Estimation of V-POSSUM and E-PASS Scores in Prediction of Acute Kidney Injury in Patients after Elective Open Abdominal Aortic Aneurysm Surgery

Siemiątkowski, Andrzej; Jabłonowska, Agnieszka; Pietrewicz, Joanna; Głowiński, Jerzy

doi:10.1016/j.avsg.2017.02.006

Cited by 4 publications

(2 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Postoperative AKI is associated with not only early mortality 3 – 5 ) but also survival, 4 , 6 , 7 ) cardiovascular events, 8 ) and aneurysm-related death 9 ) in the late follow-up period. Although EVAR may decrease the risk of AKI, 3 , 5 , 10 – 14 ) the reported incidence rates of AKI widely range from 12.4% to 36.2% for elective OAR 4 , 5 , 11 , 15 , 16 ) and 2.9% to 18.8% for elective EVAR. 5 , 7 , 11 , 17 ) Complexity in research on AKI in this area might be caused by heterogenous manifestations, such as ruptured or unruptured, and the involvement of aneurysm requiring suprarenal aortic clamp.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Predictors of Acute Kidney Injury Following Elective Open and Endovascular Aortic Repair for Abdominal Aortic Aneurysm

Nonaka

Kimura

Hori

et al. 2018

Annals of Vascular Diseases

View full text Add to dashboard Cite

Objective: To investigate the predictors of acute kidney injury (AKI) following surgery for abdominal aortic aneurysm.Materials and Methods: Subjects were 642 non-hemodialysis patients (open aortic repair [OAR] group, n=453; endovascular aortic repair [EVAR] group, n=189) who underwent elective surgery between 2009 and 2015. AKI was assessed according to the Kidney Disease Improving Global Outcomes criteria. In-hospital mortality and incidence of AKI were compared between the OAR and EVAR groups. The effect of AKI on outcomes and predictors of AKI were examined in both groups.Results: In-hospital mortalities were 0.7% (3/453) in the OAR group and 0.5% (1/189) in the EVAR group. The incidence of AKI increased in the OAR group (14.1% vs. 3.7%, P<0.01). In the OAR group, in-hospital mortality (0% vs. 4.7%, P<0.01) increased in patients with AKI. In the OAR group, hemoglobin level <10 g/dL, estimated glomerular filtration rate <60 mL/min/1.73 m2, operation time >300 min, history of ischemic heart disease, and amount of bleeding >1,000 mL were predictors of AKI. In the EVAR group, amount of transfusion>1,000 mL was a predictor of AKI, but AKI was not found to worsen outcomes.Conclusion: AKI affected outcomes of OAR. Knowledge of predictors may optimize perioperative care.

show abstract

Section: Introductionmentioning

confidence: 99%

“… 20 ) A few groups have recently reported AKI following surgical intervention for AAA using the KDIGO criteria. 3 , 6 , 8 , 15 ) The use of this classification system, however, has not been standardized in the research field of vascular surgery.…”

Section: Introductionmentioning

confidence: 99%