Hypotension as a risk factor for acute kidney injury in ICU patients
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Mark_Hypotension as.pdf
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Author(s)
Lehman, Li-Wei H.
Saeed, Mohammed
Moody, George B.
Mark, Roger Greenwood
Date Issued
September 2010
Journal
Computing in Cardiology
Publisher
Institute of Electrical and Electronics Engineers
Citation
Lehman, L. et al. “Hypotension as a risk factor for acute kidney injury in ICU patients.” Computing in Cardiology 2010;37:1095−1098. ©2010 IEEE.
Version
Final published version
Abstract
In the context of critical illness, hypotension may be associated with acute kidney injury (AKI). Using the MIMIC II database, we studied the risk of AKI in ICU patients as a function of both the severity and duration of hypotension. Multivariate logistical regression was performed to find correlations between hypotension and AKI. Minimum mean arterial blood pressure (MAP) and the amount of time MAP was below a range of hypotension thresholds in a target 48-hour window (prior to AKI onset) were used as primary predictive variables in the multivariate model. Our results indicate that the risk of AKI was related to the severity of hypotension with an odds ratio (OR) of 1.03, 95% CI 1.02-1.04 (p <; 0.0001) per 1 mmHg decrease in minimum MAP ≤ 80 mmHg. For each additional hour MAP was less than 70, 60, 50 mmHg, the risk of AKI increased by 2% (OR 1.02, 95% CI 1.00-1.03, p = 0.0034), 5% (OR 1.05, 95% CI 1.02-1.08, p = 0.0028), and 22% (OR 1.22, 95% CI 1.04-1.43, p = 0.0122) respectively.
MIT Department
Harvard University--MIT Division of Health Sciences and Technology
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DOI of Published Version
http://ieeexplore.ieee.org/xpls/abs_all.jsp?arnumber=5738168
