scholarly journals Doppler resistive index to reflect risk of acute kidney injury after major abdominal surgery: A prospective observational trial

2019 ◽  
Vol 63 (7) ◽  
pp. 551 ◽  
Author(s):  
Satyen Parida ◽  
Kavitha Muthukrishnan ◽  
SDeepak Barathi ◽  
AshokShankar Badhe ◽  
SandeepKumar Mishra
Keyword(s):  
Acute Kidney Injury ◽  
Abdominal Surgery ◽  
Resistive Index ◽  
Kidney Injury ◽  
Major Abdominal Surgery ◽  
Observational Trial

scholarly journals Preoperative Albuminuria and Intraoperative Chloride Load: Predictors of Acute Kidney Injury Following Major Abdominal Surgery

2018 ◽  
Vol 7 (11) ◽  
pp. 431 ◽  
Author(s):  
Diamantina Marouli ◽  
Kostas Stylianou ◽  
Eleftherios Papadakis ◽  
Nikolaos Kroustalakis ◽  
Stavroula Kolyvaki ◽  
...  
Keyword(s):  
Risk Factors ◽  
Acute Kidney Injury ◽  
Abdominal Surgery ◽  
Care Center ◽  
Chronic Kidney Disease Stage ◽  
Tertiary Care ◽  
Kidney Injury ◽  
Major Abdominal Surgery ◽  
Disease Stage ◽  
Postoperative Aki

Background: Postoperative Acute Kidney Injury (AKI) is a common and serious complication associated with significant morbidity and mortality. While several pre- and intra-operative risk factors for AKI have been recognized in cardiac surgery patients, relatively few data are available regarding the incidence and risk factors for perioperative AKI in other surgical operations. The aim of the present study was to determine the risk factors for perioperative AKI in patients undergoing major abdominal surgery. Methods: This was a prospective, observational study of patients undergoing major abdominal surgery in a tertiary care center. Postoperative AKI was diagnosed according to the Acute Kidney Injury Network criteria within 48 h after surgery. Patients with chronic kidney disease stage IV or V were excluded. Logistic regression analysis was used to evaluate the association between perioperative factors and the risk of developing postoperative AKI. Results: Eleven out of 61 patients developed postoperative AKI. Four intra-operative variables were identified as predictors of AKI: intra-operative blood loss (p = 0.002), transfusion of fresh frozen plasma (p = 0.004) and red blood cells (p = 0.038), as well as high chloride load (p = 0.033, cut-off value > 500 mEq). Multivariate analysis demonstrated an independent association between AKI development and preoperative albuminuria, defined as a urinary Albumin to Creatinine ratio ≥ 30 mg·g−1 (OR = 6.88, 95% CI: 1.43–33.04, p = 0.016) as well as perioperative chloride load > 500 mEq (OR = 6.87, 95% CI: 1.46–32.4, p = 0.015). Conclusion: Preoperative albuminuria, as well as a high intraoperative chloride load, were identified as predictors of postoperative AKI in patients undergoing major abdominal surgery.

scholarly journals SP279POSTOPERATIVE ACUTE KIDNEY INJURY, LONG-TERM RENAL FUNCTION AND MORTALITY IN PATIENTS UNDERGOING MAJOR ABDOMINAL SURGERY: A COHORT ANALYSIS

2015 ◽  
Vol 30 (suppl_3) ◽  
pp. iii471-iii471
Author(s):  
Natacha Rodrigues ◽  
Joana Gameiro ◽  
Catarina Bekermen ◽  
Joana Neves ◽  
Maria João Melo ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Renal Function ◽  
Abdominal Surgery ◽  
Cohort Analysis ◽  
Kidney Injury ◽  
Major Abdominal Surgery

scholarly journals Neutrophil, lymphocyte and platelet ratio as a predictor of postoperative acute kidney injury in major abdominal surgery

2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Joana Gameiro ◽  
José Agapito Fonseca ◽  
Joana Monteiro Dias ◽  
Joana Milho ◽  
Rosário Rosa ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Abdominal Surgery ◽  
Kidney Injury ◽  
Major Abdominal Surgery

scholarly journals Intraoperative oliguria does not predict postoperative acute kidney injury in major abdominal surgery: a cohort analysis

2020 ◽  
Author(s):  
Rita Inácio ◽  
Joana Gameiro ◽  
Solange Amaro ◽  
Mafalda Duarte
Keyword(s):  
Acute Kidney Injury ◽  
Abdominal Surgery ◽  
Hospital Mortality ◽  
Urine Output ◽  
Cohort Analysis ◽  
Multivariate Logistic Regression Analysis ◽  
Kidney Injury ◽  
Major Abdominal Surgery ◽  
Considerable Morbidity ◽  
Postoperative Aki

Abstract Background: Acute kidney injury (AKI) is a common complication in patients undergoing major abdominal surgery and is associated with considerable morbidity and mortality. Several studies investigating the association between intraoperative urine output and postoperative AKI have shown conflicting results. Here, we investigated the association of intraoperative oliguria with postoperative AKI in a cohort of patients submitted to elective major abdominal surgery. Methods: This was a single-center retrospective analysis of adult patients who underwent elective major abdominal surgery from January 2016 to December 2018. AKI was defined according to the serum creatinine criteria of the KDIGO classification. Intraoperative oliguria was defined as urine output of less than 0.5 mL/kg/h. Risk factors were evaluated using multivariate logistic regression analysis. Results: A total of 165 patients were analyzed. In the first 48 h after surgery the incidence of AKI was 19.4%. Postoperative AKI was associated with hospital mortality (p=0.011). Twenty percent of patients developed intraoperative oliguria. There was no association between preexisting comorbidities and development of intraoperative oliguria. There was no correlation between the type of anesthesia used and occurrence of intraoperative oliguria, but longer anesthesia time was associated with intraoperative oliguria (p=0.007). Higher baseline SCr (p=0.001), need of vasoactive drugs (p=0.007), and NSAIDs use (p=0.022) were associated with development of intraoperative oliguria. Intraoperative oliguria was not associated with development of postoperative AKI (p=0.772), prolonged hospital stays (p=0.176) or in-hospital mortality (p=0.820). Conclusion: In this cohort of patients we demonstrated that intraoperative oliguria does not predict postoperative AKI in major abdominal surgery.

scholarly journals Postoperative acute kidney injury in high-risk patients undergoing major abdominal surgery

2016 ◽  
Vol 35 ◽  
pp. 120-125 ◽  
Author(s):  
Stefano Romagnoli ◽  
Giovanni Zagli ◽  
Germana Tuccinardi ◽  
Lorenzo Tofani ◽  
Cosimo Chelazzi ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
High Risk ◽  
Abdominal Surgery ◽  
Kidney Injury ◽  
Major Abdominal Surgery ◽  
High Risk Patients ◽  
Risk Patients

scholarly journals Acute Kidney Injury after Major Abdominal Surgery: A Retrospective Cohort Analysis

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Catarina Teixeira ◽  
Rosário Rosa ◽  
Natacha Rodrigues ◽  
Inês Mendes ◽  
Lígia Peixoto ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Abdominal Surgery ◽  
Hospital Mortality ◽  
Risk Index ◽  
Cohort Analysis ◽  
Kidney Injury ◽  
Cardiac Risk ◽  
Simplified Acute Physiology Score ◽  
Major Abdominal Surgery ◽  
Postoperative Aki

Background. We analyzed the incidence, risk factors, and prognosis of acute kidney injury (AKI) in a cohort of patients undergoing major abdominal surgery.Methods. A total of 450 patients were retrospectively studied. AKI was defined by an increase in serum creatinine (SCr) ≥ 0.3 mg/dl or by an increase in SCr ≥ 50% and/or by a decrease in urine output to 0.5 ml/kg/hour for 6 hours, in the first 48 hours after surgery. Logistic regression method was used to determine predictors of AKI and in-hospital mortality. A two-tailedPvalue <0.05 was considered significant.Results. One hundred one patients (22.4%) had postoperative AKI. Age (adjusted odds ratio (OR) 1.02, 95% confidence interval (CI) 1.01–1.05), nonrenal Revised Cardiac Risk Index score (adjusted OR 1.9, 95% CI 1.3–3.1,P=0.003), intraoperative erythrocytes transfusions (adjusted OR 2.2, 95% CI 1.4–3.5,P <.0001), and nonrenal Simplified Acute Physiology Score II (adjusted OR 1.03, 95% CI 1.01–1.06,P=0.0191) were associated with postoperative AKI. AKI was associated with increased in-hospital mortality (20.8% versus 2.3%,P <.0001; unadjusted OR 11.2, 95% CI 4.8–26.2,P <.0001; adjusted OR 3.7, 95% CI 1.2–11.7,P=0.024).Conclusion. AKI was common in patients undergoing major abdominal surgery and was associated with in-hospital mortality.

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