Acute Kidney Injury After Abdominal Surgery: Incidence, Risk Factors, and Outcome.
To access publisher's full text version of this article click on the hyperlink at the bottom of the page Acute kidney injury (AKI) is a serious complication after major surgical procedures. We examined the incidence, risk factors, and mortality of patients who sustained AKI after abdominal surg...
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2016
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Online Access: | http://hdl.handle.net/2336/615134 https://doi.org/10.1213/ANE.0000000000001323 |
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/615134 2023-05-15T16:52:20+02:00 Acute Kidney Injury After Abdominal Surgery: Incidence, Risk Factors, and Outcome. Long, Thorir E Helgason, Dadi Helgadottir, Solveig Palsson, Runolfur Gudbjartsson, Tomas Sigurdsson, Gisli H Indridason, Olafur S Sigurdsson, Martin I 1 Landspitali, Natl Univ Hosp Iceland, Internal Med, Reykjavik, Iceland Organization-Enhanced Name(s) Landspitali National University Hospital 2 Landspitali, Surg, Natl Univ Hosp Iceland, Reykjavik, Iceland Organization-Enhanced Name(s) Landspitali National University Hospital 3 Landspitali, Perioperat Serv, Natl Univ Hosp Iceland, Reykjavik, Iceland Organization-Enhanced Name(s) Landspitali National University Hospital 4 Univ Iceland, Fac Med, Reykjavik, Iceland 5 Brigham & Womens Hosp, Dept Anesthesiol Perioperat & Pain Med, 75 Francis St, Boston, MA 02115 USA 2016 http://hdl.handle.net/2336/615134 https://doi.org/10.1213/ANE.0000000000001323 en eng Lippincott Williams & Wilkins http://dx.doi.org/ 10.1213/ANE.0000000000001323 http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=&AN=00000539-201606000-00030&PDF=y Acute Kidney Injury After Abdominal Surgery: Incidence, Risk Factors, and Outcome. 2016, 122 (6):1912-20 Anesth. Analg. 1526-7598 27195635 doi:10.1213/ANE.0000000000001323 http://hdl.handle.net/2336/615134 Anesthesia and analgesia Archived with thanks to Anesthesia and analgesia Landspitali Access - LSH-aðgangur Nýru Skurðlæknar NEP12 TAS12 AAA12 Acute Kidney Injury/mortality Incidence Risk Factors Hospital Mortality Postoperative Complications/epidemiology Postoperative Complications/mortality Iceland Article 2016 ftlandspitaliuni https://doi.org/10.1213/ANE.0000000000001323 2022-05-29T08:22:10Z To access publisher's full text version of this article click on the hyperlink at the bottom of the page Acute kidney injury (AKI) is a serious complication after major surgical procedures. We examined the incidence, risk factors, and mortality of patients who sustained AKI after abdominal surgery in a large population-based cohort. All patients who underwent open and laparoscopic abdominal surgery (excluding genitourinary and abdominal vascular procedures), between 2007 and 2014 at the University Hospital in Reykjavik were identified and their perioperative serum creatinine (SCr) measurements used to identify AKI after surgery employing the Kidney Disease: Improving Global Outcome (KDIGO) criteria. Risk factors were evaluated using multivariate logistic regression analysis and 30-day mortality compared with a propensity score-matched control group. During the 8-year period, a total of 11,552 abdominal surgeries were performed on 10,022 patients. Both pre- and postoperative SCr measurements were available for 3902 (33.8%) of the surgical cases. Of these, 264 (6.8%) were complicated by AKI; 172 (4.4%), 49 (1.3%), and 43 (1.1%) were classified as KDIGO stages 1, 2 and 3, respectively. The overall incidence of AKI for patients with available SCr values was 67.7 (99% confidence interval [CI], 57.7-78.6) per 1000 surgeries. In logistic regression analysis, independent risk factors for AKI were female sex (odds ratio [OR] = 0.68; 99% CI, 0.47-0.98), hypertension (OR = 1.75; 99% CI, 1.10-2.74), preoperative chronic kidney disease (OR= 1.68; 99% CI, 1.12-2.50), ASA physical status classification of IV (OR = 9.48; 99% CI, 3.66-29.2) or V (OR = 21.4; 99% CI, 5.28-93.6), and reoperation (OR = 4.30; 99% CI, 2.36-7.70). Patients with AKI had greater 30-day mortality (18.2% vs 5.3%; P < 0.001) compared with propensity score-matched controls. AKI is an important complication of abdominal surgery. In addition to sex, hypertension, and chronic kidney disease, ASA physical status classification is an independent ... Article in Journal/Newspaper Iceland Hirsla - Landspítali University Hospital research archive Anesthesia & Analgesia 122 6 1912 1920 |
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Open Polar |
collection |
Hirsla - Landspítali University Hospital research archive |
op_collection_id |
ftlandspitaliuni |
language |
English |
topic |
Nýru Skurðlæknar NEP12 TAS12 AAA12 Acute Kidney Injury/mortality Incidence Risk Factors Hospital Mortality Postoperative Complications/epidemiology Postoperative Complications/mortality Iceland |
spellingShingle |
Nýru Skurðlæknar NEP12 TAS12 AAA12 Acute Kidney Injury/mortality Incidence Risk Factors Hospital Mortality Postoperative Complications/epidemiology Postoperative Complications/mortality Iceland Long, Thorir E Helgason, Dadi Helgadottir, Solveig Palsson, Runolfur Gudbjartsson, Tomas Sigurdsson, Gisli H Indridason, Olafur S Sigurdsson, Martin I Acute Kidney Injury After Abdominal Surgery: Incidence, Risk Factors, and Outcome. |
topic_facet |
Nýru Skurðlæknar NEP12 TAS12 AAA12 Acute Kidney Injury/mortality Incidence Risk Factors Hospital Mortality Postoperative Complications/epidemiology Postoperative Complications/mortality Iceland |
description |
To access publisher's full text version of this article click on the hyperlink at the bottom of the page Acute kidney injury (AKI) is a serious complication after major surgical procedures. We examined the incidence, risk factors, and mortality of patients who sustained AKI after abdominal surgery in a large population-based cohort. All patients who underwent open and laparoscopic abdominal surgery (excluding genitourinary and abdominal vascular procedures), between 2007 and 2014 at the University Hospital in Reykjavik were identified and their perioperative serum creatinine (SCr) measurements used to identify AKI after surgery employing the Kidney Disease: Improving Global Outcome (KDIGO) criteria. Risk factors were evaluated using multivariate logistic regression analysis and 30-day mortality compared with a propensity score-matched control group. During the 8-year period, a total of 11,552 abdominal surgeries were performed on 10,022 patients. Both pre- and postoperative SCr measurements were available for 3902 (33.8%) of the surgical cases. Of these, 264 (6.8%) were complicated by AKI; 172 (4.4%), 49 (1.3%), and 43 (1.1%) were classified as KDIGO stages 1, 2 and 3, respectively. The overall incidence of AKI for patients with available SCr values was 67.7 (99% confidence interval [CI], 57.7-78.6) per 1000 surgeries. In logistic regression analysis, independent risk factors for AKI were female sex (odds ratio [OR] = 0.68; 99% CI, 0.47-0.98), hypertension (OR = 1.75; 99% CI, 1.10-2.74), preoperative chronic kidney disease (OR= 1.68; 99% CI, 1.12-2.50), ASA physical status classification of IV (OR = 9.48; 99% CI, 3.66-29.2) or V (OR = 21.4; 99% CI, 5.28-93.6), and reoperation (OR = 4.30; 99% CI, 2.36-7.70). Patients with AKI had greater 30-day mortality (18.2% vs 5.3%; P < 0.001) compared with propensity score-matched controls. AKI is an important complication of abdominal surgery. In addition to sex, hypertension, and chronic kidney disease, ASA physical status classification is an independent ... |
author2 |
1 Landspitali, Natl Univ Hosp Iceland, Internal Med, Reykjavik, Iceland Organization-Enhanced Name(s) Landspitali National University Hospital 2 Landspitali, Surg, Natl Univ Hosp Iceland, Reykjavik, Iceland Organization-Enhanced Name(s) Landspitali National University Hospital 3 Landspitali, Perioperat Serv, Natl Univ Hosp Iceland, Reykjavik, Iceland Organization-Enhanced Name(s) Landspitali National University Hospital 4 Univ Iceland, Fac Med, Reykjavik, Iceland 5 Brigham & Womens Hosp, Dept Anesthesiol Perioperat & Pain Med, 75 Francis St, Boston, MA 02115 USA |
format |
Article in Journal/Newspaper |
author |
Long, Thorir E Helgason, Dadi Helgadottir, Solveig Palsson, Runolfur Gudbjartsson, Tomas Sigurdsson, Gisli H Indridason, Olafur S Sigurdsson, Martin I |
author_facet |
Long, Thorir E Helgason, Dadi Helgadottir, Solveig Palsson, Runolfur Gudbjartsson, Tomas Sigurdsson, Gisli H Indridason, Olafur S Sigurdsson, Martin I |
author_sort |
Long, Thorir E |
title |
Acute Kidney Injury After Abdominal Surgery: Incidence, Risk Factors, and Outcome. |
title_short |
Acute Kidney Injury After Abdominal Surgery: Incidence, Risk Factors, and Outcome. |
title_full |
Acute Kidney Injury After Abdominal Surgery: Incidence, Risk Factors, and Outcome. |
title_fullStr |
Acute Kidney Injury After Abdominal Surgery: Incidence, Risk Factors, and Outcome. |
title_full_unstemmed |
Acute Kidney Injury After Abdominal Surgery: Incidence, Risk Factors, and Outcome. |
title_sort |
acute kidney injury after abdominal surgery: incidence, risk factors, and outcome. |
publisher |
Lippincott Williams & Wilkins |
publishDate |
2016 |
url |
http://hdl.handle.net/2336/615134 https://doi.org/10.1213/ANE.0000000000001323 |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
http://dx.doi.org/ 10.1213/ANE.0000000000001323 http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=&AN=00000539-201606000-00030&PDF=y Acute Kidney Injury After Abdominal Surgery: Incidence, Risk Factors, and Outcome. 2016, 122 (6):1912-20 Anesth. Analg. 1526-7598 27195635 doi:10.1213/ANE.0000000000001323 http://hdl.handle.net/2336/615134 Anesthesia and analgesia |
op_rights |
Archived with thanks to Anesthesia and analgesia Landspitali Access - LSH-aðgangur |
op_doi |
https://doi.org/10.1213/ANE.0000000000001323 |
container_title |
Anesthesia & Analgesia |
container_volume |
122 |
container_issue |
6 |
container_start_page |
1912 |
op_container_end_page |
1920 |
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1766042509683720192 |