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Table 1 Baseline characteristics, stratified by wave

From: Changing epidemiology of acute kidney injury in critically ill patients with COVID-19: a prospective cohort

 

COVID wave 1 (n = 316)

COVID wave 2 (n = 456)

 

Mean (SD)/median (IQR)  or N (%)

Age (years)

54.6 (14.0)

57.3 (13.2)***

Male sex

222 (70%)

297 (65%)

Ethnicity

  

 White

120 (38%)

179 (39%)***

 Black

90 (29%)

72 (16%)

 Other

106 (34%)

205 (45%)

Source of admission

  

 ED

94 (30%)

148 (32%)

 Ward

105 (33%)

116 (25%)

 Transfer from another hospital

114 (36%)

188 (41%)

 Other

3 (1%)

4 (1%)

Infection setting

  

 Community

278 (88%)

425 (93%)**

 Hospital

8 (2%)

18 (4%)

 Occupational

24 (8%)

10 (2%)

 Other

6 (2%)

3 (1%)

 BMI

28.4 (24.8–33.6)

29.4 (26.0–36.2)**

 Current smoker

13 (4%)

17 (4%)

 Days of symptoms pre-admission

9 (7–13)

9 (5–13)

 Admission SOFA score

5 (3–7)

4 (3–6)***

 APACHE II score

14.1 (4.8)

13.2 (5.1)

 Clinical frailty score

2 (2–3)

3 (2–3)*

Pre-existing comorbidities

  

 Diabetes

96 (30%)

137 (30%)

 Asthma

48 (15%)

69 (15%)

 Hypertension

127 (40%)

205 (45%)

 CAD

16 (5%)

41 (9%)*

 CHF

14 (4%)

17 (4%)

 Atrial fibrillation/atrial flutter

11 (3%)

12 (3%)

 COPD

12 (4%)

35 (8%)

 Chronic kidney disease

22 (7%)

33 (7%)

 Chronic liver disease

12 (4%)

17 (4%)

 HIV infection

7 (2%)

9 (2%)

 Malignancy

14 (4%)

23 (5%)

Baseline laboratory parameters and organ support on admission to ICU

 Type of ventilation on admission

  

  Invasive ventilation

254 (80%)

278 (61%)***

  Non-invasive ventilation

4 (1%)

16 (4%)

  High-flow nasal cannula

24 (8%)

151 (33%)

  None

34 (11%)

11(2%)

  Extracorporeal membrane oxygenation

58 (18%)

64 (14%)

 Number of vasopressors

  

  0

183 (58%)

320 (70%)**

  1

131 (38%)

130 (29%)

  2

11 (3%)

6 (1%)

  3

1 (1%)

–

 Baseline creatinine (µmol/L)

81.5 (68.0–96.1)

78.0 (65.5–91.5)*

 pH

7.4 (7.3–7.4)

7.4 (7.4–7.5)***

 PaO2 (kPa)

10.1 (8.8–12.8)

8.3 (7.2–9.6)***

 Ionised calcium (mmol/L)

1.1 (1.1–1.2)

1.1 (1.1–1.2)

 Lactate (mmol/L)

1.7 (1.3–2.3)

1.8 (1.4–2.4)

 Chloride (mEg/L)

99.7 (5.5)

102.2 (5.3)***

 White blood cells (109/L)

8.7 (6.4 -12.4)

9.7 (6.5–13.8)

 Neutrophils (109/L)

7.5 (4.8–10.4)

8.4 (5.4–12.1)*

 Lymphocytes (109/L)

0.8 (0.5–1.1)

0.7 (0.4–1.0)**

 Haemoglobin (g/L)

117 (21.3)

118 (23.9)

 Ferritin (µg/L)

1121 (676–2182)

1039 (527–1859)*

 d-dimer (mg/L)

1.7 (0.80–6.84)

2.1 (0.92–7.31)

 CRP (mg/L)

170 (92–292)

91 (42–174)***

 PaO2/FiO2 ratio

17.8 (13.1–25.1)

13 (10.0–17.7)***

On admission to ICU

  

 AKI diagnosis

121 (38%)

110 (24%)

 Kidney replacement therapy

31 (13%)

20 (9%)**

During ICU admission

 Max PEEP in first 24 h (cmH2O)

7.5 (4.9)

5.5 (5.1)***

 Max PEEP in first 48 h (cmH2O)

8.42 (4.84)

6.45 (5.26)***

 AKI diagnosis

241 (76%)

232 (51%)***

 Kidney replacement therapy

100 (32%)

60 (13%)***

 Delta fluid balance between day 1 and 2 (mL/kg)a

3.64 (16.4)

4.01 (16.1)

 Diuretic use in first 48 h (%)

111 (35%)

96 (21%)***

  1. Binary and categorical variables are presented using counts and percentages. The distribution of continuous variables was assessed using coefficients of skewness and then summarised by mean and standard deviation (SD) or median and interquartile range (IQR) where appropriate. To assess for differences between the waves of data collection, binary or categorical variables were assessed using the chi-square test. Mann–Whitney U tests or t test were undertaken for continuous data depending on the distribution
  2. SD standard deviation, IQR interquartile range, N number, ED emergency department, BMI body mass index, SOFA Sequential Organ Failure Assessment, APACHE II Acute Physiologic and Chronic Health Evaluation II, CAD coronary artery disease, CHF congestive heart failure, COPD chronic obstructive pulmonary disease, HIV human immunodeficiency virus, CRP C-reactive protein, AKI acute kidney injury, ICU intensive care unit, PEEP positive end-expiratory pressure
  3. * p < 0.05
  4. ** p < 0.01
  5. *** p < 0.001
  6. aCalculated as net fluid balance on day 2 minus net fluid balance on day 1, divided by baseline body weight