The influence of gender on the epidemiology of and outcome from sepsis associated acute kidney injury in ICU : a retrospective propensity-matched cohort study
© 2024. The Author(s)..
PURPOSES: The influence of gender on the epidemiology of and outcome from SA-AKI in ICU has not been fully clarified. Our aim is to elucidate these differences.
METHODS: This study included adult patients with sepsis in MIMIC IV (V 2.2), and propensity matching analysis, cox regression and logistic regression were used to analyze gender differences in incidence, mortality and organ support rate.
RESULTS: Of the 24,467 patients included in the cohort, 18,128 were retained after propensity score matching. In the matched cohort, the incidence of SA-AKI in males is higher than that in females (58.6% vs. 56.2%; P = 0.001).males were associated with a higher risk of SA-AKI (OR:1.07(1.01-1.14), P = 0.026;adjusted OR:1.07(1.01-1.14), P < 0.033).In SA-AKI patients, males were associated with a lower risk of ICU mortality(HR:0.803(0.721-0.893), P < 0.001;adjusted HR:0.836(0.746-0.937), P = 0.002) and in-hospital mortality(HR: 0.820(0.748-0.899), P < 0.001;adjusted HR:0.853(0.775-0.938), P = 0.003).there were no statistically significant differences between male and female patients in 1-year all-cause mortality (36.9% vs. 35.8%, P = 0.12), kidney replacement therapy rate (7.8% vs.7.4%, P = 0.547), mechanical ventilation rate 64.8% vs.63.9%, P = 0.369), and usage of vasoactive drugs (55.4% vs. 54.6%, P = 0.418).
CONCLUSIONS: Gender may affect the incidence and outcomes of SA-AKI, further research is needed to fully understand the impact of gender on SA-AKI patients.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:29 |
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| Enthalten in: |
European journal of medical research - 29(2024), 1 vom: 17. Jan., Seite 56 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Jiang, Wei [VerfasserIn] |
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| Links: |
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| Themen: |
Acute kidney injury |
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| Anmerkungen: |
Date Completed 18.01.2024 Date Revised 19.01.2024 published: Electronic Citation Status MEDLINE |
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| doi: |
10.1186/s40001-024-01651-8 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM367196697 |
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| 100 | 1 | |a Jiang, Wei |e verfasserin |4 aut | |
| 245 | 1 | 4 | |a The influence of gender on the epidemiology of and outcome from sepsis associated acute kidney injury in ICU |b a retrospective propensity-matched cohort study |
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| 520 | |a © 2024. The Author(s). | ||
| 520 | |a PURPOSES: The influence of gender on the epidemiology of and outcome from SA-AKI in ICU has not been fully clarified. Our aim is to elucidate these differences | ||
| 520 | |a METHODS: This study included adult patients with sepsis in MIMIC IV (V 2.2), and propensity matching analysis, cox regression and logistic regression were used to analyze gender differences in incidence, mortality and organ support rate | ||
| 520 | |a RESULTS: Of the 24,467 patients included in the cohort, 18,128 were retained after propensity score matching. In the matched cohort, the incidence of SA-AKI in males is higher than that in females (58.6% vs. 56.2%; P = 0.001).males were associated with a higher risk of SA-AKI (OR:1.07(1.01-1.14), P = 0.026;adjusted OR:1.07(1.01-1.14), P < 0.033).In SA-AKI patients, males were associated with a lower risk of ICU mortality(HR:0.803(0.721-0.893), P < 0.001;adjusted HR:0.836(0.746-0.937), P = 0.002) and in-hospital mortality(HR: 0.820(0.748-0.899), P < 0.001;adjusted HR:0.853(0.775-0.938), P = 0.003).there were no statistically significant differences between male and female patients in 1-year all-cause mortality (36.9% vs. 35.8%, P = 0.12), kidney replacement therapy rate (7.8% vs.7.4%, P = 0.547), mechanical ventilation rate 64.8% vs.63.9%, P = 0.369), and usage of vasoactive drugs (55.4% vs. 54.6%, P = 0.418) | ||
| 520 | |a CONCLUSIONS: Gender may affect the incidence and outcomes of SA-AKI, further research is needed to fully understand the impact of gender on SA-AKI patients | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Acute kidney injury | |
| 650 | 4 | |a Sepsis | |
| 650 | 4 | |a Sepsis associated acute kidney injury | |
| 700 | 1 | |a Song, Lin |e verfasserin |4 aut | |
| 700 | 1 | |a Zhang, Yaosheng |e verfasserin |4 aut | |
| 700 | 1 | |a Ba, Jingjing |e verfasserin |4 aut | |
| 700 | 1 | |a Yuan, Jing |e verfasserin |4 aut | |
| 700 | 1 | |a Li, Xianghui |e verfasserin |4 aut | |
| 700 | 1 | |a Liao, Ting |e verfasserin |4 aut | |
| 700 | 1 | |a Zhang, Chuanqing |e verfasserin |4 aut | |
| 700 | 1 | |a Shao, Jun |e verfasserin |4 aut | |
| 700 | 1 | |a Yu, Jiangquan |e verfasserin |4 aut | |
| 700 | 1 | |a Zheng, Ruiqiang |e verfasserin |4 aut | |
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