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Risk factors for and characteristics of community‐ and hospital‐acquired drug‐induced acute kidney injuries
Drugs constitute one of the leading causes of acute kidney injuries (AKIs) and can appear in community (CA‐AKI) or hospital (HA‐AKI) population. The objectives of the present study of a cohort of hospitalized patients with AKI were to describe the characteristics of drug‐induced AKIs and the patient...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9545588/ https://www.ncbi.nlm.nih.gov/pubmed/35037310 http://dx.doi.org/10.1111/fcp.12758 |
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author | Rey, Amayelle Gras‐Champel, Valérie Choukroun, Gabriel Masmoudi, Kamel Liabeuf, Sophie |
author_facet | Rey, Amayelle Gras‐Champel, Valérie Choukroun, Gabriel Masmoudi, Kamel Liabeuf, Sophie |
author_sort | Rey, Amayelle |
collection | PubMed |
description | Drugs constitute one of the leading causes of acute kidney injuries (AKIs) and can appear in community (CA‐AKI) or hospital (HA‐AKI) population. The objectives of the present study of a cohort of hospitalized patients with AKI were to describe the characteristics of drug‐induced AKIs and the patients' short‐term outcomes and assess risk factors for drug‐induced AKIs overall, CA‐AKIs, and HA‐AKIs. Based on a cohort of 1557 hospitalized patients suffering from AKIs based on PMSI extraction and chart review (IRA‐PMSI), drug‐induced AKIs were identified by applying the Naranjo adverse drug reaction (ADR) probability scale. Multivariate logistic regression was used to identify factors associated with CA‐AKIs and/or HA‐AKIs. When considering the 1557 patients who experienced an AKI, 445 (28.6%) of the injuries were drug‐induced (180 CA‐AKIs (40.4%) and 265 HA‐AKIs (59.6%)). Antibiotics, diuretics, and contrast agents were significantly more likely to be involved in HA‐AKIs, whereas antineoplastic, lipid‐lowering drugs, antidiabetics, and immunosuppressive were significantly more likely to be involved in CA‐AKIs. Female sex (odds ratio [OR] [95%CI] = 1.3 [1.04–1.67]), chronic kidney disease (CKD) (OR = 1.8 [1.40–2.67]), and a history of ADRs of any type (OR = 1.3 [1.05–1.73]) were significant risk factors for drug‐induced AKIs. CKD was a risk factor for both CA‐AKI and HA‐AKI. In view of the long‐term impact of AKI on the kidneys and the differences between our CA‐AKI and HA‐AKI subgroups, our present results are interesting for optimizing treatments, limiting the occurrence of CA‐ and HA‐AKIs and (ultimately) reducing healthcare costs. |
format | Online Article Text |
id | pubmed-9545588 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-95455882022-10-14 Risk factors for and characteristics of community‐ and hospital‐acquired drug‐induced acute kidney injuries Rey, Amayelle Gras‐Champel, Valérie Choukroun, Gabriel Masmoudi, Kamel Liabeuf, Sophie Fundam Clin Pharmacol Original Article Drugs constitute one of the leading causes of acute kidney injuries (AKIs) and can appear in community (CA‐AKI) or hospital (HA‐AKI) population. The objectives of the present study of a cohort of hospitalized patients with AKI were to describe the characteristics of drug‐induced AKIs and the patients' short‐term outcomes and assess risk factors for drug‐induced AKIs overall, CA‐AKIs, and HA‐AKIs. Based on a cohort of 1557 hospitalized patients suffering from AKIs based on PMSI extraction and chart review (IRA‐PMSI), drug‐induced AKIs were identified by applying the Naranjo adverse drug reaction (ADR) probability scale. Multivariate logistic regression was used to identify factors associated with CA‐AKIs and/or HA‐AKIs. When considering the 1557 patients who experienced an AKI, 445 (28.6%) of the injuries were drug‐induced (180 CA‐AKIs (40.4%) and 265 HA‐AKIs (59.6%)). Antibiotics, diuretics, and contrast agents were significantly more likely to be involved in HA‐AKIs, whereas antineoplastic, lipid‐lowering drugs, antidiabetics, and immunosuppressive were significantly more likely to be involved in CA‐AKIs. Female sex (odds ratio [OR] [95%CI] = 1.3 [1.04–1.67]), chronic kidney disease (CKD) (OR = 1.8 [1.40–2.67]), and a history of ADRs of any type (OR = 1.3 [1.05–1.73]) were significant risk factors for drug‐induced AKIs. CKD was a risk factor for both CA‐AKI and HA‐AKI. In view of the long‐term impact of AKI on the kidneys and the differences between our CA‐AKI and HA‐AKI subgroups, our present results are interesting for optimizing treatments, limiting the occurrence of CA‐ and HA‐AKIs and (ultimately) reducing healthcare costs. John Wiley and Sons Inc. 2022-01-25 2022-08 /pmc/articles/PMC9545588/ /pubmed/35037310 http://dx.doi.org/10.1111/fcp.12758 Text en © 2022 The Authors. Fundamental & Clinical Pharmacology published by John Wiley & Sons Ltd on behalf of Société Française de Pharmacologie et de Thérapeutique. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Rey, Amayelle Gras‐Champel, Valérie Choukroun, Gabriel Masmoudi, Kamel Liabeuf, Sophie Risk factors for and characteristics of community‐ and hospital‐acquired drug‐induced acute kidney injuries |
title | Risk factors for and characteristics of community‐ and hospital‐acquired drug‐induced acute kidney injuries |
title_full | Risk factors for and characteristics of community‐ and hospital‐acquired drug‐induced acute kidney injuries |
title_fullStr | Risk factors for and characteristics of community‐ and hospital‐acquired drug‐induced acute kidney injuries |
title_full_unstemmed | Risk factors for and characteristics of community‐ and hospital‐acquired drug‐induced acute kidney injuries |
title_short | Risk factors for and characteristics of community‐ and hospital‐acquired drug‐induced acute kidney injuries |
title_sort | risk factors for and characteristics of community‐ and hospital‐acquired drug‐induced acute kidney injuries |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9545588/ https://www.ncbi.nlm.nih.gov/pubmed/35037310 http://dx.doi.org/10.1111/fcp.12758 |
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