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Table 2 In-hospital treatment and outcome

From: Contemporary in-hospital and long-term prognosis of patients with acute ST-elevation myocardial infarction depending on renal function: a retrospective analysis

Parameter

No CKD

CKD Stage 1

CKD Stage 2

CKD Stage 3

CKD Stage 4

CKD Stage 5

CKD Stage 5D

p value

Patients, n (%)

137,682 (78.6)

1480 (0.8)

8347 (4.8)

20,458 (11.7)

4960 (2.8)

1295 (0.7)

965 (0.6)

 

Mean length of hospital stay, years (± SD)

10.9 (± 13.2)

12.4 (± 12.9)

13.3 (± 14.9)

15.2 (± 16.3)

17.1 (± 20.6)

25.1 (± 29.4)

16.9 (± 24.1)

< 0.001

Mean costs, Euro (± SD)

8902 (± 14,789)

9556 (± 12,081)

10,050 (± 15,794)

11,126 (± 17,867)

13,323 (± 25,111)

25,029 (± 39,673)

15,183 (± 26,186)

< 0.001

Coronary artery disease

       

< 0.001

 One-vessel disease, n (%)

39,760 (28.9)

292 (19.7)

1734 (20.8)

3284 (16.1)

689 (13.9)

167 (12.9)

135 (14.0)

 

 Two-vessel disease, n (%)

36,125 (26.2)

353 (23.9)

1997 (23.9)

4511 (22.1)

841 (17.0)

247 (19.1)

164 (17.0)

 

 Three-vessel disease, n (%)

45,005 (32.7)

628 (42.4)

3476 (41.6)

8952 (43.8)

2118 (42.7)

587 (45.3)

489 (50.7)

 

 Unknown, n (%)

16,792 (12.2)

207 (14.0)

1140 (13.7)

3711 (18.1)

1312 (26.5)

294 (22.7)

177 (18.3)

 

Coronary angiography, n (%)

123,858 (90.0)

1261 (85.2)

7171 (85.9)

16,530 (80.8)

3508 (70.7)

982 (75.8)

741 (76.8)

< 0.001

Percutaneous coronary intervention, n (%)

116,204 (84.4)

1138 (76.9)

6510 (78.0)

14,886 (72.8)

3076 (62.0)

834 (64.4)

632 (65.5)

< 0.001

 Drug-eluting stent, n (%)

83,064 (71.5)

792 (69.6)

4458 (68.5)

9680 (65.0)

1860 (60.5)

519 (62.2)

407 (64.4)

< 0.001

 Bare-metal stent only, n (%)

26,160 (22.5)

256 (22.5)

1560 (24.0)

3963 (26.6)

914 (29.7)

230 (27.6)

142 (22.5)

0.004

Coronary artery bypass grafting, n (%)

6164 (4.5)

111 (7.5)

512 (6.1)

1137 (5.6)

265 (5.3)

124 (9.6)

75 (7.8)

< 0.001

Intervention and/or thrombolysis, n (%)

125,539 (91.2))

1271 (85.9)

7260 (87.0)

16,725 (81.8)

3557 (71.7)

996 (76.9)

758 (78.6)

< 0.001

Intra-aortic balloon pump, n (%)

3847 (2.8)

59 (4.0)

295 (3.5)

810 (4.0)

246 (5.0)

112 (8.7)

42 (4.4)

< 0.001

Extracorporeal membrane oxygenation, n (%)

1280 (0.9)

13 (0.9)

66 (0.8)

213 (1.0)

76 (1.5)

37 (2.9)

18 (1.9)

< 0.001

Cardiogenic shock, n (%)

17,224 (12.5)

230 (15.5)

1175 (14.1)

3597 (17.6)

1154 (23.3)

359 (27.7)

206 (21.4)

< 0.001

Impella and/or intra-aortic balloon pump and/or extracorporeal membrane oxygenation or shock, n (%)

18,557 (13.5)

252 (17.0)

1285 (15.4)

3895 (19.0)

1231 (24.8)

396 (30.6)

229 (23.7)

< 0.001

GpIIb/IIIa-inhibitor, n (%)

34,771 (25.3)

318 (21.5)

1778 (21.3)

3889 (19.0)

707 (14.3)

196 (15.1)

123 (12.8)

< 0.001

Ventilation

23,872 (17.3)

312 (21.1)

1646 (19.7)

4913 (24.0)

1564 (31.5)

553 (42.7)

346 (35.9)

< 0.001

Stroke, n (%)

1917 (1.4)

33 (2.2)

166 (2.0)

534 (2.6)

149 (3.0)

53 (4.1)

19 (2.0)

< 0.001

In-hospital resuscitation, n (%)

13,940 (10.1)

173 (11.7)

823 (9.9)

2521 (12.3)

741 (14.9)

256 (19.8)

223 (23.1)

< 0.001

Blood transfusion, n (%)

11,327 (8.2)

193 (13.0)

1024 (12.3)

3364 (16.4)

1198 (24.2)

508 (39.2)

253 (26.2)

< 0.001

Bleeding, n (%)

9701 (7.0)

107 (7.2)

687 (8.2)

1926 (9.4)

521 (10.5)

189 (14.6)

89 (9.2)

< 0.001

Blood transfusion and/or bleeding, n (%)

18,124 (13.2)

260 (17.6)

1454 (17.4)

4412 (21.6)

1405 (28.3)

556 (42.9)

282 (29.2)

< 0.001

Sepsis, n (%)

2838 (2.1)

46 (3.1)

248 (3.0)

746 (3.6)

298 (6.0)

140 (10.8)

61 (6.3)

< 0.001

Renal replacement therapy, n (%)

2943 (2.1)

57 (3.9)

266 (3.2)

1032 (5.0)

567 (11.4)

674 (52.1)

575 (59.6)

< 0.001

Acute renal failure, n (%)

6808 (4.9)

139 (9.4)

729 (8.7)

2971 (14.5)

1,246 (25.1)

392 (30.2)

55 (5.7)

< 0.001

Acute renal failure and/or renal replacement therapy, n (%)

7,379 (5.4)

151 (10.2)

795 (9.5)

3,201 (15.6)

1,398 (28.2)

783 (60.5)

586 (60.7)

< 0.001

In-hospital death, n (%)

18,346 (13.3)

272 (18.4)

1,346 (16.1)

4,580 (22.4)

1,780 (35.9)

482 (37.2)

360 (37.3)

< 0.001

30-day mortality, n (%)

18,813 (13.7)

280 (18.9)

1,414 (16.9)

4,735 (23.1)

1,817 (36.6)

437 (33.8)

359 (37.2)

< 0.001

  1. CKD denotes chronic kidney disease; Gp, glycoprotein, SD, standard deviation. Differences between CKD stages for categorical and continuous variables were tested via Chi-square test and Kruskal–Wallis test, respectively