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Acute kidney injury in major abdominal surgery: incidence, risk factors, pathogenesis and outcomes
Joana Gameiro, José Agapito Fonseca, Marta Neves and 2 more
Annals of Intensive Care · 2018 · Review · CC BY-NC-ND
Abstract
Acute kidney injury (AKI) is a common complication in patients undergoing major abdominal surgery. Various recent studies using modern standardized classifications for AKI reported a variable incidence of AKI after major abdominal surgery ranging from 3 to 35%. Several patient-related, procedure-related factors and postoperative complications were identified as risk factors for AKI in this setting. AKI following major abdominal surgery has been shown to be associated with poor short- and long-term outcomes. Herein, we provide a contemporary and critical review of AKI after major abdominal surgery focusing on its incidence, risk factors, pathogeny and outcomes.
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References 108
- 1.
Chertow G, Burdick E, Honour M, Bonventre J, Bates D. Acute kidney injury, mortality, length of stay, and costs in hospitalized patients. J Am Soc Nephrol. 2005;16(11):3365-3370.
Not in our library10.1681/asn.2004090740
- 2.
Uchino S, Kellum JA, Bellomo R, et al. Beginning and Ending Supportive Therapy for the Kidney (BEST Kidney) Investigators. Acute renal failure in critically ill patients: a multinational, multicenter study. JAMA. 2005;294(7):813-818.
Not in our library10.1001/jama.294.7.813
- 3.
Barrantes F, Tian J, Vazquez R, Amoateng-Adjepong Y, Manthous CA. Acute kidney injury criteria predict outcomes of critically ill patients. Crit Care Med. 2008;36:1397-1403.
Not in our library10.1097/ccm.0b013e318168fbe0
- 4.
Cho E, Kim SC, Kim MG, Jo S-K, Cho W-Y, Kim H-K. The incidence and risk factors of acute kidney injury after hepatobiliary surgery: a prospective observational study. BMC Nephrol. 2014;15:169.
Not in our library10.1186/1471-2369-15-169
- 5.
Ryden L, Sartipy U, Evans M, Holzmann MJ. Acute kidney injury after coronary artery bypass grafting and long-term risk of end-stage renal disease. Circulation. 2014;130:2005-2011.
Not in our library10.1161/circulationaha.114.010622
- 6.
Elmistekawy E, McDonald B, Hudson C, et al. Clinical impact of mild acute kidney injury after cardiac surgery. Ann Thorac Surg. 2014;98:815-822.
Not in our library10.1016/j.athoracsur.2014.05.008
- 7.
Hobson C, Ozrazgat-Baslanti T, Kuxhausen A, et al. Cost and mortality associated with postoperative acute kidney injury. Ann Surg. 2015;261:1207-1214.
Not in our library10.1097/sla.0000000000000732
- 8.
Teixeira C, Rosa R, Rodrigues N, et al. Acute kidney injury after major abdominal surgery: a retrospective cohort analysis. Crit Care Res Pract. 2014;2014:132175.
Not in our library10.1155/2014/132175
- 9.
Vaught A, Ozrazgat-Baslanti T, Javed A, et al. Acute kidney injury in major gynaecological surgery: an observational study. BJOG. 2015;122:1340-1348.
Not in our library10.1111/1471-0528.13026
- 10.
Harris DG, Koo G, McCrone MP, et al. Acute kidney injury in critically ill vascular surgery patients is common and associated with increased mortality. Front Surg. 2015;2:8.
Not in our library10.3389/fsurg.2015.00008
- 11.
- 12.
Biteker M, Dayan A, Tekkesin AI, et al. Incidence, risk factors, and outcomes of perioperative acute kidney injury in noncardiac and nonvascular surgery. Am J Surg. 2014;207:53-59.
Not in our library10.1016/j.amjsurg.2013.04.006
- 13.
Drews JD, Patel HJ, Williams DM, et al. The impact of acute renal failure on early and late outcomes after thoracic aortic endovascular repair. Ann Thorac Surg. 2014;97:2027-2033.
Not in our library10.1016/j.athoracsur.2014.02.045
- 14.
Kandler K, Jensen ME, Nilsson JC, et al. Acute kidney injury is independently associated with higher mortality after cardiac surgery. J Cardiothorac Vasc Anesth. 2014;28:1448-1452.
Not in our library10.1053/j.jvca.2014.04.019
- 15.
Munoz-Garcia AJ, Munoz-Garcia E, Jimenez-Navarro MF, et al. Clinical impact of acute kidney injury on short- and long-term outcomes after transcatheter aortic valve implantation with the CoreValve prosthesis. J Cardiol. 2015;66:46-49.
Not in our library10.1016/j.jjcc.2014.09.009
- 16.
Zhu JC, Chen SL, Jin GZ, et al. Acute renal injury after thoracic endovascular aortic repair of Stanford type B aortic dissection: incidence, risk factors, and prognosis. J Formos Med Assoc. 2014;113:612-619.
Not in our library10.1016/j.jfma.2014.01.017
- 17.
Pickering JW, James MT, Palmer SC. Acute kidney injury and prognosis after cardiopulmonary bypass: a meta-analysis of cohort studies. Am J Kidney Dis. 2015;65:283-293.
Not in our library10.1053/j.ajkd.2014.09.008
- 18.
Adalbert S, Adelina M, Romulus T, et al. Acute kidney injury in peripheral arterial surgery patients: a cohort study. Ren Fail. 2013;35:1236-1239.
Not in our library10.3109/0886022x.2013.823830
- 19.
Kheterpal S, Tremper KK, Englesbe MJ, et al. Predictors of post-operative acute renal failure after noncardiac surgery in patients with previously normal renal function. Anesthesiology. 2007;107:892-902.
Not in our library10.1097/01.anes.0000290588.29668.38
- 20.
Bihorac A, Yavas S, Subbiah S, et al. Long-term risk of mortality and acute kidney injury during hospitalization after major surgery. Ann Surg. 2009;249:851-858.
Not in our library10.1097/sla.0b013e3181a40a0b
- 21.
Hobson CE, Yavas S, Segal MS, et al. Acute kidney injury is associated with increased long-term mortality after cardiothoracic surgery. Circulation. 2009;119:2444-2453.
Not in our library10.1161/circulationaha.108.800011
- 22.
Hansen MK, Gammelager H, Mikkelsen MM, et al. Postoperative acute kidney injury and five-year risk of death, myocardial infarction, and stroke among elective cardiac surgical patients: a cohort study. Crit Care. 2013;17:R292.
Not in our library10.1186/cc13158
- 23.
O’Connor M, Kirwan C, Pearse R, Prowle JR. Incidence and associations of acute kidney injury after major abdominal surgery. Intensive Care Med. 2016;42(4):521-530.
Not in our library10.1007/s00134-015-4157-7
- 24.
Sirvinskas E, Andrejaitiene J, Raliene L, et al. Cardiopulmonary bypass management and acute renal failure: risk factors and prognosis. Perfusion. 2008;23(6):323-327.
Not in our library10.1177/0267659109105251
- 25.
De Santo LS, Romano G, Galdieri N, et al. RIFLE criteria for acute kidney injury in valvular surgery. J Heart Valve Dis. 2010;19(1):139-147.
Not in our library
- 26.
Svensson L, Crawford E, Hess K, Coselli J, Safi H. Experience with 1509 patients undergoing thoracoabdominal aortic operations. J Vasc Surg. 1993;17(2):357-368.
Not in our library10.1016/0741-5214(93)90421-h
- 27.
Svensson L, Coselli J, Safi H, Hess K, Crawford E. Appraisal of adjuncts to prevent acute renal failure after surgery on the thoracic or thoracoabdominal aorta. J Vasc Surg. 1989;10(3):230-239.
Not in our library10.1016/0741-5214(89)90435-7
- 28.
Wald R, Waikar S, Liangos O, Pereira B, Chertow G, Jaber B. Acute renal failure after endovascular vs open repair of abdominal aortic aneurysm. J Vasc Surg. 2006;43(3):460-466.
Not in our library10.1016/j.jvs.2005.11.053
- 29.
Tallgren M, Niemi T, Pöyhiä R, et al. Acute renal injury and dysfunction following elective abdominal aortic surgery. Eur J Vasc Endovasc Surg. 2007;33(5):550-555.
Not in our library10.1016/j.ejvs.2006.12.005
- 30.
Arnaoutakis G, Bihorac A, Martin T, et al. RIFLE criteria for acute kidney injury in aortic arch surgery. J Thorac Cardiovasc Surg. 2007;134(6):1554-1560.
Not in our library10.1016/j.jtcvs.2007.08.039
- 31.
Mori Y, Sato N, Kobayashi Y, Ochiai R. Acute kidney injury during aortic arch surgery under deep hypothermic circulatory arrest. J Anesth. 2011;25(6):799-804.
Not in our library10.1007/s00540-011-1210-8
- 32.
Causey M, Maykel J, Hatch Q, Miller S, Steele S. Identifying risk factors for renal failure and myocardial infarction following colorectal surgery. J Surg Res. 2011;170(1):32-37.
Not in our library10.1016/j.jss.2011.03.027
- 33.
Cho A, Lee J, Kwon G, et al. Post-operative acute kidney injury in patients with renal cell carcinoma is a potent risk factor for new-onset chronic kidney disease after radical nephrectomy. Nephrol Dial Transplant. 2011;26(11):3496-3501.
Not in our library10.1093/ndt/gfr094
- 34.
- 35.
- 36.
- 37.
Kidney Disease: Improving Global Outcomes (KDIGO) Acute Kidney Injury Work Group. KDIGO clinical practice guideline for acute kidney injury. Kidney Int Suppl. 2012;2:S1-S138.
Not in our library10.1038/kisup.2012.1
- 38.
Kellum JA, Lameire N, KDIGO AKI Guideline Work Group. Diagnosis, evaluation, and management of acute kidney injury: a KDIGO summary (Part 1). Crit Care. 2013;17(1):204.
Not in our library10.1186/cc11454
- 39.
Lameire N, Van Biesen W, Vanholder R. The changing epidemiology of acute renal failure. Nat Clin Nephrol. 2006;2:364-377.
Not in our library10.1038/ncpneph0218
- 40.
Brown J, Rezaee M, Marshall E, Matheny M. Hospital mortality in the United States following acute kidney injury. Biomed Res Int. 2016;2016:4278579.
Not in our library10.1155/2016/4278579
Cited by papers we hold 3
- Postoperative acute kidney injury in adult non-cardiac surgery: joint consensus report of the Acute Disease Quality Initiative and PeriOperative Quality Initiative · 2021No notice
- New trends in the study of post-transplant acute kidney injury after liver transplantation · 2020Not checked
- Low dose of flurbiprofen axetil decrease the rate of acute kidney injury after operation: a retrospective clinical data analysis of 9915 cases · 2020Not checked
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