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Table 3 Complete blood count parameters, AKI incidence, and outcomes

From: Complete blood count in acute kidney injury prediction: a narrative review

Study

Design

Setting

N

AKI definition

Incidence of AKI

Mortality

Anemia

 Shema-Didi et al. [50]

Retrospective

Hospitalized

34,802

RIFLE

OR 1.5 (1.4–1.6), p < 0.001

OR 6.3 (4.6–8.5), p < 0.001

 Karkouti et al. [56]

Retrospective

Post-cardiac surgery

1444

SCr ≥ 50%

RR 2.6 (2.0–3.3)

 

 Shacham et al. [51]

Retrospective

Post-acute myocardial infarction

1248

AKIN

OR 1.76 (1.02–3.02), p = 0.04

 

 Han et al. [53]

Retrospective

Critically ill

2145

KDIGO

OR 1.76 (1.349–2.291), p < 0.001

OR 2.21 (1.835–2.662), p < 0.001

 Arai et al. [59]

Prospective

Post-transcatheter aortic valve implantation

3472

Valve Academic Research Consortium criteria

OR 1.82 (1.45–2.29), p < 0.01

HR 1.5 (1.29–1.73), p < 0.01

 Powell-Tuck et al. [54]

Retrospective

Critically ill

210

AKIN

OR 0.82 (0.65–1.03), p = 0.09

 

 Abusaada et al. [52]

Prospective

Post-acute myocardial infarction

1107

AKIN

OR 1.66 (1.07–2.54), p = 0.022

 

 Choi et al. [61]

Retrospective

Post-total hip replacement arthroplasty

2467

AKIN

OR 2.036 (1.369–3.028), p < 0.001

 

 Malhotra et al. [55]

Prospective

Critically ill

573

KDIGO

OR 1.477 (0.891–2.449), p = 0.13

 

 Duque-Sosa et al. [57]

Retrospective

Post-cardiac surgery

966

KDIGO

OR 1.32 (1.00–1.75), p = 0.05

 

 Gorla et al. [60]

Retrospective

Post-thoracic endovascular aortic repair

144

AKIN

OR 4.34 (1.91–9.85), p < 0.001

OR 1.67 (1.03–2.68), p = 0.036

 Oprea et al. [58]

Retrospective

Post-cardiac surgery

6130

KDIGO

HR 1.15 (1.01 to 1.32), p = 0.04

HR 1.50 (1.25 to 1.79), p < 0.001

 Sreenivasan et al. [62]

Retrospective

Post-coronary angiography

2055

KDIGO

OR 5.3 (3.8–7.3), p < 0.001

 

White blood cell count

 Han et al. [63]

Prospective

Critically ill

2079

KDIGO

Leucocytosis

OR 2.05 (1.39–3.031), p < 0.001

Leucopenia

OR 1.42 (1.002–1.996), p = 0.048

Leucocytosis

OR 1.36 (0.992–1.852), p = 0.056

Leucopenia

OR 1.40 (1.025–1.912), p = 0.035

Delta-neutrophil index

 Kim et al. [64]

Retrospective

Sepsis-associated AKI

346

AKIN

OR 1.060, p  <  0.001

HR 25.2, p <  0.001

Neutrophil-to-lymphocyte ratio

 Kim et al. [65]

Retrospective

Post-cardiovascular surgery

590

KDIGO

NLR > 4.5

OR 3.26 (1.51–7.06), p = 0.003

HR 1.02 (1.01–1.04), p = 0.006

 Yilmaz et al. [69]

Retrospective

Septic patients

118

AKIN

OR 3.25 (2.72–4.19), p < 0.001

 

 Yuan et al. [68]

Retrospective

Post-coronary angiography

1162

SCr ≥ 0.5 within 3 days

OR 1.105 (1.044–1.169), p = 0.001

 

 Alfeilat et al. [72]

Prospective

Emergency department

294

AKIN/KDIGO

NLR > 5.5

OR 6.4 (2.7–16), p = 0.031

 

 Gameiro et al. [73]

Retrospective

Cirrhotic patients

186

SCr ≥ 0.3 in 48 h or SCr ≥ 50%

OR 1.1 (1.0–1.1), p = 0.028; NLR > 6

OR 2.4 (1.0–5.8), p = 0.041

 

 Parlar et al. [66]

Retrospective

Post-cardiac surgery

311

KDIGO

OR 0.45 (0.22–0.95), p = 0.04

 

 Bu et al. [70]

Retrospective

Septic patients

132

KDIGO

OR 1.047 (1.005–1.091), p = 0.026

 

 Kim et al. [67]

Retrospective

Burn-injured patients

473

KDIGO

OR 1.094 (1.064–1.125), p < 0.001

 

 Younan et al. [74]

Retrospective

Critically ill trauma

207

KDIGO

OR 2.06 (1.04–4.06), p = 0.04

 

 Fan et al. [75]

Retrospective

Critically ill AKI patients

13,678

KDIGO

 

NLR > 12.14

HR 1.83 (1.66–2.02), p < 0.0001

Mean platelet volume

 Han et al. [76]

Retrospective

Critically ill AKI–CRRT patients

349

Clinical evaluation

 

HR 1.08 (1.010–1.155), p = 0.023

Mean platelet ratio

 Li et al. [78]

Retrospective

Critically ill AKI–CRRT patients

223

KDIGO

 

AUROC 0.636 (0.563–0.708), p < 0.001

Thrombocytopenia

 Van Linden et al. [81]

Retrospective

Post-trans-apical aortic valve implantation

270

RIFLE

OR 4.4 (1.6–12.2), p = 0.005

 

 Fan et al. [83]

Retrospective

Heat stroke patients

176

Clinical evaluation

OR 37.92 (2.18–87.21), p < 0.01

 

 Kertai et al. [82]

Retrospective

Post-cardiac surgery

4217

KDIGO

OR 1.14 (1.09–1.20), p < 0.0001

HR 5.46 (3.79–7.89), p < 0.0001

 Chao et al. [84]

Prospective

Emergency department, elderly

136

KDIGO

HR 1.85 (1.05–3.28), p = 0.03

 

 Wu et al. [85]

Retrospective

Hemorrhagic shock patients

84

KDIGO

OR 0.71 (0.54–0.93), p < 0.05

HR 0.89 (0.76–0.99), p < 0.05

Neutrophil, lymphocyte and platelet ratio

 Gameiro et al. [87]

Retrospective

Post-abdominal surgery

450

KDIGO

OR 1.05 (1.00–1.10), p = 0.048

 

 Koo et al. [86]

Retrospective

Post-cardiac surgery

1099

KDIGO

OR 1.19 (1.04–1.36), p = 0.0124; NLPR ≥ 64

OR 2.18 (1.20–3.98), p = 0.011

NLPR > 3

HR 3.54 (2.00–6.28), p < 0.001

Platelet-to-lymphocyte ratio

 Hudzik et al. [89]

Retrospective

Post-acute myocardial infarction, diabetic patients

719

KDIGO

OR 1.22 (1.10–1.34), p < 0.0001

 

 Zheng et al. [91]

Retrospective

Critically ill AKI patients

10,859

KDIGO

 

PLR < 90

HR 1.25 (1.12–1.39), p < 0.001

PLR > 311

HR 1.19 (1.08–1.31), p < 0.001

 Sun et al. [90]

Retrospective

Post-acute myocardial infarction, coronary angiography

5719

SCr > 25% or > 0.5 mg/dl

within 72 h of contrast

exposure

OR 1.432 (1.205–1.816,) p = 0.031

 

 Parlar et al. [66]

Retrospective

Post-cardiac surgery

311

KDIGO

OR 1.06 (1.01–1.10), p = 0.01

 
  1. AKIN Acute Kidney Injury Network; AKI Acute kidney injury; AUROC Area Under the Receiver Operating Characteristics; GFR glomerular filtration rate; HR Hazard Ratio; KDIGO Kidney Disease Improving Global Outcomes; NLR neutrophil-to-lymphocyte ratio; NLPR neutrophil, lymphocyte, and platelet ratio; OR odds ratio; PLR platelet-to-lymphocyte ratio; RIFLE Risk, Injury, Failure, Loss of kidney function, End-stage kidney disease; RR relative risk; SCr serum creatinine