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Table 3 eGFR among patients receiving high-oral protein loading, compared to that in patients receiving standard care prior to cardiac surgery

From: Effects of preoperative high-oral protein loading on short- and long-term renal outcomes following cardiac surgery: a cohort study

 

Control group

Protein-loading group

Difference

(protein load vs. control)

p-value (unadjusted)

p-value (adjusted)b

(a) eGFR values (in mL/min/1.73 m2)a

 3 months

     

  All patients (n = 323)

86 (84–88)

90 (87–93)

3.9 (0.42–7.3]

0.028

0.017

  No AKI (n = 283)

87 (85–89)

91 [89–94)

4.6 (1.1–8.1)

0.011

0.005

  AKI (n = 40)

80 (73–87)

79 (69–89)

0.0 (− 13 to 12)

0.936

0.619

  Reversal (n

 = 35)

83 (75–91)

79 (70–89)

 − 3.8 (− 16 to 8.7)

0.538

0.323

  Non-reversal

66 (47–84)

 

12 months

     

  All patients (n = 321)

79 (77–81)

87 (84–90)

7.8 (4.5–11)

 < 0.001

 < 0.001

  No AKI (n = 283)

81 (79–83)

89 (86–91)

7.9 (4.6–11)

 < 0.001

 < 0.001

  AKI (n = 38)

65 (58–72)

75 (66–84)

9.6 (− 1.7 to 21)

0.093

0.619

  Reversalc (n

 = 34)

69 (62–76)

75 (67–83)

5.8 (− 4.9 to 17)

0.280

0.316

  Non-reversal

46 (19–73]

 

(b) Change in eGFR (in mL/min/1.73 m2)a relative to the preoperative values

 3 months

     

  All patients (n = 323)

 − 3.3 (− 4.4 to  − 2.2)

0.15 (− 1.4 to 1.7)

3.5 (1.6 to 5.4)

 < 0.001

 < 0.001

  No AKI (n = 283)

 − 3.2 (− 4.3 to − 2.1)

0.68 (− 0.87 to 2.2]

3.9 (2.0 to 5.8)

 < 0.001

 < 0.001

  AKI (n = 40)

 − 4.2 (− 8.7– 0.44)

− 3.5 (− 9.8 to 2.8)

0.65 (− 7.1 to 8.4)

0.865

0.817

  Reversalc (n

 = 35)

 − 1.5 (− 6.2 to 3.2)

− 3.5 (− 9.3 to 2.3)

 − 2.0 (− 9.4 to 5.5)

0.594

0.764

  Non-reversal

 − 15 (− 30 to − 0.2)

 

 12 months

     

  All patients (n = 321)

 − 10 (− 11 to − 9.1)

 − 2.7 (− 4.2 to  − 1.2)

7.5 (5.6 to 9.4)

 < 0.001

 < 0.001

  No AKI (n = 283)

 − 9.1 (− 10 to − 8.1)

 − 1.9 (− 3.4 to  − 0.52)

7.2 (5.4 to 8.9)

 < 0.001

 < 0.001

  AKI (n = 38)

 − 19 (− 23 to − 14)

 − 8 (− 14 to  − 1.9]

11 (3 to 18)

0.008

0.011

  Reversalc (n

 = 34)

 − 15 (− 19 to − 11)

 − 8 (− 13 to − 3.2)

7.3 (1.1 to 14)

0.022

0.028

  Non-reversal

 − 35 (− 61 to  − 9.1)

 
  1. Summaries of quantitative variables are presented as mean and 95% confidence interval (in brackets)
  2. AKI acute kidney injury; eGFR estimated glomerular filtration rate
  3. aThe eGFR was calculated using the Chronic Kidney Disease Epidemiology Collaboration equation [15]
  4. bP-values were taken from linear models, including age, sex, body mass index, hypertension, and diabetes as covariables
  5. cReversal after AKI was defined as the absence of any stage of AKI based on either the serum creatinine or urine output criteria at hospital discharge [22]