Prospective Study
Copyright ©The Author(s) 2025.
World J Nephrol. Jun 25, 2025; 14(2): 103035
Published online Jun 25, 2025. doi: 10.5527/wjn.v14.i2.103035
Table 6 Summary of key clinical differences among emphysematous pyelonephritis groups
Clinical parameterGroup 1 (NEWS 2: 0-6, n = 83)
Group 2 (NEWS 2: 7-14, n = 76)
Group 3 (NEWS 2: 15-20, n = 12)
P value
Percentage (95%CI)/mean ± SD (95%CI)
Age > 50 years (%)67.50 (58.9-75.4)75 (65.4-82.8)100 (73.5-100)0.046
Body temperature extremes (%)0 (0-4.4)9.21 (4.5-17.8)58.30 (34.8-78.4)< 0.01
Shock at presentation (%)1.20 (0.2-6.5)26.30 (18.2-36.1)91.70 (65.3-98.8)< 0.01
Altered consciousness (%)1.20 (0.2-6.5)32.90 (24.2-42.9)66.70 (41.0-85.6)< 0.01
Palpable tender kidney (%)8.40 (4.1-16.3)63.20 (52.4-72.9)100 (73.5-100)< 0.01
Presence of diabetes mellitus (%)85.6 (76.1-92)96.1 (88.9-99.18)100 (73.5-100)0.035
Need for intensive care unit care (%)10.80 (6.0-18.6)56.60% (45.7-66.9)100 (73.5-100)< 0.01
Need for hemodialysis (%)6.00 (2.7-12.7)19.70% (12.7-29.2)91.70 (65.3-98.8)< 0.01
Early nephrectomy (%)0 (0-4.4)2.60 (0.7-9.0)50 (26.9-73.1)< 0.01
Mortality (%)0 (0-4.4)1.30 (0.2-6.9)58.30 (34.8-78.4)< 0.01
Heart rate (per minute)86.71 ± 12.58 (84.004- 89.416)90.03 ± 17.79 (86.03-94.03)110.75 ± 21.16 (98.78-122.72)< 0.01
Mean blood sugar (mg/dL)245.6 ± 100.8 (225.4-265.8)323.2 ± 129.3 (298.5-347.9)346.2 ± 59.1 (325.4-367.0)< 0.01
Serum creatinine (mg/dL)3.18 ± 2.21 (2.7-3.6)3.92 ± 2.54 (3.3-4.5)5.14 ± 1.45 (4.6-5.7)0.003
Serum albumin (g/dL)3.14 ± 0.65 (2.9-3.3)3.08 ± 0.73 (2.9-3.3)2.39 ± 0.45 (2.2-2.6)0.004
Hemoglobin A1c8.712 ± 2.55 (8.16- 9.26)9.375 ± 1.7 (8.99-9.76)10.07 ± 2.59 (8.665-11.53)0.023
Sodium (mEq/L)131.94 ± 6.03 (130.3-133.6)131.90 ± 5.76 (130.3-133.4)123.58 ± 4.89 (121.4-125.8)< 0.01
International normalized ratio test1.18 ± 0.18 (1.14- 1.22)1.27 ± 0.31 (1.2- 1.34)1.86 ± 0.61 (1.515-2.205)< 0.01
Platelet count220695 ± 128292 (189345-252045)124053 ± 87178 (101345-146761)54575 ± 25853 (45676-63474)< 0.01
Computed tomography class 3/4 (%)20.50 (13.6-29.6)30.30 (21.5-40.4)100% (73.5-100)< 0.01
Risk stratification index (mean ± SD)1.867 ± 0.35 (1.8-2.0)2.039 ± 0.45 (1.9-2.2)3.75 ± 0.50 (3.5-4.0)< 0.01
Combined prognostic scoring index (mean ± SD)10.74 ± 3.81 (9.8-11.7)12.95 ± 3.90 (11.9-14.0)21.92 ± 2.61 (20.9-23.0)< 0.01