Gupta T, Ranga N, Goyal SK. Predictors of mortality at 28-days in infection associated acute kidney injury in cirrhosis. World J Hepatol 2022; 14(3): 592-601 [PMID: 35582297 DOI: 10.4254/wjh.v14.i3.592]
Corresponding Author of This Article
Tarana Gupta, MBBS, MD, Doctor, Professor, Department of Medicine, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Medical Mor, Rohtak 124001, Haryana, India. taranagupta@gmail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
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World J Hepatol. Mar 27, 2022; 14(3): 592-601 Published online Mar 27, 2022. doi: 10.4254/wjh.v14.i3.592
Table 1 Baseline characteristics of patients in Infection and non-infection acute kidney injury groups
Variables
Infection AKI (n = 67)
Non-infection AKI (n = 52)
P value
Age (yr, mean ± SD)
42 ± 23
41 ± 21
0.23
Males, n (%)
58 (86%)
47 (90%)
0.31
Hb (gm/dL)
8.5 (3.6-14.7)
8.1 (3-14)
0.037
TLC (× 103/mm3)
17 (2-40)
7.8 (2.5-18)
0.001
Platelet count (× 109/L)
110 (60-200)
130 (80-220)
0.335
Bilirubin (mg/dL)
11.3 (0.8-46.6)
4.4 (0.8-27.9)
0.003
INR
2.1 (0.9-3.9)
1.9 (0.9-3.6)
0.045
Albumin (gm/dL)
2.3 (1.6-3.9)
2.5 (1-3.7)
0.04
Creatinine (mg/dL)
2.6 (1.4-6)
2.2 (1.2-5.4)
0.016
Sodium (mEq/L)
132.5 (116-164)
135.9 (120-151)
0.04
HE, n
47
22
0.03
CTP
12 (6-15)
11 (6-14)
0.73
MELD
27 (11-38)
24 (10-35)
0.95
Table 2 Mortality data among infection and non-infection acute kidney injury groups
Mortality
Infection AKI (n = 67)
Non-infection AKI (n = 52)
P Value
Diuretic-induced (n = 16)
Pre-renal (n = 36)
28-d (n = 42)
38
0
4
< 0.0001
90-d (n = 20)
11
3
6
0.206
Table 3 Univariate and multivariate analysis of survivors and non-survivors at 28-d
Variables
Survivors (n = 77)
Non-survivors (n = 42)
Univariate
Multivariate
Age (yr, mean ± SD)
41 ± 21
40 ± 22
0.73
-
Males, n (%)
69 (86.9%)
36 (85.7%)
0.41
-
Hb (gm/dL)
8.3 (4-14)
8.4 (3.4-14)
0.838
-
TLC (× 103/mm3)
11 (2.5-37)
17.4 (2-39)
0.001
-
Platelet count (× 109/L)
114.6 (100-200)
130 (60-220)
0.520
-
Bilirubin (mg/dL)
4.2 (0.5-30)
15.7 (0.2-46)
0.001
< 0.001
INR
1.8 (1-3.7)
2.1 (1.2-3.8)
0.006
-
Albumin (gm/dL)
2.4 (1-3.7)
2.4 (1.8-3.9)
0.689
-
Sodium (mEq/L)
135 (116-164)
131 (120-146)
0.336
-
HE, n
32
37
< 0.001
< 0.01
Table 4 Univariate and multivariate analysis of survivors and non-survivors in infection acute kidney injury group (n = 67) at 28-d
Variables
Survivors (n = 29)
Non-survivors (n = 38)
Univariate
Multivariate
Age (yr, mean ± SD)
40 ± 21
40 ± 22
0.81
-
Males, n (%)
23 (79%)
35 (92%)
0.9
-
Hb (gm/dL)
8.1 (4-14)
7.5 (3.4-14)
0.06
-
TLC (× 103/mm3)
10 (2.5-36)
18.3 (2-39)
0.001
-
Platelet count (× 109/L)
112 (65-203)
125 (60-220)
0.520
-
Bilirubin (mg/dL)
4.6 (1.2-30)
16.3 (1.5-46)
0.004
0.01
INR
1.9 (1.3-3.7)
2.1 (1.1-3.8)
0.005
-
Albumin (gm/dL)
2.3 (1-3.6)
2.4 (1.5-3.9)
0.73
-
Sodium (mEq/L)
135 (116-154)
132 (119-148)
0.45
-
HE, n
10
37
< 0.001
< 0.01
Citation: Gupta T, Ranga N, Goyal SK. Predictors of mortality at 28-days in infection associated acute kidney injury in cirrhosis. World J Hepatol 2022; 14(3): 592-601