Metadata

Name Acute Kidney Injury (AKI)
Category Genitourinary
Sex
Adult Yes
UUID 36f7c398-f3e6-4d8f-a159-76d85f826ebe
Definition An acute or chronic condition that is characterized by the inability of the kidneys to adequately filter the blood.

Ontologies

Disease Ontology (DOID) DOID_3021
GWAS Catalogue HP_0001919
MeSH D058186
SNOMED-CT 14669001
FinnGen N14_ACUTERENFAIL

Key Summary Statistics

Cases from any source

Total 20544
Female (%) 8011 (39%)
Male (%) 12533 (61%)

Year first recorded

AKI year of first event

Cases linked in all UK Biobank sources

Cross-source concordance

Vertical bars correspond to number of cases per source/intersection; horizontal bars to left correspond to total number of cases per source.

Cross-sourced AKI cases

Incidence & prevalence

Sex and age-stratified incidence and prevalence of AKI

Baseline prevalence stratified by sex

Female 9.08 (7.05,11.1)
Male 22.68 (19.19,26.17)

Incidence stratified by sex

Female 11.13 (10.26,12.0)
Male 24.08 (22.68,25.48)

Incidence stratified by age

Ages 40-44 3.42 (2.27,4.57)
Ages 45-49 6.02 (4.71,7.33)
Ages 50-54 9.26 (7.76,10.77)
Ages 55-59 13.24 (11.61,14.86)
Ages 60-64 21.68 (19.89,23.47)
Ages 65-69 35.04 (32.43,37.65)

Period prevalence

Methods

Comparison with general population

Sex-standardised prevalence from CALIBER study (Kuan et al. 2019)

CALIBER and UKB AKI prevalence comparison for multiple age groups

Population Ages 40-49 Ages 50-59 Ages 60-69
UK Biobank 33 (27,39) 72 (65,79) 157 (149,165)
CALIBER 46 (44,48) 103 (100,106) 249 (244,254)

Stratified by age and Townsend deprivation status

Deprivation status Ages 40-49 Ages 50-59 Ages 60-69
Least deprived 20(11,33) 47(36,61) 110(96,126)
Low 29(18,45) 50(38,64) 127(111,144)
Medium 26(16,41) 56(44,71) 131(115,149)
High 31(20,45) 76(61,92) 173(153,194)
Most deprived 50(37,65) 126(108,147) 266(241,293)

Stratified by age and country

Country Ages 40-49 Ages 50-59 Ages 60-69
England 35(28,42) 73(65,81) 158(149,167)
Scotland 28(15,47) 71(54,92) 150(127,175)
Wales 21(8,45) 64(44,91) 154(126,187)

Risk factors analysis

‘Healthy’ BMI, smoking status ‘never’, or no hypertension (absence of hypertension records) were considered as reference values.

Hazard Ratio (HR) values with P < 0.0002 were considered to show significant association with disease onset after correction for multiple-testing using the Bonferroni method

N=153508, Events=407

Factor Level Hazard Ratio P value
BMI overweight 0.96 (0.75, 1.22) 0.716
BMI obese 1.36 (1.06, 1.76) 0.0167
BMI underweight 0 (0, Inf) 0.986
smoking previous 1.37 (1.1, 1.7) 0.00438
smoking current 2.14 (1.6, 2.85) 2.26e-07
hypertension yes 1.88 (1.53, 2.31) 1.47e-09

Risk factors analysis forest plot

Definition

UK Biobank field id Description Code Value
41202 Diagnoses - main ICD10 N17.0 Acute renal failure with tubular necrosis
41202 Diagnoses - main ICD10 N17.1 Acute renal failure with acute cortical necrosis
41202 Diagnoses - main ICD10 N17.2 Acute renal failure with medullary necrosis
41202 Diagnoses - main ICD10 N17.8 Other acute renal failure
41202 Diagnoses - main ICD10 N17.9 Acute renal failure, unspecified
41204 Diagnoses - secondary ICD10 N17.0 Acute renal failure with tubular necrosis
41204 Diagnoses - secondary ICD10 N17.1 Acute renal failure with acute cortical necrosis
41204 Diagnoses - secondary ICD10 N17.2 Acute renal failure with medullary necrosis
41204 Diagnoses - secondary ICD10 N17.8 Other acute renal failure
41204 Diagnoses - secondary ICD10 N17.9 Acute renal failure, unspecified
40001 Underlying (primary) cause of death: ICD10 N17.0 Acute renal failure with tubular necrosis
40001 Underlying (primary) cause of death: ICD10 N17.1 Acute renal failure with acute cortical necrosis
40001 Underlying (primary) cause of death: ICD10 N17.2 Acute renal failure with medullary necrosis
40001 Underlying (primary) cause of death: ICD10 N17.8 Other acute renal failure
40001 Underlying (primary) cause of death: ICD10 N17.9 Acute renal failure, unspecified
40002 Contributory (secondary) causes of death: ICD10 N17.0 Acute renal failure with tubular necrosis
40002 Contributory (secondary) causes of death: ICD10 N17.1 Acute renal failure with acute cortical necrosis
40002 Contributory (secondary) causes of death: ICD10 N17.2 Acute renal failure with medullary necrosis
40002 Contributory (secondary) causes of death: ICD10 N17.8 Other acute renal failure
40002 Contributory (secondary) causes of death: ICD10 N17.9 Acute renal failure, unspecified