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Table 4 Fluid overloaded and acute kidney injury phenotypes and characteristics

From: Renal angina index predicts fluid overload in critically ill children: an observational cohort study

Demographics

FO+/AKI+

FO−/AKI+

FO+/AKI-

FO−/AKI-

P-value

N = 12

N = 21

N = 15

N = 91

Male

4 (33%)

13 (62%)

7 (47%)

44 (48%)

0.45

Age (y)

3.5 (1.575–12.5)

7 (2–13)

0.75 (0.25–1.7)

6.49 (2–13)

0.003

PRISM III

14.5 (11–25.5)

9 (7–16)

4 (2–8)

5 (2–9)

< 0.001

Mechanical Vent

9 (75%)

14 (67%)

4 (27%)

46 (51%)

0.041

CRRT

9 (75%)

1 (5%)

1 (7%)

0 (0%)

< 0.001

Transplant

2 (17%)

2 (10%)

1 7%)

4 (4%)

0.39

Day 3 AKI Status

 None

0 (0%)

0 (0%)

13 (87%)

75 (82%)

< 0.001

 Stage 1

0 (0%)

0 (0%)

2 (13%)

16 (18%)

0.084

 Stage 2

2 (17%)

11 (52%)

0 (0%)

0 (0%)

< 0.001

 Stage 3

10 (83%)

10 (48%)

0 (0%)

0 (0%)

< 0.001

 Any Stage AKI

12 (100%)

21 (100%)

2 (13%)

16 (18%)

< 0.001

 Severe AKI

12 (100%)

21 (100%)

0 (0%)

0 (0%)

< 0.001

 Day 3 FO ≥ 15%

12 (100%)

0 (0%)

15 (100%)

0 (0%)

< 0.001

 ICU LOS

14.5 (9.5–21)

6 (3–10)

4 (2–6)

6 (3–10)

0.018

 Hospital LOS

32.5 (24.5–72)

16 (7–28)

14 (6–61)

11 (6–19)

0.003

 Mortality

2 (17%)

2 (10%)

0 (0%)

5 (5%)

0.31

RAI Performance of Phenotype Prediction

 Sensitivity

100% (73.5–100)

76.2% (52.8–91.8)

60% (32.3–83.7)

44% (33.6–54.8)

 

 Specificity

48.8% (39.9–57.8)

48.3% (39–57.7)

45.2% (36.2–54.3)

22.9% (12–37.3)

 

 AUROC

0.74 (0.70–0.79)

0.62 (0.52–0.73)

0.53 (0.39–0.66)

0.33 (0.26–0.41)

 

 NPV

100% (94.2–100)

91.9% (82.2–97.3)

90.3% (80.1–96.4)

17.7% (9.2–29.5)

 
  1. Data are presented as median (IQR) for continuous measures, and n (%) for categorical measures
  2. RAI Renal Angina Index, RA- Renal Angina Index negative, RA+ Renal angina index positive, PRISM III Pediatric risk of mortality 3, CRRT Continuous renal replacement therapy, AKI Acute kidney injury, stages defined by Kidney Disease: Improving Global Outcomes (KDIGO) criteria, FO Fluid overload > 15%, ICU Intensive care unit. LOS Length of stay