |
<60 | 2.41 (2.22–2.61) | <.001 | 0.59 (0.47–0.74) | <.001 |
Hemoglobin | ||||
Normal | Reference | Reference | ||
Anemia | 1.38 (1.31–1.46) | <.001 | 1.54 (1.33–1.77) | <.001 |
WBC counts | ||||
Normal | Reference | Reference | ||
Leukopenia | 1.79 (1.63–1.97) | <.001 | 1.9 (1.54–2.33) | <.001 |
Leukocytosis | 1.06 (0.99–1.12) | .079 | 1.17 (1–1.36) | .043 |
Serum sodium | ||||
Normal | Reference | Reference | ||
Hyponatremia | 1.49 (1.34–1.65) | <.001 | 1.74 (1.38–2.17) | <.001 |
Hypernatremia | 1.24 (1.06–1.45) | .006 | 1.49 (1.03–2.09) | .026 |
Serum potassium | ||||
Normal | Reference | Reference | ||
Hypokalemia | 1.11 (0.99–1.24) | .068 | 0.95 (0.71–1.24) | .703 |
Hyperkalemia | 2.11 (1.52–2.88) | <.001 | 3.85 (2.03–6.69) | <.001 |
Serum albumin | ||||
Normal | Reference | Reference | ||
Hypoalbuminemia | 1.89 (1.78–2.02) | <.001 | 2.42 (2.06–2.83) | <.001 |
Albuminuria | ||||
Normal | Reference | Reference | ||
Albuminuria | 1.60 (1.50–1.71) | <.001 | 1.63 (1.4–1.89) | <.001 |
Comorbidity | ||||
Diabetes mellitus | 1.31 (1.22–1.39) | <.001 | 1.32 (1.12–1.54) | .001 |
Hypertension | 1.12 (1.06–1.18) | <.001 | 1.15 (0.99–1.32) | .062 |
Cardiovascular disease | 1.15 (1.03–1.28) | .01 | 0.93 (0.68–1.24) | .622 |
Cerebrovascular disease | 1.05 (0.96–1.16) | .267 | 0.91 (0.7–1.18) | .493 |
Malignancy | 1.19 (1.13–1.26) | <.001 | 1.19 (1.04–1.37) | .013 |
Medication usage | ||||
NSAID | 0.93 (0.86–1.00) | .052 | 1.02 (0.83–1.25) | .827 |
RAAS blocker | 1.77 (1.60–1.96) | <.001 | 1.85 (1.47–2.31) | <.001 |
Diuretics | 1.27 (1.16–1.38) | <.001 | 1.22 (0.97–1.52) | .083 |
Anticoagulants/anti-platelet agent | 1.13 (1.00–1.27) | .049 | 1.47 (1.12–1.92) | .005 |
Surgery-related factors | ||||
Department | ||||
General surgery | Reference | Reference | ||
OBGY | 1.21 (1.04–1.4) | .011 | 1.26 (0.92–1.7) | .138 |
Urologic surgery | 3.28 (3.06–3.52) | <.001 | 3.94 (3.34–4.63) | <.001 |
Neurosurgery | 0.41 (0.36–0.46) | <.001 | 0.19 (0.13–0.28) | <.001 |
Orthopedic surgery | 0.83 (0.76–0.89) | <.001 | 0.37 (0.3–0.47) | <.001 |
Surgical type | ||||
Elective | Reference | Reference | ||
Emergency | 1.48 (1.33–1.65) | <.001 | 1.93 (1.51–2.44) | <.001 |
Anesthetic type | ||||
General | Reference | Reference | ||
Spinal | 1.38 (1.28–1.5) | <.001 | 0.99 (0.76–1.28) | .953 |
Anesthetic time, h | ||||
<2 | Reference | Reference | ||
≥2 and <4 | 1.21 (1.13–1.29) | <.001 | 1.5 (1.25–1.81) | <.001 |
≥4 | 2.83 (2.64–3.03) | <.001 | 3.45 (2.86–4.18) | <.001 |
Preoperative BP | ||||
Normotensive | Reference | Reference | ||
Hypertensive | 1.14 (1.07–1.20) | <.001 | 1.35 (1.17–1.55) | <.001 |
Hypotensive | 1.01 (0.93–1.09) | .794 | 0.94 (0.77–1.15) | .58 |
. | PO-AKI . | . | S-PO-AKI . | . |
---|---|---|---|---|
. | Multivariable . | . | Multivariable . | . |
. | OR (95% CI) . | P . | OR (95% CI) . | P . |
Demographic characteristics | ||||
Age, years | ||||
<40 | Reference | Reference | ||
≥40 and <59 | 1.13 (1.02–1.26) | .019 | 1.05 (0.81–1.38) | .733 |
≥60 and <79 | 1.28 (1.15–1.42) | <.001 | 1.32 (1.02–1.75) | .042 |
≥80 | 1.51 (1.31–1.74) | <.001 | 1.53 (1.05–2.22) | .027 |
Sex | ||||
Male | Reference | Reference | ||
Female | 0.72 (0.68–0.77) | <.001 | 0.87 (0.74–1.01) | .071 |
Smoking | ||||
Never | Reference | Reference | ||
Current | 1.10 (1.03–1.17) | .003 | 1.11 (0.95–1.3) | .185 |
Ex-smoker | 1.21 (1.07–1.37) | .003 | 1.29 (0.94–1.73) | .096 |
BMI, kg/m2 | ||||
≥18.5 and <25.0 | Reference | Reference | ||
<18.5 | 1.13 (1.00–1.27) | .055 | 1.11 (0.83–1.46) | .475 |
≥25.0 and <30.0 | 1.09 (1.04–1.15) | .001 | 1.15 (1–1.31) | .046 |
≥30.0 | 1.33 (1.20–1.47) | <.001 | 1.69 (1.32–2.14) | <.001 |
Laboratory findings | ||||
eGFR, mL/min/1.73 m2 | ||||
≥90 | Reference | Reference | ||
≥60 and <90 | 1.11 (1.05–1.18) | <.001 | 0.66 (0.58–0.77) | <.001 |
<60 | 2.41 (2.22–2.61) | <.001 | 0.59 (0.47–0.74) | <.001 |
Hemoglobin | ||||
Normal | Reference | Reference | ||
Anemia | 1.38 (1.31–1.46) | <.001 | 1.54 (1.33–1.77) | <.001 |
WBC counts | ||||
Normal | Reference | Reference | ||
Leukopenia | 1.79 (1.63–1.97) | <.001 | 1.9 (1.54–2.33) | <.001 |
Leukocytosis | 1.06 (0.99–1.12) | .079 | 1.17 (1–1.36) | .043 |
Serum sodium | ||||
Normal | Reference | Reference | ||
Hyponatremia | 1.49 (1.34–1.65) | <.001 | 1.74 (1.38–2.17) | <.001 |
Hypernatremia | 1.24 (1.06–1.45) | .006 | 1.49 (1.03–2.09) | .026 |
Serum potassium | ||||
Normal | Reference | Reference | ||
Hypokalemia | 1.11 (0.99–1.24) | .068 | 0.95 (0.71–1.24) | .703 |
Hyperkalemia | 2.11 (1.52–2.88) | <.001 | 3.85 (2.03–6.69) | <.001 |
Serum albumin | ||||
Normal | Reference | Reference | ||
Hypoalbuminemia | 1.89 (1.78–2.02) | <.001 | 2.42 (2.06–2.83) | <.001 |
Albuminuria | ||||
Normal | Reference | Reference | ||
Albuminuria | 1.60 (1.50–1.71) | <.001 | 1.63 (1.4–1.89) | <.001 |
Comorbidity | ||||
Diabetes mellitus | 1.31 (1.22–1.39) | <.001 | 1.32 (1.12–1.54) | .001 |
Hypertension | 1.12 (1.06–1.18) | <.001 | 1.15 (0.99–1.32) | .062 |
Cardiovascular disease | 1.15 (1.03–1.28) | .01 | 0.93 (0.68–1.24) | .622 |
Cerebrovascular disease | 1.05 (0.96–1.16) | .267 | 0.91 (0.7–1.18) | .493 |
Malignancy | 1.19 (1.13–1.26) | <.001 | 1.19 (1.04–1.37) | .013 |
Medication usage | ||||
NSAID | 0.93 (0.86–1.00) | .052 | 1.02 (0.83–1.25) | .827 |
RAAS blocker | 1.77 (1.60–1.96) | <.001 | 1.85 (1.47–2.31) | <.001 |
Diuretics | 1.27 (1.16–1.38) | <.001 | 1.22 (0.97–1.52) | .083 |
Anticoagulants/anti-platelet agent | 1.13 (1.00–1.27) | .049 | 1.47 (1.12–1.92) | .005 |
Surgery-related factors | ||||
Department | ||||
General surgery | Reference | Reference | ||
OBGY | 1.21 (1.04–1.4) | .011 | 1.26 (0.92–1.7) | .138 |
Urologic surgery | 3.28 (3.06–3.52) | <.001 | 3.94 (3.34–4.63) | <.001 |
Neurosurgery | 0.41 (0.36–0.46) | <.001 | 0.19 (0.13–0.28) | <.001 |
Orthopedic surgery | 0.83 (0.76–0.89) | <.001 | 0.37 (0.3–0.47) | <.001 |
Surgical type | ||||
Elective | Reference | Reference | ||
Emergency | 1.48 (1.33–1.65) | <.001 | 1.93 (1.51–2.44) | <.001 |
Anesthetic type | ||||
General | Reference | Reference | ||
Spinal | 1.38 (1.28–1.5) | <.001 | 0.99 (0.76–1.28) | .953 |
Anesthetic time, h | ||||
<2 | Reference | Reference | ||
≥2 and <4 | 1.21 (1.13–1.29) | <.001 | 1.5 (1.25–1.81) | <.001 |
≥4 | 2.83 (2.64–3.03) | <.001 | 3.45 (2.86–4.18) | <.001 |
Preoperative BP | ||||
Normotensive | Reference | Reference | ||
Hypertensive | 1.14 (1.07–1.20) | <.001 | 1.35 (1.17–1.55) | <.001 |
Hypotensive | 1.01 (0.93–1.09) | .794 | 0.94 (0.77–1.15) | .58 |
Hypertensive and hypotensive BP was defined as those with BP ≥130/80 and <100/60 mmHg, respectively.
eGFR was calculated using the creatinine-based CKD-EPI equation developed in 2009.
BMI, body mass index; WBC, white blood cell; BP, blood pressure.
Risk of PO-AKI and S-PO-AKI analyzed by multivariable logistic regression according to clinicodemographic factors.
. | PO-AKI . | . | S-PO-AKI . | . |
---|---|---|---|---|
. | Multivariable . | . | Multivariable . | . |
. | OR (95% CI) . | P . | OR (95% CI) . | P . |
Demographic characteristics | ||||
Age, years | ||||
<40 | Reference | Reference | ||
≥40 and <59 | 1.13 (1.02–1.26) | .019 | 1.05 (0.81–1.38) | .733 |
≥60 and <79 | 1.28 (1.15–1.42) | <.001 | 1.32 (1.02–1.75) | .042 |
≥80 | 1.51 (1.31–1.74) | <.001 | 1.53 (1.05–2.22) | .027 |
Sex | ||||
Male | Reference | Reference | ||
Female | 0.72 (0.68–0.77) | <.001 | 0.87 (0.74–1.01) | .071 |
Smoking | ||||
Never | Reference | Reference | ||
Current | 1.10 (1.03–1.17) | .003 | 1.11 (0.95–1.3) | .185 |
Ex-smoker | 1.21 (1.07–1.37) | .003 | 1.29 (0.94–1.73) | .096 |
BMI, kg/m2 | ||||
≥18.5 and <25.0 | Reference | Reference | ||
<18.5 | 1.13 (1.00–1.27) | .055 | 1.11 (0.83–1.46) | .475 |
≥25.0 and <30.0 | 1.09 (1.04–1.15) | .001 | 1.15 (1–1.31) | .046 |
≥30.0 | 1.33 (1.20–1.47) | <.001 | 1.69 (1.32–2.14) | <.001 |
Laboratory findings | ||||
eGFR, mL/min/1.73 m2 | ||||
≥90 | Reference | Reference | ||
≥60 and <90 | 1.11 (1.05–1.18) | <.001 | 0.66 (0.58–0.77) | <.001 |
<60 | 2.41 (2.22–2.61) | <.001 | 0.59 (0.47–0.74) | <.001 |
Hemoglobin | ||||
Normal | Reference | Reference | ||
Anemia | 1.38 (1.31–1.46) | <.001 | 1.54 (1.33–1.77) | <.001 |
WBC counts | ||||
Normal | Reference | Reference | ||
Leukopenia | 1.79 (1.63–1.97) | <.001 | 1.9 (1.54–2.33) | <.001 |
Leukocytosis | 1.06 (0.99–1.12) | .079 | 1.17 (1–1.36) | .043 |
Serum sodium | ||||
Normal | Reference | Reference | ||
Hyponatremia | 1.49 (1.34–1.65) | <.001 | 1.74 (1.38–2.17) | <.001 |
Hypernatremia | 1.24 (1.06–1.45) | .006 | 1.49 (1.03–2.09) | .026 |
Serum potassium | ||||
Normal | Reference | Reference | ||
Hypokalemia | 1.11 (0.99–1.24) | .068 | 0.95 (0.71–1.24) | .703 |
Hyperkalemia | 2.11 (1.52–2.88) | <.001 | 3.85 (2.03–6.69) | <.001 |
Serum albumin | ||||
Normal | Reference | Reference | ||
Hypoalbuminemia | 1.89 (1.78–2.02) | <.001 | 2.42 (2.06–2.83) | <.001 |
Albuminuria | ||||
Normal | Reference | Reference | ||
Albuminuria | 1.60 (1.50–1.71) | <.001 | 1.63 (1.4–1.89) | <.001 |
Comorbidity | ||||
Diabetes mellitus | 1.31 (1.22–1.39) | <.001 | 1.32 (1.12–1.54) | .001 |
Hypertension | 1.12 (1.06–1.18) | <.001 | 1.15 (0.99–1.32) | .062 |
Cardiovascular disease | 1.15 (1.03–1.28) | .01 | 0.93 (0.68–1.24) | .622 |
Cerebrovascular disease | 1.05 (0.96–1.16) | .267 | 0.91 (0.7–1.18) | .493 |
Malignancy | 1.19 (1.13–1.26) | <.001 | 1.19 (1.04–1.37) | .013 |
Medication usage | ||||
NSAID | 0.93 (0.86–1.00) | .052 | 1.02 (0.83–1.25) | .827 |
RAAS blocker | 1.77 (1.60–1.96) | <.001 | 1.85 (1.47–2.31) | <.001 |
Diuretics | 1.27 (1.16–1.38) | <.001 | 1.22 (0.97–1.52) | .083 |
Anticoagulants/anti-platelet agent | 1.13 (1.00–1.27) | .049 | 1.47 (1.12–1.92) | .005 |
Surgery-related factors | ||||
Department | ||||
General surgery | Reference | Reference | ||
OBGY | 1.21 (1.04–1.4) | .011 | 1.26 (0.92–1.7) | .138 |
Urologic surgery | 3.28 (3.06–3.52) | <.001 | 3.94 (3.34–4.63) | <.001 |
Neurosurgery | 0.41 (0.36–0.46) | <.001 | 0.19 (0.13–0.28) | <.001 |
Orthopedic surgery | 0.83 (0.76–0.89) | <.001 | 0.37 (0.3–0.47) | <.001 |
Surgical type | ||||
Elective | Reference | Reference | ||
Emergency | 1.48 (1.33–1.65) | <.001 | 1.93 (1.51–2.44) | <.001 |
Anesthetic type | ||||
General | Reference | Reference | ||
Spinal | 1.38 (1.28–1.5) | <.001 | 0.99 (0.76–1.28) | .953 |
Anesthetic time, h | ||||
<2 | Reference | Reference | ||
≥2 and <4 | 1.21 (1.13–1.29) | <.001 | 1.5 (1.25–1.81) | <.001 |
≥4 | 2.83 (2.64–3.03) | <.001 | 3.45 (2.86–4.18) | <.001 |
Preoperative BP | ||||
Normotensive | Reference | Reference | ||
Hypertensive | 1.14 (1.07–1.20) | <.001 | 1.35 (1.17–1.55) | <.001 |
Hypotensive | 1.01 (0.93–1.09) | .794 | 0.94 (0.77–1.15) | .58 |
. | PO-AKI . | . | S-PO-AKI . | . |
---|---|---|---|---|
. | Multivariable . | . | Multivariable . | . |
. | OR (95% CI) . | P . | OR (95% CI) . | P . |
Demographic characteristics | ||||
Age, years | ||||
<40 | Reference | Reference | ||
≥40 and <59 | 1.13 (1.02–1.26) | .019 | 1.05 (0.81–1.38) | .733 |
≥60 and <79 | 1.28 (1.15–1.42) | <.001 | 1.32 (1.02–1.75) | .042 |
≥80 | 1.51 (1.31–1.74) | <.001 | 1.53 (1.05–2.22) | .027 |
Sex | ||||
Male | Reference | Reference | ||
Female | 0.72 (0.68–0.77) | <.001 | 0.87 (0.74–1.01) | .071 |
Smoking | ||||
Never | Reference | Reference | ||
Current | 1.10 (1.03–1.17) | .003 | 1.11 (0.95–1.3) | .185 |
Ex-smoker | 1.21 (1.07–1.37) | .003 | 1.29 (0.94–1.73) | .096 |
BMI, kg/m2 | ||||
≥18.5 and <25.0 | Reference | Reference | ||
<18.5 | 1.13 (1.00–1.27) | .055 | 1.11 (0.83–1.46) | .475 |
≥25.0 and <30.0 | 1.09 (1.04–1.15) | .001 | 1.15 (1–1.31) | .046 |
≥30.0 | 1.33 (1.20–1.47) | <.001 | 1.69 (1.32–2.14) | <.001 |
Laboratory findings | ||||
eGFR, mL/min/1.73 m2 | ||||
≥90 | Reference | Reference | ||
≥60 and <90 | 1.11 (1.05–1.18) | <.001 | 0.66 (0.58–0.77) | <.001 |
<60 | 2.41 (2.22–2.61) | <.001 | 0.59 (0.47–0.74) | <.001 |
Hemoglobin | ||||
Normal | Reference | Reference | ||
Anemia | 1.38 (1.31–1.46) | <.001 | 1.54 (1.33–1.77) | <.001 |
WBC counts | ||||
Normal | Reference | Reference | ||
Leukopenia | 1.79 (1.63–1.97) | <.001 | 1.9 (1.54–2.33) | <.001 |
Leukocytosis | 1.06 (0.99–1.12) | .079 | 1.17 (1–1.36) | .043 |
Serum sodium | ||||
Normal | Reference | Reference | ||
Hyponatremia | 1.49 (1.34–1.65) | <.001 | 1.74 (1.38–2.17) | <.001 |
Hypernatremia | 1.24 (1.06–1.45) | .006 | 1.49 (1.03–2.09) | .026 |
Serum potassium | ||||
Normal | Reference | Reference | ||
Hypokalemia | 1.11 (0.99–1.24) | .068 | 0.95 (0.71–1.24) | .703 |
Hyperkalemia | 2.11 (1.52–2.88) | <.001 | 3.85 (2.03–6.69) | <.001 |
Serum albumin | ||||
Normal | Reference | Reference | ||
Hypoalbuminemia | 1.89 (1.78–2.02) | <.001 | 2.42 (2.06–2.83) | <.001 |
Albuminuria | ||||
Normal | Reference | Reference | ||
Albuminuria | 1.60 (1.50–1.71) | <.001 | 1.63 (1.4–1.89) | <.001 |
Comorbidity | ||||
Diabetes mellitus | 1.31 (1.22–1.39) | <.001 | 1.32 (1.12–1.54) | .001 |
Hypertension | 1.12 (1.06–1.18) | <.001 | 1.15 (0.99–1.32) | .062 |
Cardiovascular disease | 1.15 (1.03–1.28) | .01 | 0.93 (0.68–1.24) | .622 |
Cerebrovascular disease | 1.05 (0.96–1.16) | .267 | 0.91 (0.7–1.18) | .493 |
Malignancy | 1.19 (1.13–1.26) | <.001 | 1.19 (1.04–1.37) | .013 |
Medication usage | ||||
NSAID | 0.93 (0.86–1.00) | .052 | 1.02 (0.83–1.25) | .827 |
RAAS blocker | 1.77 (1.60–1.96) | <.001 | 1.85 (1.47–2.31) | <.001 |
Diuretics | 1.27 (1.16–1.38) | <.001 | 1.22 (0.97–1.52) | .083 |
Anticoagulants/anti-platelet agent | 1.13 (1.00–1.27) | .049 | 1.47 (1.12–1.92) | .005 |
Surgery-related factors | ||||
Department | ||||
General surgery | Reference | Reference | ||
OBGY | 1.21 (1.04–1.4) | .011 | 1.26 (0.92–1.7) | .138 |
Urologic surgery | 3.28 (3.06–3.52) | <.001 | 3.94 (3.34–4.63) | <.001 |
Neurosurgery | 0.41 (0.36–0.46) | <.001 | 0.19 (0.13–0.28) | <.001 |
Orthopedic surgery | 0.83 (0.76–0.89) | <.001 | 0.37 (0.3–0.47) | <.001 |
Surgical type | ||||
Elective | Reference | Reference | ||
Emergency | 1.48 (1.33–1.65) | <.001 | 1.93 (1.51–2.44) | <.001 |
Anesthetic type | ||||
General | Reference | Reference | ||
Spinal | 1.38 (1.28–1.5) | <.001 | 0.99 (0.76–1.28) | .953 |
Anesthetic time, h | ||||
<2 | Reference | Reference | ||
≥2 and <4 | 1.21 (1.13–1.29) | <.001 | 1.5 (1.25–1.81) | <.001 |
≥4 | 2.83 (2.64–3.03) | <.001 | 3.45 (2.86–4.18) | <.001 |
Preoperative BP | ||||
Normotensive | Reference | Reference | ||
Hypertensive | 1.14 (1.07–1.20) | <.001 | 1.35 (1.17–1.55) | <.001 |
Hypotensive | 1.01 (0.93–1.09) | .794 | 0.94 (0.77–1.15) | .58 |
Hypertensive and hypotensive BP was defined as those with BP ≥130/80 and <100/60 mmHg, respectively.
eGFR was calculated using the creatinine-based CKD-EPI equation developed in 2009.
BMI, body mass index; WBC, white blood cell; BP, blood pressure.
This PDF is available to Subscribers Only
View Article Abstract & Purchase OptionsFor full access to this pdf, sign in to an existing account, or purchase an annual subscription.