The incidence, risk factors, and outcomes of acute kidney injury in patients with pyogenic liver abscesses

Yun, Seong Eun; Jeon, Dae-Hong; Kim, Min Jeong; Bae, Eun Jin; Cho, Hyun Seop; Chang, Se-Ho

doi:10.1007/s10157-014-1016-8

Cited by 6 publications

(7 citation statements)

References 42 publications

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“…The frequency and severity of AKI according to the RIFLE classification were significantly greater in patients with CKD compared to patients without CKD. CKD was also associated with increased mortality in patients with AKI [24,25]. We also found that more frequent and severe AKI, and higher mortality, were common in patients with CKD and AKI in spite of few enrollments of CKD patients.…”

Section: Discussionmentioning

confidence: 69%

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Incidence, risk factors, and clinical outcomes of acute kidney injury associated with acute pyelonephritis in patients attending a tertiary care referral center

et al. 2019

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Acute kidney injury (AKI) associated with acute pyelonephritis (APN) rarely has been reported. The aim of this study was to evaluate the incidence and risk factors of AKI associated with APN. We retrospectively reviewed the medical records of 403 patients over 18-year old age hospitalized for APN management from October 2009 to September 2014 in tertiary care referral center. Demographic data, clinical symptoms and signs, and laboratory findings were gathered from the medical records and analyzed. The mean age of patients was 57 years and APN commonly occurred in female (87.6%). AKI occurred in 253 patients (62.8%). As per the RIFLE classification, renal injury was graded as ‘Risk’ (62.1%), ‘Injury’ (26.5%), and ‘Failure’ (11.4%). AKI patients were more likely a male gender and had complicated APN. The AKI group had a significantly higher tendency to present with shock. The prevalence of underlying chronic kidney disease (CKD) was significantly higher in the AKI group. There was no difference in mortality between the AKI and non-AKI groups. Multivariate analysis revealed that age over 65 (OR 1.93, 95% CI 1.18–3.13, p = .008), complicated (OR 2.13, 95% CI 1.35–3.34, p = .001) and bilateral APN (OR 1.71, 95% CI 1.01–2.88, p = .045), and initial shock (OR 2.44, 95% CI 1.05–5.71, p = .039) were independent risk factors for the occurrence of AKI in patients with APN. Physicians should attempt to prevent, detect, and manage AKI associated with APN in patients with above conditions.

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Section: Discussionmentioning

confidence: 69%

“…CKD is considered an important risk factor for the development of AKI in several infectious diseases [21,24,25]. The frequency and severity of AKI according to the RIFLE classification were significantly greater in patients with CKD compared to patients without CKD.…”

Section: Discussionmentioning

confidence: 99%

Incidence, risk factors, and clinical outcomes of acute kidney injury associated with acute pyelonephritis in patients attending a tertiary care referral center

et al. 2019

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“…Recent evidence in other clinical scenarios comes from isolated studies involving a total of more than 2500 patients. Hypoalbuminemia has been associated with AKI-related morbidity/mortality in patients with severe rhabdomyolysis[38], pyogenic liver abscess[65], contrast-induced nephropathy[66], hospital-acquired AKI[67,68], and in critically ill patients requiring continuous RRT[69], geriatric patients[70-72], and those undergoing open ventral hernia repair[73]. …”

Section: Other Indicationsmentioning

confidence: 99%

Causal relationship between hypoalbuminemia and acute kidney injury

Wiedermann¹,

Wiedermann²,

Joannidis³

2017

WJN

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Our meta-analysis published in 2010 provided evidence that low levels of serum albumin (hypoalbuminemia) are a significant independent predictor of acute kidney injury (AKI) and death following AKI. Since then, a large volume of additional data from observational clinical studies has been published further evaluating the relationship between serum albumin and AKI occurrence. This is an updated review of the literature to re-evaluate the hypothesis that hypoalbuminemia is independently associated with increased AKI risk. Eligible studies published from September 2009 to December 2016 were sought in PubMed (MEDLINE) and forty-three were retained, the great majority being retrospective observational cohort studies. These included a total of about 68000 subjects across a diverse range of settings, predominantly cardiac surgery and acute coronary interventions, infectious diseases, transplant surgery, and cancer. Appraisal of this latest data set served to conclusively corroborate and confirm our earlier hypothesis that lower serum albumin is an independent predictor both of AKI and death after AKI, across a range of clinical scenarios. The body of evidence indicates that hypoalbuminemia may causally contribute to development of AKI. Furthermore, administration of human albumin solution has the potential to prevent AKI; a randomized, controlled study provides evidence that correcting hypoalbuminemia may be renal-protective. Therefore, measurement of serum albumin to diagnose hypoalbuminemia may help identify high-risk patients who may benefit from treatment with exogenous human albumin. Multi-center, prospective, randomized, interventional studies are warranted, along with basic research to define the mechanisms through which albumin affords nephroprotection.

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“…Although several large studies have reported incidence rates of AKI ranging from 11% to 51% in patients with sepsis, 20 , 29 , 36 , 37 only few small population studies have reported AKI incidence rates of 32.6% (15/46) and 33.9% (137/404) in patients with PLA. 27 , 28 Yun et al 28 reported that patients in a PLA group with underlying CKD had a high incidence of AKI (11/20) and a significantly higher progression rate during the average admission period of 20.7 days (±12.8). Moreover, Sriramnaveen et al 27 reported that 26.6% of patients with PLA received hemodialysis.…”

Section: Discussionmentioning

confidence: 99%

“…Among these patients, sepsis has consistently been determined to be the most common factor contributing to AKI. 18 , 20 , 26 Only few small studies have examined AKI in patients with PLA, 27 , 28 focusing on clinical findings during short hospitalizations. The epidemiology and long-term outcome of subsequent AKI in patients with PLA remain unknown, and no large population-based study has evaluated the association between PLA and the risk of AKI.…”

Section: Introductionmentioning

confidence: 99%

Pyogenic Liver Abscess is Associated With Increased Risk of Acute Kidney Injury

Sung

Lin

et al. 2016

Medicine

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The incidence, risk factors, and outcomes of acute kidney injury in patients with pyogenic liver abscesses

Abstract: AKI is relatively common in patients with liver abscess. Physicians should therefore attempt to prevent, detect, and manage AKI early in patients with liver abscess.

Cited by 6 publications

References 42 publications

Incidence, risk factors, and clinical outcomes of acute kidney injury associated with acute pyelonephritis in patients attending a tertiary care referral center

Incidence, risk factors, and clinical outcomes of acute kidney injury associated with acute pyelonephritis in patients attending a tertiary care referral center

Causal relationship between hypoalbuminemia and acute kidney injury

Pyogenic Liver Abscess is Associated With Increased Risk of Acute Kidney Injury

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