دورية أكاديمية
Intraoperative oliguria does not predict postoperative acute kidney injury in major abdominal surgery: a cohort analysis
| العنوان: | Intraoperative oliguria does not predict postoperative acute kidney injury in major abdominal surgery: a cohort analysis |
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| المؤلفون: | Rita Inácio, Joana Gameiro, Solange Amaro, Mafalda Duarte |
| المصدر: | Brazilian Journal of Nephrology, Vol 43, Iss 1, Pp 9-19 (2020) |
| بيانات النشر: | Sociedade Brasileira de Nefrologia, 2020. |
| سنة النشر: | 2020 |
| المجموعة: | LCC:Diseases of the genitourinary system. Urology |
| مصطلحات موضوعية: | Acute Kidney Injury, Oliguria, General Surgery, Treatment Outcome, Predictors, Diseases of the genitourinary system. Urology, RC870-923 |
| الوصف: | 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. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English Portuguese |
| تدمد: | 2175-8239 |
| Relation: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002021000100009&tlng=en; http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002021000100009&tlng=pt; https://doaj.org/toc/2175-8239 |
| DOI: | 10.1590/2175-8239-jbn-2019-0244 |
| URL الوصول: | https://doaj.org/article/27183f7a57fe490997facaeb1ea0fb9d |
| رقم الأكسشن: | edsdoj.27183f7a57fe490997facaeb1ea0fb9d |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 21758239 |
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| DOI: | 10.1590/2175-8239-jbn-2019-0244 |