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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

doi:10.1186/s13613-018-0369-7

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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