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Table 3 Correlation between clinical manifestations and pathological findings categorized by MEST-C scores

From: Clinical manifestations and pathological correlation of immunoglobulin A nephropathy in children

Mesangial hypercellularity

M0

(n= 15)

M1

(n= 32)

Odds ratio (95%CI)

p-value

Adjusted odds ratio (95%CI)

p-value

Hypertension

4 (26.67)

17 (53.13)

3.12 (0.82 – 11.89)

0.096

1.75 (0.37 – 8.23)

0.476

Edema

5 (33.33)

15 (46.88)

1.76 (0.49 – 6.34)

0.384

  

Microscopic hematuria

5 (33.33)

25 (78.13)

7.14 (1.83 – 27.88)

0.005

  

Gross hematuria

2 (13.33)

8 (25)

2.17 (0.40 – 11.74)

0.370

  

Significant proteinuria

9 (60)

13 (40.63)

0.46 (0.13 – 1.59)

0.219

0.44 (0.12 – 1.68)

0.232

Nephrotic range proteinuria

5 (33.33)

17 (53.13)

2.27 (0.63 – 8.14)

0.210

  

AKI/RPGN

2 (13.33)

12 (37.50)

3.90 (0.75 – 20.34)

0.106

3.12 (0.47 – 20.85)

0.240

Median MAP (IQR)

88.6 (86.3—92)

90.8 (82.3 – 106.15)

1.03 (0.99 – 1.08)

0.171

  

Median UPCR (IQR)

0.99(0.7 – 2.1)

2.6 (0.98 – 6.65)

1.12

(0.92 – 1.35)

0.260

  

Endocapillary hypercellularity

E0 (n = 36)

E1 (n = 11)

Odds ratio (95%CI)

p-value

Adjusted odds ratio (95%CI)

p-value

Hypertension

13 (36.11)

8 (72.73)

4.72 (1.06 – 20.96)

0.041

2.22 (0.20 – 24.52)

0.517

Edema

12 (33.33)

8 (72.73)

5.33 (1.19 – 23.83)

0.028

3.45 (0.45 – 26.14)

0.231

Microscopic hematuria

19 (52.78)

11 (100)

NA

NA

  

Gross hematuria

10 (27.78)

-

NA

NA

  

Significant proteinuria

21 (58.33)

1 (9.09)

0.07 (0.01 – 0.62)

0.017

0.02 (0.001 – 0.93)

0.046

Nephrotic range proteinuria

13 (36.11)

9 (81.82)

7.96 (1.49 – 42.56)

0.015

0.21 (0.008 – 5.35)

0.344

AKI/RPGN

9 (25)

5 (45.45)

2.5 (0.61 – 10.20)

0.202

  

Median MAP (IQR)

88.15 (81.95 – 95.6)

103 (90.6—118)

1.04 (1.00 – 1.08)

0.052

1.03 (0.97 – 1.09)

0.354

Median UPCR (IQR)

1.46 (0.7 – 4.66)

6.11 (3.6 – 9.1)

1.13 (0.97 – 1.31)

0.105

  

Segmental glomerulosclerosis

S0 (n = 27)

S1 (n = 20)

Odds ratio (95%CI)

p-value

Adjusted odds ratio (95%CI)

p-value

Hypertension

7 (25.93)

14 (70)

6.67

(1.84 – 24.14)

0.004

7.87

(1.65 – 37.59)

0.010

Edema

10 (37.04)

10 (50)

1.70 (0.53 – 5.50)

0.376

  

Microscopic hematuria

15 (55.56)

15 (75)

2.40 (0.68 – 8.50)

0.175

  

Gross hematuria

8 (29.63)

2 (10)

0.26 (0.05 – 1.41)

0.120

  

Significant proteinuria

12 (44.44)

10 (50)

1.25 (0.39 – 3.99)

0.706

  

Nephrotic range proteinuria

12 (44.44)

10 (50)

1.25 (0.39 – 3.99)

0.706

  

AKI/RPGN

6 (22.22)

8 (40)

2.33 (0.65 – 8.34)

0.192

0.72

(0.14 – 3.81)

0.704

Mean MAP (SD)

89.19 (13.62)

100.39 (20.76)

1.04 (1.00 – 1.08)

0.044

  

Median UPCR (IQR)

1.25

(0.7 – 5.5)

2.6

(1.17 – 6.80)

0.99 (0.86 – 1.13)

0.835

  

Tubular atrophy/interstitial fibrosis

T0

(n = 33)

T1/T2

(n = 14)

Odds ratio (95%CI)

p-value

Adjusted odds ratio (95%CI)

p-value

Hypertension

11 (33.33)

10 (71.43)

5 (1.27 – 19.62)

0.021

1.86 (0.27 – 12.86)

0.527

Edema

13 (39.39)

7 (50)

1.54 (0.44 – 5.42)

0.502

  

Microscopic hematuria

18 (54.55)

12 (85.71)

5 (0.96 – 25.94)

0.055

  

Gross hematuria

9 (27.27)

1 (7.14)

0.21 (0.02 – 1.80)

0.153

  

Significant proteinuria

19 (57.58)

3 (21.43)

0.20 (0.05 – 0.86)

0.030

  

Nephrotic range proteinuria

12 (36.36)

10 (71.43)

4.38 (1.12 – 17.03)

0.033

3.33 (0.77 – 14.32)

0.106

AKI/RPGN

7 (21.21)

7 (50)

3.71 (0.97 – 14.18)

0.055

  

Median MAP (IQR)

88

(81.6—92)

102.15

(90.6—120)

1.05 (1.01 – 1.09)

0.020

1.03 (0.98 – 1.09)

0.255

Median UPCR (IQR)

1.36 (0.70 – 3.38)

6.28 (3.1 – 7.33)

1.15 (0.98 – 1.34)

0.081

  

Crescent

C0

(n = 35)

C1/C2

(n = 12)

Odds ratio (95%CI)

p-value

Adjusted odds ratio (95%CI)

p-value

Hypertension

11 (31.43)

10 (83.33)

10.91 (2.04 – 58.39)

0.005

2.42 (0.23 – 25.25)

0.461

Edema

12 (34.29)

8 (66.67)

3.83 (0.96 – 15.37)

0.058

  

Microscopic hematuria

22 (62.86)

8 (66.67)

1.18 (0.30 – 4.71)

0.813

  

Gross hematuria

6 (17.14)

4 (33.33)

2.42 (0.55 – 10.70)

0.245

  

Significant proteinuria

19 (54.29)

3 (25)

0.28 (0.06 – 1.22)

0.089

  

Nephrotic range proteinuria

13 (37.14)

9 (75)

5.08 (1.16 – 22.20)

0.031

4.31 (0.72 – 25.90)

0.111

AKI/RPGN

7 (20)

7 (58.33)

5.6 (1.36 – 23.06)

0.017

1.92 (0.26 – 14.25)

0.522

Mean MAP (SD)

88.83 (11.51)

108.91 (24.02)

1.07 (1.02 – 1.13)

0.004

1.04 (0.98 – 1.11)

0.223

Median UPCR (IQR)

1.18

(0.69 – 3.6)

6.27

(3.83 – 7.33)

1.14 (0.98 – 1.33)

0.082

  
  1. Data are expressed as number (%), median and interquartile range or mean ± standard deviation
  2. AKI Acute kidney injury, eGFR Estimated glomerular filtration rate, IQR Interquartile range, MAP Mean arterial pressure, RPGN Rapidly progressive glomerulonephritis, SD Standard deviation, UPCR Urine protein creatinine ratio