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Table 2 The clinical parameters of the no nephrotoxicity and nephrotoxicity groups

From: Vancomycin dosing design method considering risk factors for nephrotoxicity

 

Patients without Nephrotoxicity

Patients with Nephrotoxicity

p-value

(n = 165)

(n = 47)

  

Age (years)

79

[34–96]

79

[19–98]

0.653†)

Sex (M/F)

90/75

27/20

-

 

Height (cm)

160

[137–180]

160

[137.5–178]

0.988†)

Weight (kg)

51.3

[29.2-135.7]

49.1

[27.0-110.9]

0.633†)

Ccr (mL/min)

49.6

[4.9–120]

54.4

[20.5–120]

0.385†)

BMI

20.0

[12.5–49.8]

20.5

[11.7–45.0]

0.650†)

Dehydration)

118

(71.5%)

33

(70.2%)

0.862‡)

General blood tests

     

WBC×103 (/µL)

90.0

[1-405]

93.0

[3-242]

0.406†)

Plt×104 (/µL)

18.0

[0.2–66.6]

17.2

[1.5–59.7]

0.911†)

Blood biochemical tests

     

Alb (g/dL)

2.4

[1.3–4.3]

2.3

[1.3–3.7]

0.214†)

T-Bil (mg/dL)

0.6

[0.2–9.5]

0.8

[0.2–5.6]

0.154†)

AST (IU/L)

23.0

[6.0-324]

35.0

[10–155]

0.009†)

ALT (IU/L)

17.5

[2.0-495]

26.0

[4.0-217]

0.053†)

BUN (mg/dL)

20.1

[4.3–145]

20.8

[6.9–63.2]

0.948†)

Cr (mg/dL)

0.74

[0.25–6.7]

0.63

[0.27–2.7]

0.428†)

CRP (mg/dL)

7.5

[0.04–39.2]

7.8

[0.32–27.3]

0.817†)

High dose of VCM (4 g/day)

2

(1.2%)

3

(6.4%)

0.074§)

Cumulative Dose (g)

13.5

[2.75–82.5]

16.0

[3.0–65.0]

0.622†)

Loading dose ≥ 25 mg/kg

103

(62.4%)

30

(63.8%)

0.860‡)

Initial Dose (mg/kg)

26.0

[7.5–46.7]

25.6

[9.0-55.6]

0.180†)

Maintenance Dose (mg/kg/day)

25.7

[3.5–63.9]

28.3

[5.4–62.3]

0.397†)

Date of the first blood concentration measurement (day)

4

[3–10]

4

[3–8]

0.157†)

Number of peak blood concentration measurements

1

[1–7]

2

[1–6]

0.130†)

Number of trough blood concentration measurements

2

[1–7]

2

[1–6]

0.116†)

Peak blood concentration (µg/mL)

24.7

[5.9–68.5]

29.0

[16.7-120.4]

< 0.0001†)

Trough blood concentration (µg/mL)

15.4

[3.0-47.9]

19.3

[9.5–49.8]

< 0.0001†)

Initial Blood Sampling Measured AUC (mg·h/L)

487

[237–1451]

628

[275–1975]

< 0.0001†)

AUCss (mg·h/L)

551

[230–1036]

656

[287–1984]

< 0.0001†)

Cumulative AUC (mg·h/L) ¶)

6001

[1011–37078]

5877

[1117–29657]

0.796†)

Days of administration (days)

11.0

[3–43]

14.0

[3–47]

0.022†)

Periods before the onset of nephrotoxicity (days)

11.0

[3–43]

11.0

[3–47]

0.437†)

Dosing for more than 14 days

59

(35.8%)

24

(51.1%)

0.058‡)

Comorbid disease

     

Heart failure

53

(32.1%)

19

(40.4%)

0.289‡)

Arrhythmia

32

(19.4%)

14

(29.8%)

0.127‡)

Renal diseases caused by underlying conditions

30

(18.2%)

13

(27.7%)

0.154‡)

Chronic hepatic disease

8

(4.8%)

7

(14.9%)

0.026‡)

Diabetes mellitus

51

(30.9%)

12

(25.5%)

0.477‡)

Malignant tumor

31

(18.8%)

6

(12.8%)

0.337‡)

Sepsis

26

(15.8%)

6

(12.8%)

0.613‡)

Concomitant medications*)

     

TAZ/PIPC

14

(8.5%)

9

(19.1%)

0.038‡)

Aminoglycosids#)

1

(0.6%)

3

(6.4%)

0.035§)

Diuretic

59

(35.8%)

27

(57.4%)

0.008‡)

NSAIDs

20

(12.1%)

11

(23.4%)

0.053‡)

Acetaminophen

37

(22.4%)

12

(25.5%)

0.656‡)

ACE inhibitors

2

(1.2%)

2

(4.3%)

0.214§)

ARB

38

(23.0%)

8

(17.0%)

0.378‡)

Catecholamine

28

(20.0%)

9

(19.1%)

0.728‡)

Immunosuppressive drug

31

(18.8%)

9

(19.1%)

0.956‡)

anticancer drug

7

(4.2%)

1

(2.1%)

0.871§)

Contrast agent

1

(0.6%)

1

(2.1%)

0.395§)

  1. Median [range] †) Mann-Whitney’s U test ‡) χ2 test §) Fisher’s exact test ) Dehydration was defined as a blood urea nitrogen serum creatinine ratio > 20 ¶) The cumulative AUC until the onset of nephrotoxicity during the vancomycin administration period #)Gentamicin: 2Cases, Amikacin: 1 Cases, Streptomycin: 1 Cases *)No patients were co-administered Amphotericin B
  2. VCM: Vancomycin, ACE: Angiotensin converting enzyme inhibitors