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Table 2 Laboratory findings in children based on acute kidney injury definition

From: Acute kidney injury in hospitalized children with sickle cell anemia

 

KDIGO

 ≥ 50% from baseline (nadir) or 0.3 mg/dL increase in SCr

asKDIGO

 ≥ 50% from baseline (nadir, excluding 0.2 mg/dL to 0.3md/dL) or 0.3 mg/dL increase in SCr

No AKI (n = 95)

AKI (n = 90)

P value

No AKI (n = 118)

AKI (n = 67)

P value

Laboratory Findings

 WBC × 103/μL

22.2 (16.2, 32.4)

24.3 (16.7, 39.2)

0.5257

20.1 (15.4, 30.3)

25.5 (18.2, 46.7)

0.0072

 Hemoglobin, g/dL

7.4 (6.4, 8.3)

7.1 (6.1, 8.0)

0.3362

7.4 (6.5, 8.4)

6.9 (5.9, 7.7)

0.0068

 Neutrophil count × 103/μL

11.4 (8.2, 16.4)

13.4 (8.4, 19.2)

0.2577

11.3 (8.0, 16.2)

14.3 (8.9, 20.4)

0.0143

 Platelet count × 103/μL

439 (334, 560)

387 (282, 505)

0.0361

435 (330, 557)

382 (265, 488)

0.0529

 BUN, mg/dL

3 (3, 4)

5 (3, 9)

 < 0.0001

3 (3, 4)

6 (3, 11)

 < 0.0001

 Liver function

  Aspartate transaminase (AST)

43.0 (33.0, 68.0)

65 (39.8, 120.0)

0.0001

43.5 (33.0, 70.0)

67 (48, 148)

 < 0.0001

  Alkaline phosphatase (ALP)

207 (171, 256)

247 (170, 321)

0.0360

211 (165, 255)

254 (183, 337)

0.0049

  Gamma glutamyl transpeptidase (GGT), IU/L

29 (17.2, 49.2)

35.2 (23.6, 74.5)

0.0418

27.7 (16.5, 49.1)

40.4 (25.3, 82.0)

0.0007

  Albumin, mg/dL

39.7 (35.8, 43.2)

38.6 (33.7, 42.5)

0.1361

39.7 (35.9, 43.3)

37.8 (32.9, 42.0)

0.0323

  Total bilirubin, mg/dL

1.7 (1.0, 2.9)

2.5 (1.1, 4.6)

0.0224

1.6 (0.9, 2.8)

3.1 (1.3, 5.1)

0.0008

  Conjugated bilirubin, mg/dL

0.6 (0.5, 1.0)

0.8 (0.5, 2.6)

0.0445

0.6 (0.5, 1.0)

1.1 (0.5, 3.9)

0.0008

 Creatinine measures

  Admission SCr, mg/dL

0.2 (0.19, 0.3)

0.3 (0.3, 0.5)

 < 0.0001

0.2 (0.19, 0.3)

0.4 (0.3, 0.6)

 < 0.0001

  Maximum SCr, mg/dL

0.2 (0.19, 0.3)

0.4 (0.3, 1.0)

 < 0.0001

0.2 (0.2, 0.3)

0.6 (0.3, 1.5)

 < 0.0001

  Minimum SCr, mg/dL

0.19 (0.19, 0.3)

0.2 (0.19, 0.3)

0.0087

0.2 (0.19, 0.3)

0.2 (0.19, 0.4)

0.0543

 Urinalysis

  uAlbumin:uCr ratio, mg/mmol

1.8 (0.7, 6.5)

2.1 (0.8, 15.1)

0.2706

1.4 (0.7, 3.9)

3.1 (0.9, 23.1)

0.0034

  Albumin-to-creatinine ratio, n (%)

   < 3 mg/mmol

54 (60.0)

51 (60.0)

0.607

74 (66.7)

31 (48.4)

0.030

   3–30 mg/mmol

30 (33.3)

25 (29.4)

 

31 (27.9)

24 (37.5)

 

   > 30 mg/mmol

6 (6.7)

9 (10.6)

 

6 (5.4)

9 (14.1)

 

  Hematuria by dipstick, n (%)

4 (4.2)

10 (11.1)

0.076

4 (3.4)

10 (14.9)

0.009

  Proteinuria by dipstick, n (%)

8 (8.4)

20 (22.2)

0.009

9 (7.6)

19 (28.4)

 < 0.001

  Bilirubinuria by dipstick, n (%)

3 (3.2)

13 (14.4)

0.006

3 (2.5)

13 (19.4)

0.001

  1. Continuous data presented as median (IQR) and analyzed using the Wilcoxon rank sum test
  2. Categorical data analyzed using Pearson’s Chi square test or Fisher’s exact test (if n < 5 per cell)
  3. aChildren with a baseline creatinine of 0.2 mg/dL with a 50% increase in creatinine to 0.3 mg/dL were not considered to have AKI