Organ support & nutrition

Acute kidney injury among intensive care unit patients in Denmark: temporal changes in mortality and kidney outcomes from 2010 to 2024

Crit CarePublished Cohort study

Authors' conclusion

In this cohort of ICU patients with AKI, mortality and risk of CKD decreased over time, while the risk of KF remained stable.

Study context

Population
Adults with a first-time intensive care unit (ICU) admission and acute kidney injury (AKI) (creatinine changes within 7 days of ICU admission), Denmark, 2010–2024patients with AKI
Participants
48,529 adults
Exposure
Three calendar periods: 2010-2014 vs 2015-2019 vs 2020-2024
Outcome
Risks of chronic kidney disease (CKD), kidney failure (KF) and death
Follow-up
One year after ICU admission
Methodological detailscompeting risk analysis
  • Competing risk analysis

Main finding

As reported in the abstract

Mortality, days 7–89 · seven to 89 days

Observational data: associations, not effects.

Further findings

Outcome2010-20142015-20192020-2024
Mortality, days 90–36510.3% (95% CI 9.5%–11.0%)10.2% (95% CI 9.7%–10.7%)9.5% (95% CI 9.1%–10.0%)
Risk of CKD (outpatient eGFR <60 ml/min/1.73 m² for >90 days), death as competing risk · 90 to 365 days21.0% (95% CI 19.9%–22.1%)19.8% (95% CI 19.1%–20.6%)17.3% (95% CI 16.7%–17.9%)
Risk of kidney failure (eGFR <15 ml/min/1.73 m², hospital diagnosis, kidney transplantation or chronic kidney replacement therapy), death as competing risk · 90 to 365 days2.2% (95% CI 1.9%–2.6%)2.1% (95% CI 1.9%–2.3%)2.0% (95% CI 1.8%–2.3%)

Original publication

Acute kidney injury among intensive care unit patients in Denmark: temporal changes in mortality and kidney outcomes from 2010 to 2024. Crit Care. Published 10 June 2026. doi:10.1186/s13054-026-06125-3

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