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Table 3 Univariate logistic regression analysis of study variables vs postoperative AKI in the training cohort

From: Development and validation of a risk nomogram for postoperative acute kidney injury in older patients undergoing liver resection: a pilot study

Variables

β Coefficient (95% CI)

OR (95% CI)

P Value

Age, years

0.05 (0.01–0.10)

1.05 (1.01–1.10)

0.02

Sex, female vs male

0.11 (− 0.31–0.54)

1.12 (0.73–1.71)

0.61

BMI, kg·m−2

− 0.04 (− 0.10–0.03)

0.96 (0.90–1.03)

0.24

Hypertension, yes vs no

0.38 (− 0.03–0.80)

1.47 (0.97–2.22)

0.07

Diabetes, yes vs no

0.46 (− 0.03–0.96)

1.59 (0.97–2.61)

0.06

Cardiovascular diseases, yes vs no

0.11 (− 0.48–0.70)

1.11 (0.62–2.01)

0.72

CKD, yes vs no

1.07 (0.25–1.89)

2.92 (1.29–6.62)

0.01

Pulmonary diseases, yes vs no

−0.22 (− 1.19–0.76)

0.80 (0.30–2.14)

0.66

Hepatitis/ cirrhosis, yes vs no

−0.15 (− 0.67–0.37)

0.86 (0.51–1.45)

0.58

ASA PS, III-IV vs I-II

0.54 (0.05–1.03)

1.72 (1.05–2.81)

0.03

Pathology, vs hepatoma

   

 Cholangiocarcinoma

0.25 (− 0.32–0.82)

1.28 (0.72–2.27)

0.40

 Hepatic Metastasis

0.35 (− 0.81–1.51)

1.41 (0.44–4.51)

0.56

 Benign

−0.48 (− 1.08–0.12)

0.62 (0.34–1.12)

0.12

Hemoglobin, g·L− 1

−0.02 (− 0.03 - -0.01)

0.98 (0.97–0.99)

<  0.01

Albumin, g·L− 1

− 0.08 (− 0.13 - -0.03)

0.92 (0.88–0.97)

<  0.01

Total bilirubin, per 10 μmol·L− 1

0.04 (0.002–0.07)

1.04 (1.00–1.07)

0.04

Direct bilirubin, per 10 μmol·L− 1

0.05 (0.01–0.09)

1.05 (1.01–1.09)

0.02

Fasting blood glucose, μmol·L− 1

0.07 (− 0.02–0.16)

1.07 (0.98–1.17)

0.12

Creatinine, μmol·L− 1

0.004 (− 0.01–0.01)

1.00 (0.99–1.01)

0.39

eGFR, ml·min·1.73 m− 2

− 0.01 (− 0.02–0.01)

0.99 (0.98–1.01)

0.33

NSAIDs, yes vs no

1.54 (0.36–2.72)

4.67 (1.43–15.19)

0.01

Preoperative diuretics, yes vs no

0.52 (− 0.20–1.24)

1.68 (0.81–3.46)

0.16

Nephrotoxic antibiotics, yes vs no

0.54 (−0.11–1.19)

1.71 (0.89–3.28)

0.11

Glucocorticoid, vs None

   

 Dexamethasone

−0.20 (− 0.78–0.37)

0.82 (0.46–1.45)

0.49

 Methylprednisolone

0.06 (− 0.43–0.56)

1.06 (0.65–1.75)

0.80

Vasoactive agents, vs none

   

 Hypertensive agents

0.48 (0.01–0.95)

1.62 (1.01–2.58)

0.04

 Hypotensive agents

−0.57 (− 1.46–0.32)

0.56 (0.23–1.38)

0.21

 Both

0.87 (0.17–1.56)

2.38 (1.18–4.78)

0.01

Intraoperative diuretic, vs no

0.57 (0.05–1.09)

1.76 (1.05–2.97)

0.03

MAP < 60 mmHg, yes vs no

0.19 (−0.24–0.63)

1.21 (0.78–1.87)

0.39

Duration of MAP < 60 mmHg, min

0.01 (0–0.02)

1.01 (1.00–1.02)

0.05

Duration of operation, h

0.26 (0.13–0.39)

1.30 (1.14–1.48)

<  0.01

Fluid balance, ml· kg− 1· h− 1

− 0.002 (− 0.05–0.04)

1.00 (0.95–1.04)

0.91

Hydroxyethyl starch, ml· kg− 1· h− 1

0.07 (− 0.03–0.18)

1.07 (0.97–1.19)

0.19

Ringer’s solution, ml· kg− 1· h− 1

− 0.02 (− 0.07–0.03)

0.98 (0.93–1.03)

0.47

Urine output, ml· kg− 1· h− 1

0.01 (− 0.11–0.13)

1.01 (0.90–1.14)

0.85

Blood loss, per 100 ml

0.10 (0.06–0.14)

1.10 (1.06–1.15)

<  0.01

Blood transfusion, yes vs no

1.23 (0.79–1.67)

3.41 (2.20–5.30)

<  0.01

Resection extent, vs right liver

   

 Left liver

−1.44 (−2.09 - -0.80)

0.23 (0.12–0.45)

<  0.01

 Partial

− 1.08 (− 1.60 - -0.56)

0.34 (0.20–0.57)

<  0.01

Hepatic inflow occlusion, yes vs no

0.48 (0.04–0.92)

1.61 (1.04–2.51)

0.03

Duration of occlusion, min

0.01 (− 0.001–0.02)

1.01 (1.00–1.02)

0.12

  1. Abbreviations: AKI Acute kidney injury, ASA PS American Society of Anesthesiologists physical score, BMI Body mass index, CI Confidential interval, CKD Chronic kidney disease, eGFR estimated glomerular filtration rate, LOS Length of hospital stay, MAP Mean arterial pressure, NSAIDs Non-steroidal anti-inflammatory drugs; OR, Odds ratio