Acute kidney injury following coronary angiography: a nationwide study of incidence, risk factors and long-term outcomes

2018 ◽  
Vol 31 (5) ◽  
pp. 721-730 ◽  
Author(s):  
Dadi Helgason ◽  
Thorir E. Long ◽  
Solveig Helgadottir ◽  
Runolfur Palsson ◽  
Gisli H. Sigurdsson ◽  
...  
Keyword(s):  
Risk Factors ◽  
Acute Kidney Injury ◽  
Coronary Angiography ◽  
Kidney Injury ◽  
Long Term Outcomes ◽  
Nationwide Study ◽  
Incidence Risk

scholarly journals The incidence, risk factors, and long-term outcomes of acute kidney injury in hospitalized diabetic ketoacidosis patients

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Junzhe Chen ◽  
Honghui Zeng ◽  
Xia Ouyang ◽  
Mingsheng Zhu ◽  
Qiuyan Huang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Acute Kidney Injury ◽  
Diabetic Ketoacidosis ◽  
Kidney Injury ◽  
Long Term Outcomes ◽  
Incidence Risk

scholarly journals Influence of acute kidney injury on short- and long-term outcomes in patients undergoing cardiac surgery: risk factors and prognostic value of a modified RIFLE classification

Critical Care ◽  
2013 ◽  
Vol 17 (6) ◽  
pp. R293 ◽  
Author(s):  
Juan C Lopez-Delgado ◽  
Francisco Esteve ◽  
Herminia Torrado ◽  
David Rodríguez-Castro ◽  
Maria L Carrio ◽  
...  
Keyword(s):  
Risk Factors ◽  
Acute Kidney Injury ◽  
Cardiac Surgery ◽  
Prognostic Value ◽  
Kidney Injury ◽  
Long Term Outcomes ◽  
Rifle Classification ◽  
Short And Long Term

Long-Term Outcomes and Associated Risk Factors of Post-Hospitalization Dialysis-Dependent Acute Kidney Injury Patients

Nephron ◽  
2017 ◽  
Vol 137 (2) ◽  
pp. 105-112 ◽  
Author(s):  
Ajay S. Rathore ◽  
Tushar Chopra ◽  
Jennie Z. Ma ◽  
Wenjun Xin ◽  
Emaad M. Abdel-Rahman
Keyword(s):  
Risk Factors ◽  
Acute Kidney Injury ◽  
Kidney Injury ◽  
Long Term Outcomes ◽  
Associated Risk Factors

scholarly journals SP233THE INCIDENCE, RISK FACTORS AND LONG TERM RENAL OUTCOME OF ACUTE KIDNEY INJURY IN DIABETIC KETOACIDOSIS PATIENTS

2018 ◽  
Vol 33 (suppl_1) ◽  
pp. i422-i422
Author(s):  
Junzhe Chen ◽  
Ying Tang ◽  
Honghui Zeng ◽  
Qiuyan Huang ◽  
Yanchun Xu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Acute Kidney Injury ◽  
Diabetic Ketoacidosis ◽  
Kidney Injury ◽  
Renal Outcome ◽  
Incidence Risk

scholarly journals Risk factors and long-term outcomes of acute kidney injury complication after type A acute aortic dissection surgery in young patients

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Qiuyan Zong ◽  
Min Ge ◽  
Tao Chen ◽  
Cheng Chen ◽  
Zhigang Wang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Acute Kidney Injury ◽  
Independent Risk Factor ◽  
Acute Aortic Dissection ◽  
Young Patients ◽  
Kidney Injury ◽  
Long Term Outcomes ◽  
Stay Time ◽  
Postoperative Aki

Abstract Objective To identify risk factors and long-term outcomes of acute kidney injury (AKI) in young patients who underwent type A acute aortic dissection (TA-AAD) emergency surgeries. Methods This retrospective study enrolled 121 consecutive patients less than 40 years old who received TA-AAD emergency surgeries between January 2014 to December 2018 in Nanjing Drum Tower hospital. The diagnosis of AKI was made based on the KDIGO criteria. Multivariable regression analysis was performed to identify risk factors for postoperative AKI. Kaplan–Meier curves were generated to compare long-term outcomes between patients with and without AKI complication after TA-AAD surgeries. Results Among all enrolled patients, AKI occurred in 51 patients (42.1%) and renal replacement therapy (RRT) was required in 15 patients (12.4%). The development of postoperative AKI was associated with increased 30-day mortality (P = 0.041), longer ICU stay time (P < 0.001) and hospital stay time (P = 0.006). Multivariable analysis indicated that elevated preoperative serum cystatin C (sCyC) (OR = 6.506, 95% CI: 1.852–22.855, P = 0.003) was the only independent risk factor for developing AKI. The areas under the receiver-operating characteristic curve (AUC) of preoperative sCyC was 0.800 (95% CI: 0.719, 0.882). Preoperative sCyC had a sensitivity of 64.7% and a specificity of 83.8% in diagnosing postoperative AKI with a cut-off value of 0.895 mg/L. In addition, our data suggested there was no difference discovered regarding long-term cumulative survival rate between patients with and without AKI during a median 29 months follow-up period. Conclusions Postoperative AKI after TA-AAD surgeries was relatively common in young patients and associated with increased short-term mortality. Elevated preoperative sCyC was identified as an independent risk factor for AKI with potential diagnostic merit.

scholarly journals Acute kidney injury prevalence, progression and long-term outcomes in critically ill patients with COVID-19: a cohort study

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Nuttha Lumlertgul ◽  
Leah Pirondini ◽  
Enya Cooney ◽  
Waisun Kok ◽  
John Gregson ◽  
...  
Keyword(s):  
Risk Factors ◽  
Acute Kidney Injury ◽  
Critically Ill ◽  
Steroid Therapy ◽  
Critically Ill Patients ◽  
Kidney Injury ◽  
Renal Recovery ◽  
Long Term Outcomes ◽  
Icu Admission

Abstract Background There are limited data on acute kidney injury (AKI) progression and long-term outcomes in critically ill patients with coronavirus disease-19 (COVID-19). We aimed to describe the prevalence and risk factors for development of AKI, its subsequent clinical course and AKI progression, as well as renal recovery or dialysis dependence and survival in this group of patients. Methods This was a retrospective observational study in an expanded tertiary care intensive care unit in London, United Kingdom. Critically ill patients admitted to ICU between 1st March 2020 and 31st July 2020 with confirmed SARS-COV2 infection were included. Analysis of baseline characteristics, organ support, COVID-19 associated therapies and their association with mortality and outcomes at 90 days was performed. Results Of 313 patients (70% male, mean age 54.5 ± 13.9 years), 240 (76.7%) developed AKI within 14 days after ICU admission: 63 (20.1%) stage 1, 41 (13.1%) stage 2, 136 (43.5%) stage 3. 113 (36.1%) patients presented with AKI on ICU admission. Progression to AKI stage 2/3 occurred in 36%. Risk factors for AKI progression were mechanical ventilation [HR (hazard ratio) 4.11; 95% confidence interval (CI) 1.61–10.49] and positive fluid balance [HR 1.21 (95% CI 1.11–1.31)], while steroid therapy was associated with a reduction in AKI progression (HR 0.73 [95% CI 0.55–0.97]). Kidney replacement therapy (KRT) was initiated in 31.9%. AKI patients had a higher 90-day mortality than non-AKI patients (34% vs. 14%; p < 0.001). Dialysis dependence was 5% at hospital discharge and 4% at 90 days. Renal recovery was identified in 81.6% of survivors at discharge and in 90.9% at 90 days. At 3 months, 16% of all AKI survivors had chronic kidney disease (CKD); among those without renal recovery, the CKD incidence was 44%. Conclusions During the first COVID-19 wave, AKI was highly prevalent among severely ill COVID-19 patients with a third progressing to severe AKI requiring KRT. The risk of developing CKD was high. This study identifies factors modifying AKI progression, including a potentially protective effect of steroid therapy. Recognition of risk factors and monitoring of renal function post-discharge might help guide future practice and follow-up management strategies. Trial registration NCT04445259

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