Table 4:

Risk of PO-AKI and S-PO-AKI analyzed by multivariable logistic regression according to clinicodemographic factors.

PO-AKIS-PO-AKI
MultivariableMultivariable
OR (95% CI)POR (95% CI)P
Demographic characteristics
 Age, years
  <40ReferenceReference
  ≥40 and <591.13 (1.02–1.26).0191.05 (0.81–1.38).733
  ≥60 and <791.28 (1.15–1.42)<.0011.32 (1.02–1.75).042
  ≥801.51 (1.31–1.74)<.0011.53 (1.05–2.22).027
 Sex
  MaleReferenceReference
  Female0.72 (0.68–0.77)<.0010.87 (0.74–1.01).071
 Smoking
  NeverReferenceReference
  Current1.10 (1.03–1.17).0031.11 (0.95–1.3).185
  Ex-smoker1.21 (1.07–1.37).0031.29 (0.94–1.73).096
 BMI, kg/m2
  ≥18.5 and <25.0ReferenceReference
  <18.51.13 (1.00–1.27).0551.11 (0.83–1.46).475
  ≥25.0 and <30.01.09 (1.04–1.15).0011.15 (1–1.31).046
  ≥30.01.33 (1.20–1.47)<.0011.69 (1.32–2.14)<.001
Laboratory findings
 eGFR, mL/min/1.73 m2
  ≥90ReferenceReference
  ≥60 and <901.11 (1.05–1.18)<.0010.66 (0.58–0.77)<.001
  <602.41 (2.22–2.61)<.0010.59 (0.47–0.74)<.001
 Hemoglobin
  NormalReferenceReference
  Anemia1.38 (1.31–1.46)<.0011.54 (1.33–1.77)<.001
 WBC counts
  NormalReferenceReference
  Leukopenia1.79 (1.63–1.97)<.0011.9 (1.54–2.33)<.001
  Leukocytosis1.06 (0.99–1.12).0791.17 (1–1.36).043
 Serum sodium
  NormalReferenceReference
  Hyponatremia1.49 (1.34–1.65)<.0011.74 (1.38–2.17)<.001
  Hypernatremia1.24 (1.06–1.45).0061.49 (1.03–2.09).026
 Serum potassium
  NormalReferenceReference
  Hypokalemia1.11 (0.99–1.24).0680.95 (0.71–1.24).703
  Hyperkalemia2.11 (1.52–2.88)<.0013.85 (2.03–6.69)<.001
 Serum albumin
  NormalReferenceReference
  Hypoalbuminemia1.89 (1.78–2.02)<.0012.42 (2.06–2.83)<.001
 Albuminuria
  NormalReferenceReference
  Albuminuria1.60 (1.50–1.71)<.0011.63 (1.4–1.89)<.001
Comorbidity
 Diabetes mellitus1.31 (1.22–1.39)<.0011.32 (1.12–1.54).001
 Hypertension1.12 (1.06–1.18)<.0011.15 (0.99–1.32).062
 Cardiovascular disease1.15 (1.03–1.28).010.93 (0.68–1.24).622
 Cerebrovascular disease1.05 (0.96–1.16).2670.91 (0.7–1.18).493
 Malignancy1.19 (1.13–1.26)<.0011.19 (1.04–1.37).013
Medication usage
 NSAID0.93 (0.86–1.00).0521.02 (0.83–1.25).827
 RAAS blocker1.77 (1.60–1.96)<.0011.85 (1.47–2.31)<.001
 Diuretics1.27 (1.16–1.38)<.0011.22 (0.97–1.52).083
 Anticoagulants/anti-platelet agent1.13 (1.00–1.27).0491.47 (1.12–1.92).005
Surgery-related factors
 Department
  General surgeryReferenceReference
  OBGY1.21 (1.04–1.4).0111.26 (0.92–1.7).138
  Urologic surgery3.28 (3.06–3.52)<.0013.94 (3.34–4.63)<.001
  Neurosurgery0.41 (0.36–0.46)<.0010.19 (0.13–0.28)<.001
  Orthopedic surgery0.83 (0.76–0.89)<.0010.37 (0.3–0.47)<.001
Surgical type
  ElectiveReferenceReference
  Emergency1.48 (1.33–1.65)<.0011.93 (1.51–2.44)<.001
Anesthetic type
  GeneralReferenceReference
  Spinal1.38 (1.28–1.5)<.0010.99 (0.76–1.28).953
Anesthetic time, h
  <2ReferenceReference
  ≥2 and <41.21 (1.13–1.29)<.0011.5 (1.25–1.81)<.001
  ≥42.83 (2.64–3.03)<.0013.45 (2.86–4.18)<.001
Preoperative BP
  NormotensiveReferenceReference
  Hypertensive1.14 (1.07–1.20)<.0011.35 (1.17–1.55)<.001
  Hypotensive1.01 (0.93–1.09).7940.94 (0.77–1.15).58
PO-AKIS-PO-AKI
MultivariableMultivariable
OR (95% CI)POR (95% CI)P
Demographic characteristics
 Age, years
  <40ReferenceReference
  ≥40 and <591.13 (1.02–1.26).0191.05 (0.81–1.38).733
  ≥60 and <791.28 (1.15–1.42)<.0011.32 (1.02–1.75).042
  ≥801.51 (1.31–1.74)<.0011.53 (1.05–2.22).027
 Sex
  MaleReferenceReference
  Female0.72 (0.68–0.77)<.0010.87 (0.74–1.01).071
 Smoking
  NeverReferenceReference
  Current1.10 (1.03–1.17).0031.11 (0.95–1.3).185
  Ex-smoker1.21 (1.07–1.37).0031.29 (0.94–1.73).096
 BMI, kg/m2
  ≥18.5 and <25.0ReferenceReference
  <18.51.13 (1.00–1.27).0551.11 (0.83–1.46).475
  ≥25.0 and <30.01.09 (1.04–1.15).0011.15 (1–1.31).046
  ≥30.01.33 (1.20–1.47)<.0011.69 (1.32–2.14)<.001
Laboratory findings
 eGFR, mL/min/1.73 m2
  ≥90ReferenceReference
  ≥60 and <901.11 (1.05–1.18)<.0010.66 (0.58–0.77)<.001
  <602.41 (2.22–2.61)<.0010.59 (0.47–0.74)<.001
 Hemoglobin
  NormalReferenceReference
  Anemia1.38 (1.31–1.46)<.0011.54 (1.33–1.77)<.001
 WBC counts
  NormalReferenceReference
  Leukopenia1.79 (1.63–1.97)<.0011.9 (1.54–2.33)<.001
  Leukocytosis1.06 (0.99–1.12).0791.17 (1–1.36).043
 Serum sodium
  NormalReferenceReference
  Hyponatremia1.49 (1.34–1.65)<.0011.74 (1.38–2.17)<.001
  Hypernatremia1.24 (1.06–1.45).0061.49 (1.03–2.09).026
 Serum potassium
  NormalReferenceReference
  Hypokalemia1.11 (0.99–1.24).0680.95 (0.71–1.24).703
  Hyperkalemia2.11 (1.52–2.88)<.0013.85 (2.03–6.69)<.001
 Serum albumin
  NormalReferenceReference
  Hypoalbuminemia1.89 (1.78–2.02)<.0012.42 (2.06–2.83)<.001
 Albuminuria
  NormalReferenceReference
  Albuminuria1.60 (1.50–1.71)<.0011.63 (1.4–1.89)<.001
Comorbidity
 Diabetes mellitus1.31 (1.22–1.39)<.0011.32 (1.12–1.54).001
 Hypertension1.12 (1.06–1.18)<.0011.15 (0.99–1.32).062
 Cardiovascular disease1.15 (1.03–1.28).010.93 (0.68–1.24).622
 Cerebrovascular disease1.05 (0.96–1.16).2670.91 (0.7–1.18).493
 Malignancy1.19 (1.13–1.26)<.0011.19 (1.04–1.37).013
Medication usage
 NSAID0.93 (0.86–1.00).0521.02 (0.83–1.25).827
 RAAS blocker1.77 (1.60–1.96)<.0011.85 (1.47–2.31)<.001
 Diuretics1.27 (1.16–1.38)<.0011.22 (0.97–1.52).083
 Anticoagulants/anti-platelet agent1.13 (1.00–1.27).0491.47 (1.12–1.92).005
Surgery-related factors
 Department
  General surgeryReferenceReference
  OBGY1.21 (1.04–1.4).0111.26 (0.92–1.7).138
  Urologic surgery3.28 (3.06–3.52)<.0013.94 (3.34–4.63)<.001
  Neurosurgery0.41 (0.36–0.46)<.0010.19 (0.13–0.28)<.001
  Orthopedic surgery0.83 (0.76–0.89)<.0010.37 (0.3–0.47)<.001
Surgical type
  ElectiveReferenceReference
  Emergency1.48 (1.33–1.65)<.0011.93 (1.51–2.44)<.001
Anesthetic type
  GeneralReferenceReference
  Spinal1.38 (1.28–1.5)<.0010.99 (0.76–1.28).953
Anesthetic time, h
  <2ReferenceReference
  ≥2 and <41.21 (1.13–1.29)<.0011.5 (1.25–1.81)<.001
  ≥42.83 (2.64–3.03)<.0013.45 (2.86–4.18)<.001
Preoperative BP
  NormotensiveReferenceReference
  Hypertensive1.14 (1.07–1.20)<.0011.35 (1.17–1.55)<.001
  Hypotensive1.01 (0.93–1.09).7940.94 (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.

Table 4:

Risk of PO-AKI and S-PO-AKI analyzed by multivariable logistic regression according to clinicodemographic factors.

PO-AKIS-PO-AKI
MultivariableMultivariable
OR (95% CI)POR (95% CI)P
Demographic characteristics
 Age, years
  <40ReferenceReference
  ≥40 and <591.13 (1.02–1.26).0191.05 (0.81–1.38).733
  ≥60 and <791.28 (1.15–1.42)<.0011.32 (1.02–1.75).042
  ≥801.51 (1.31–1.74)<.0011.53 (1.05–2.22).027
 Sex
  MaleReferenceReference
  Female0.72 (0.68–0.77)<.0010.87 (0.74–1.01).071
 Smoking
  NeverReferenceReference
  Current1.10 (1.03–1.17).0031.11 (0.95–1.3).185
  Ex-smoker1.21 (1.07–1.37).0031.29 (0.94–1.73).096
 BMI, kg/m2
  ≥18.5 and <25.0ReferenceReference
  <18.51.13 (1.00–1.27).0551.11 (0.83–1.46).475
  ≥25.0 and <30.01.09 (1.04–1.15).0011.15 (1–1.31).046
  ≥30.01.33 (1.20–1.47)<.0011.69 (1.32–2.14)<.001
Laboratory findings
 eGFR, mL/min/1.73 m2
  ≥90ReferenceReference
  ≥60 and <901.11 (1.05–1.18)<.0010.66 (0.58–0.77)<.001
  <602.41 (2.22–2.61)<.0010.59 (0.47–0.74)<.001
 Hemoglobin
  NormalReferenceReference
  Anemia1.38 (1.31–1.46)<.0011.54 (1.33–1.77)<.001
 WBC counts
  NormalReferenceReference
  Leukopenia1.79 (1.63–1.97)<.0011.9 (1.54–2.33)<.001
  Leukocytosis1.06 (0.99–1.12).0791.17 (1–1.36).043
 Serum sodium
  NormalReferenceReference
  Hyponatremia1.49 (1.34–1.65)<.0011.74 (1.38–2.17)<.001
  Hypernatremia1.24 (1.06–1.45).0061.49 (1.03–2.09).026
 Serum potassium
  NormalReferenceReference
  Hypokalemia1.11 (0.99–1.24).0680.95 (0.71–1.24).703
  Hyperkalemia2.11 (1.52–2.88)<.0013.85 (2.03–6.69)<.001
 Serum albumin
  NormalReferenceReference
  Hypoalbuminemia1.89 (1.78–2.02)<.0012.42 (2.06–2.83)<.001
 Albuminuria
  NormalReferenceReference
  Albuminuria1.60 (1.50–1.71)<.0011.63 (1.4–1.89)<.001
Comorbidity
 Diabetes mellitus1.31 (1.22–1.39)<.0011.32 (1.12–1.54).001
 Hypertension1.12 (1.06–1.18)<.0011.15 (0.99–1.32).062
 Cardiovascular disease1.15 (1.03–1.28).010.93 (0.68–1.24).622
 Cerebrovascular disease1.05 (0.96–1.16).2670.91 (0.7–1.18).493
 Malignancy1.19 (1.13–1.26)<.0011.19 (1.04–1.37).013
Medication usage
 NSAID0.93 (0.86–1.00).0521.02 (0.83–1.25).827
 RAAS blocker1.77 (1.60–1.96)<.0011.85 (1.47–2.31)<.001
 Diuretics1.27 (1.16–1.38)<.0011.22 (0.97–1.52).083
 Anticoagulants/anti-platelet agent1.13 (1.00–1.27).0491.47 (1.12–1.92).005
Surgery-related factors
 Department
  General surgeryReferenceReference
  OBGY1.21 (1.04–1.4).0111.26 (0.92–1.7).138
  Urologic surgery3.28 (3.06–3.52)<.0013.94 (3.34–4.63)<.001
  Neurosurgery0.41 (0.36–0.46)<.0010.19 (0.13–0.28)<.001
  Orthopedic surgery0.83 (0.76–0.89)<.0010.37 (0.3–0.47)<.001
Surgical type
  ElectiveReferenceReference
  Emergency1.48 (1.33–1.65)<.0011.93 (1.51–2.44)<.001
Anesthetic type
  GeneralReferenceReference
  Spinal1.38 (1.28–1.5)<.0010.99 (0.76–1.28).953
Anesthetic time, h
  <2ReferenceReference
  ≥2 and <41.21 (1.13–1.29)<.0011.5 (1.25–1.81)<.001
  ≥42.83 (2.64–3.03)<.0013.45 (2.86–4.18)<.001
Preoperative BP
  NormotensiveReferenceReference
  Hypertensive1.14 (1.07–1.20)<.0011.35 (1.17–1.55)<.001
  Hypotensive1.01 (0.93–1.09).7940.94 (0.77–1.15).58
PO-AKIS-PO-AKI
MultivariableMultivariable
OR (95% CI)POR (95% CI)P
Demographic characteristics
 Age, years
  <40ReferenceReference
  ≥40 and <591.13 (1.02–1.26).0191.05 (0.81–1.38).733
  ≥60 and <791.28 (1.15–1.42)<.0011.32 (1.02–1.75).042
  ≥801.51 (1.31–1.74)<.0011.53 (1.05–2.22).027
 Sex
  MaleReferenceReference
  Female0.72 (0.68–0.77)<.0010.87 (0.74–1.01).071
 Smoking
  NeverReferenceReference
  Current1.10 (1.03–1.17).0031.11 (0.95–1.3).185
  Ex-smoker1.21 (1.07–1.37).0031.29 (0.94–1.73).096
 BMI, kg/m2
  ≥18.5 and <25.0ReferenceReference
  <18.51.13 (1.00–1.27).0551.11 (0.83–1.46).475
  ≥25.0 and <30.01.09 (1.04–1.15).0011.15 (1–1.31).046
  ≥30.01.33 (1.20–1.47)<.0011.69 (1.32–2.14)<.001
Laboratory findings
 eGFR, mL/min/1.73 m2
  ≥90ReferenceReference
  ≥60 and <901.11 (1.05–1.18)<.0010.66 (0.58–0.77)<.001
  <602.41 (2.22–2.61)<.0010.59 (0.47–0.74)<.001
 Hemoglobin
  NormalReferenceReference
  Anemia1.38 (1.31–1.46)<.0011.54 (1.33–1.77)<.001
 WBC counts
  NormalReferenceReference
  Leukopenia1.79 (1.63–1.97)<.0011.9 (1.54–2.33)<.001
  Leukocytosis1.06 (0.99–1.12).0791.17 (1–1.36).043
 Serum sodium
  NormalReferenceReference
  Hyponatremia1.49 (1.34–1.65)<.0011.74 (1.38–2.17)<.001
  Hypernatremia1.24 (1.06–1.45).0061.49 (1.03–2.09).026
 Serum potassium
  NormalReferenceReference
  Hypokalemia1.11 (0.99–1.24).0680.95 (0.71–1.24).703
  Hyperkalemia2.11 (1.52–2.88)<.0013.85 (2.03–6.69)<.001
 Serum albumin
  NormalReferenceReference
  Hypoalbuminemia1.89 (1.78–2.02)<.0012.42 (2.06–2.83)<.001
 Albuminuria
  NormalReferenceReference
  Albuminuria1.60 (1.50–1.71)<.0011.63 (1.4–1.89)<.001
Comorbidity
 Diabetes mellitus1.31 (1.22–1.39)<.0011.32 (1.12–1.54).001
 Hypertension1.12 (1.06–1.18)<.0011.15 (0.99–1.32).062
 Cardiovascular disease1.15 (1.03–1.28).010.93 (0.68–1.24).622
 Cerebrovascular disease1.05 (0.96–1.16).2670.91 (0.7–1.18).493
 Malignancy1.19 (1.13–1.26)<.0011.19 (1.04–1.37).013
Medication usage
 NSAID0.93 (0.86–1.00).0521.02 (0.83–1.25).827
 RAAS blocker1.77 (1.60–1.96)<.0011.85 (1.47–2.31)<.001
 Diuretics1.27 (1.16–1.38)<.0011.22 (0.97–1.52).083
 Anticoagulants/anti-platelet agent1.13 (1.00–1.27).0491.47 (1.12–1.92).005
Surgery-related factors
 Department
  General surgeryReferenceReference
  OBGY1.21 (1.04–1.4).0111.26 (0.92–1.7).138
  Urologic surgery3.28 (3.06–3.52)<.0013.94 (3.34–4.63)<.001
  Neurosurgery0.41 (0.36–0.46)<.0010.19 (0.13–0.28)<.001
  Orthopedic surgery0.83 (0.76–0.89)<.0010.37 (0.3–0.47)<.001
Surgical type
  ElectiveReferenceReference
  Emergency1.48 (1.33–1.65)<.0011.93 (1.51–2.44)<.001
Anesthetic type
  GeneralReferenceReference
  Spinal1.38 (1.28–1.5)<.0010.99 (0.76–1.28).953
Anesthetic time, h
  <2ReferenceReference
  ≥2 and <41.21 (1.13–1.29)<.0011.5 (1.25–1.81)<.001
  ≥42.83 (2.64–3.03)<.0013.45 (2.86–4.18)<.001
Preoperative BP
  NormotensiveReferenceReference
  Hypertensive1.14 (1.07–1.20)<.0011.35 (1.17–1.55)<.001
  Hypotensive1.01 (0.93–1.09).7940.94 (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.

Close
This Feature Is Available To Subscribers Only

Sign In or Create an Account

Close

This PDF is available to Subscribers Only

View Article Abstract & Purchase Options

For full access to this pdf, sign in to an existing account, or purchase an annual subscription.

Close