Systematic Review and Meta-Analysis of Preventative Strategies for Acute Kidney Injury in Patients Undergoing Abdominal Aortic Aneurysm Repair

Fernandes, Michaela; Majoni, Melissa; Garg, Amit X.; Dubois, Luc

doi:10.1016/j.avsg.2020.12.061

Cited by 5 publications

(2 citation statements)

References 49 publications

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“…In recent years, several meta-analyses associated with AKI have been performed in the context of cardiovascular and abdominal surgery [13][14][15][16][17][18]. The incidence of AKI after tho-racic surgery is second only to that for cardiovascular surgery and general surgery [17,19], but no systematic review has been conducted on this subject.…”

Section: Introductionmentioning

confidence: 99%

Incidence and Associations of Acute Kidney Injury after General Thoracic Surgery: A System Review and Meta-Analysis

Yan

et al. 2022

JCM

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(1) Background: Acute kidney injury (AKI) is related to adverse outcomes in critical illness and cardiovascular surgery. In this study, a systematic literature review and meta-analysis was carried out to evaluate the incidence and associations of AKI as a postoperative complication of thoracic (including lung resection and esophageal) surgical procedures. (2) Methods: Adopting a systematic strategy, the electronic reference databases (PubMed, EMBASE, and Cochrane Library) were searched for articles researching postoperative renal outcomes that were diagnosed using RIFLE, AKIN or KDIGO consensus criteria in the context of a thoracic operation. A random-effects model was applied to estimate the incidence of AKI and, where reported, the pooled relative risk of mortality and non-renal complications after AKI. The meta-analysis is registered in PROSPERO under the number CRD42021274166. (3) Results: In total, 20 studies with information gathered from 34,826 patients after thoracic surgery were covered. Comprehensively, the incidence of AKI was estimated to be 8.8% (95% CI: 6.7–10.8%). A significant difference was found in the mortality of patients with and without AKI (RR = 2.93, 95% CI: 1.79–4.79, p < 0.001). Additionally, in patients experiencing AKI, cardiovascular and respiratory complications were more common (p = 0.01 and p < 0.001, respectively). (4) Conclusions: AKI is a common complication associated with adverse outcomes following general thoracic surgery. An important issue in perioperative care, AKI should be considered as a highly significant prognostic indicator and an attractive target for potential therapeutic interventions, especially in high-risk populations.

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Section: Introductionmentioning

confidence: 99%

Incidence and Associations of Acute Kidney Injury after General Thoracic Surgery: A System Review and Meta-Analysis

Yan

et al. 2022

JCM

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“…Al ser un síndrome clínico con gran variedad de etiologías y presentaciones ( 16,17 ) una vez instaurado su tratamiento es casi exclusivamente de soporte ( [18][19][20][21] ). La mejor estrategia de abordaje clínico continúa siendo la prevención ( [22][23][24][25] ), encontramos múltiples ejemplos de la incorporación de estrategias preventivas que incluyen el precondicionamiento isquémico remoto (estudiado sobre todo previo a intervenciones quirúrgicas mayores) ( 26,27 ), la hidratación para evitar la nefropatía inducida por contraste ( 28) o corregir la anemia previa a la cirugía cardiaca ( 30,31 ).…”

Section: Introductionunclassified

Características clínicas y pronóstico del fracaso renal agudo puro vs. fracaso renal agudo sobre enfermedad renal crónica

Ochoa¹

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Primary Objectives1. Compare the frequency of IHM and necessity of initiation of HD between groups.2. Apply the KDIGO-2012 staging criteria and observe the differences in the distribution in strata between groups.3. Test if the rate of SCr increments to reach these adverse events is different between groups. Secondary Objectives1. Compare the differences in the results of time to nephrology consultation, length of hospital stay and dialysis dependence at discharge.

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Editor's Choice -- European Society for Vascular Surgery (ESVS) 2024 Clinical Practice Guidelines on the Management of Abdominal Aorto-Iliac Artery Aneurysms

Wanhainen,

Van Herzeele,

Bastos Goncalves

et al. 2024

European Journal of Vascular and Endovascular Surgery

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Systematic Review and Meta-Analysis of Preventative Strategies for Acute Kidney Injury in Patients Undergoing Abdominal Aortic Aneurysm Repair

Cited by 5 publications

References 49 publications

Incidence and Associations of Acute Kidney Injury after General Thoracic Surgery: A System Review and Meta-Analysis

Incidence and Associations of Acute Kidney Injury after General Thoracic Surgery: A System Review and Meta-Analysis

Características clínicas y pronóstico del fracaso renal agudo puro vs. fracaso renal agudo sobre enfermedad renal crónica

Editor's Choice -- European Society for Vascular Surgery (ESVS) 2024 Clinical Practice Guidelines on the Management of Abdominal Aorto-Iliac Artery Aneurysms

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