Profile and outcome of patients with emergency complications of renal failure presenting to an urban emergency department of a tertiary hospital in Tanzania

Table 4 Factors associated with mortality (Logistic regression analysis)

	Total	Alive	Died	Logistic Regression
				Univariate		Adjusted
	N = 142	n (%)	n (%)	OR[95%CI]	P-Value	OR[95%CI]	P-Value
Age
< 30	26	16[61.5]	10[38.5]	1		1
30–54	64	40[62.5]	24[37.5]	1.6[0.38–6.94]	0.932	2.81[0.44–17.89]	0.825
55+	52	29[55.8]	23[44.2]	0.7[0.17–3.24]	0.627	1.13[0.17–7.37]	0.782
Sex
Female	34	28[32.9]	6[10.5]	0.2[0.09 0.63]	0.003	0.13[0.03–0.53]	0.004
Payment
Insurance	37	22[25.9]	15[26.3]	1
Pay from pocket	105	63[74.1]	42[73.7]	0.9[0.46–2.10]	0.954
Hospital Management (n = 138 *)
Dialyzed	59	47[55.3]	12[22.6]	1		1
Not dialyzed	79	38[44.7]	41[77.4]	4.2[1.9–9.1]	0	8.02[2.7–23.5]	0
Potassium in mmol/L (n = 119*)
< 7 mmol/L	98	65[66.3]	33[33.7]	1
7 + mmol/L	21	12[82.4]	9[42.9]	1.5[0.56–3.86]	0.426
Reduced urine output (n = 138*)
Yes	57	32[37.6]	25[43.9]	1.3[0.65–2.56]	0.459	3.40[1.22–9.48]	0.005
Altered mental status (n = 138*)
Yes	66	37[43.5]	29[50.9]	3.6 [1.36–9.67]	0.01	7.48[1.90–29.41]	0.004
Shortness of breath (n = 138*)
Yes	33	20[23.5]	13[22.8]	1.3[0.69–2.63]	0.39
Vomiting (n = 138*)
Yes	43	29[34.1]	14[24.6]	1.6[0.71–3.42]	0.266	6.23[1.75–22.2]	0.005
Physical and Lab findings
Pulmonary edema (n = 138*)
Yes	54	27[31.8]	27[47.4]	1.9[0.97–3.86]	0.062	4.60[1.6–13.3]	0.005
Creatinine in umol/L (n = 133*)
< 700	31	21[67.7]	10[32.3]	1		1
700–1200	32	20[62.5]	12[37.5]	1.3[0.45–3.56]	0.663	1.52[0.40–5.75]	0.539
1201+	70	38[54.3]	32[45.7]	1.8[0.73–4.30]	0.208	5.02[1.4–18.2]	0.014
BUN Level in mmol/L (n = 134*)
< 20	18	12[11]	4[25.0]
20+	116	66[28.8]	48[42.1]	2.2[0.66–7.18]	0.199

*N’s vary as all patients did not have all tests in the ED. 4 participants who were lost to follow-up and 4 other patients who died at ED were not included in the analysis

ISSN: 1471-227X