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Table 3 Factors associated with renal impairment in patients attending HIV clinic at the KBTH

From: Tenofovir-associated renal toxicity in a cohort of HIV infected patients in Ghana

Characteristic

Renal impairment

N = 63

n,  %

No renal impairment

N = 237

n,  %

Relative risk [95% CI]

p-value

Age, mean ± SD, years

45.3 ± 12.15

37.6 ± 10.3

1.04 [1.03–1.06]

<0.001

Baseline CrCl rate, median (IQR), mL/min

55.7 [52.4–66.1]

85.7 [66.9–113.2]

0.95 [0.93–0.96]

< 0.001

Gender

 Male

18 (28.6)

67 (28.3)

1.01 [0.62–1.64]

0.962

 Female

45 (71.4)

170 (71.7)

1.00

 

Smoke tobacco

 Yes

2 (3.2)

9 (3.8)

0.86 [0.24–3.06]

0.810

 No

61 (96.8)

226 (96.2)

1.00

 

Alcohol use

 Yes

4 (6.4)

28 (11.8)

0.57 [0.22–1.46]

0.240

 No

59 (93.6)

209 (88.2)

1.00

 

WHO HIV stage

 Stage IV

4 (6.3)

48 (20.2)

3.42 [1.16–10.09]

0.026

 Stage III

10 (15.9)

66 (27.9)

3.78 [1.42–10.06]

0.008

 Stage II

39 (61.9)

95 (40.1)

1.71 [0.57–5.16]

0.341

 Stage I

10 (15.9)

28 (11.8)

1.00

 

HIV type

 Type II

2 (3.2)

14 (5.9)

0.58 [0.16–2.17]

0.420

 Type I

61 (96.8)

223 (94.1)

1.00

 

ART regimen administered

 PI-based

2 (3.2)

7 (3.0)

1.06 [0.31–3.67]

0.927

 NNRTI-based

61 (96.8)

230 (97.0)

1.00

 

Baseline CD4 count (cells/mm3)

  < 150

30 (47.6)

104 (43.9)

1.42 [0.83–2.44]

0.200

 150–250

16 (25.4)

42 (17.7)

1.75 [0.96–3.20]

0.068

  > 250

17 (27.0)

91 (38.4)

1.00

 

Presence of co-morbidity

 Yes

20 (31.7)

60 (25.3)

1.28 [0.80–2.04]

0.299

 No

43 (68.3)

177 (74.7)

1.00

 

On co-medication

 Yes

12 (19.1)

28 (11.8)

1.53 [0.90–2.61]

0.119

 No

51 (80.9)

209 (88.2)

1.00

 

Baseline BMI (kg/m2)

  < 18.5 (underweight)

27 (42.8)

25 (10.5)

3.87 [2.49–6.03]

< 0.001

  ≥ 25.0

10 (15.9)

44 (18.6)

1.38 [0.71–2.68]

0.340

 18.5–24.9

26 (41.3)

168 (70.9)

1.00

 

Adverse event

 Present

12 (19.1)

35 (14.8)

1.27 [0.73–2.19]

0.397

 Absent

51 (80.9)

202 (85.2)

1.00

 
  1. Italic values indicate significance of p-value at p < 0.05
  2. ART: Antiretroviral therapy; BMI: body mass index; CI: confidence interval; CrCl; creatinine clearance; IQR: interquartile range; NNRTI: non-nucleoside reverse transcriptase inhibitor; PI: protease inhibitor; SD: standard deviation