Acute Kidney Injury, Sepsis, Septic Shock
Conditions
Keywords
Sepsis, Acute Kidney Injury, Sepsis-associated acute kidney injury, SGLT2i
Brief summary
The primary objective of this study is to investigate whether using SGLT2i may be associated with decreased incidence of sepsis-induced AKI or not.
Detailed description
The primary objective of this study is to investigate whether using SGLT2i may be associated with decreased incidence of sepsis-induced AKI or not.
Interventions
No intervention
Sponsors
Study design
Eligibility
Inclusion criteria
* All adult (≥ 18 year) patients who were admitted to ICU with sepsis syndromes (sepsis or septic shock), according to sepsis-3 definition.
Exclusion criteria
* Missing data * Renal transplant or tumor * Solitary kidney * Established CKD * Obstructive uropathy * Renal artery stenosis * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Odds of sepsis-associated acute kidney injury (AKI) in patients with prior use of SGLT2 inhibitors (SGLT2i) | The exposure window for SGLT2i use will be defined as any use within 90 days prior to the onset of sepsis. The outcome (sepsis-associated AKI) will be evaluated during the index hospitalization for sepsis. | The primary outcome is to determine whether prior use of SGLT2 inhibitors is associated with a reduced odds of developing sepsis-associated AKI. This will be assessed by comparing the frequency of AKI among patients with sepsis who were exposed to SGLT2i prior to hospitalization (cases) versus those who were not exposed (controls). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| ICU length of stay | During ICU stay (from ICU admission to discharge), Maximum 6 months stay | The number of days of ICU stay |
| The need for RRT | During ICU stay (from ICU admission to discharge), Maximum 6 months stay | The prevalence of RRT during ICU stay |
| 28-day mortality | Up to day-28 from ICU admission | The mortality rate at day 28 in ICU |
Countries
Saudi Arabia