title: Cumulative Incidence of Acute Kidney Injury in California's Agricultural Workers.
abstract: OBJECTIVE
  Chronic kidney disease in Central America suggests that agricultural work is potentially harmful to the kidneys. We investigated the cumulative incidence of acute kidney injury (AKI) over one work shift among agricultural workers in California.
  
  
  METHODS
  Serum creatinine was measured both before and after a work shift to estimate AKI. Associations of incident AKI with traditional and occupational risk factors were tested using Chi-square and trend tests and logistic regression.
  
  
  RESULTS
  In 295 agricultural workers, AKI after a summer work shift was detected in 35 participants (11.8%). Piece-rate work was associated with 4.52 adjusted odds of AKI (95% confidence interval 1.61 to 12.70).
  
  
  CONCLUSIONS
  The cumulative incidence of AKI after a single day of summer agricultural work is alarming due to an increased risk of long-term kidney damage and mortality.
authors.affiliation: University of California, Davis.
authors.forename: Sally
authors.initials: S
authors.lastname: Moyce
authors.forename: Jill
authors.initials: J
authors.lastname: Joseph
authors.forename: Daniel
authors.initials: D
authors.lastname: Tancredi
authors.forename: Diane
authors.initials: D
authors.lastname: Mitchell
authors.forename: Marc
authors.initials: M
authors.lastname: Schenker
mesh_terms: D058186:Acute Kidney Injury / Q000097:blood / Q000175:diagnosis / Q000453:epidemiology*; D000328:Adult; D000368:Aged; D000382:Agricultural Workers' Diseases / Q000097:blood / Q000175:diagnosis / Q000453:epidemiology*; D000383:Agriculture / Q000706:statistics & numerical data*; D002140:California / Q000453:epidemiology; D003404:Creatinine / Q000097:blood; D005260:Female; D005919:Glomerular Filtration Rate; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D012456:Salaries and Fringe Benefits
chemical_list: D003404:Creatinine