Sepsis & infection

Discovery of a resistant cohort to acute kidney injury: insights from patients with septic shock

Crit CarePublished Secondary analysis of the Protocolized Care for Early Septic Shock (ProCESS) randomised trial

Primary result · 30-day mortalityResult — go to the resultAdjusted odds ratio 0.26 95% CI 0.09–0.80

Authors' conclusion

Despite greater illness severity, AKI-resistant patients had similar mortality and length of stay as lower-risk patients but better outcomes than those with AKI.

Study context

Population
Patients with septic shock enrolled in the ProCESS trial
Participants
573 patients
Comparison
Acute kidney injury (AKI)-resistant vs AKI vs reduced risk
  • AKI-resistantn = 40
  • AKIn = 194reference
  • Reduced riskn = 339
Methodological detailsretrospective analysis
  • Retrospective analysis

Primary result

30-day mortality · 30 days

Adjusted odds ratio

0.26

95% CI 0.09–0.80

P = 0.02

By group

AKI-resistant vs AKI
aOR 0.26 (95% CI 0.09–0.80); P = 0.02

As reported in the abstract

Further findings

Median

OutcomeAKI-resistantAKIReduced riskP value
Non-renal SOFA scoreReduced risk vs AKI-resistant6 (IQR 4.5–8)6 (IQR 5–9)5 (IQR 2–7)P < 0.01
Non-renal SOFA scoreReduced risk vs AKIP < 0.01

ICU stay

Shorter ICU stays in AKI-resistant vs AKI

Baseline characteristics

Did not differ between AKI-resistant and AKI

Original publication

Discovery of a resistant cohort to acute kidney injury: insights from patients with septic shock. Crit Care. Published 8 October 2025. doi:10.1186/s13054-025-05647-6

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