Incidence, risk factors, and outcomes of perioperative acute kidney injury in noncardiac and nonvascular surgery

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dc.authorid0000-0002-1770-1781
dc.contributor.authorBiteker, Murat
dc.contributor.authorDayan, Akın
dc.contributor.authorTekkeşin, Ahmet İlker
dc.contributor.authorCan, Mehmet M.
dc.contributor.authorTaycı, İbrahim
dc.contributor.authorİlhan, Erkan
dc.contributor.authorŞahin, Gülizar
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:35:23Z
dc.date.available10.07.201910:49:14
dc.date.available2019-07-10T19:35:23Z
dc.date.issued2014
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kalp ve Damar Cerrahisi Ana Bilim Dalı
dc.description.abstractBackground The aim of this study was to determine the incidence rate, identify the risk factors, and describe the clinical outcome of perioperative acute kidney injury (AKI) in patients undergoing noncardiac, nonvascular surgery (NCS). Methods A total of 1,200 adult consecutive patients undergoing NCS were prospectively evaluated. Patients with pre-existing renal dysfunction were excluded. The primary outcome of this study was perioperative AKI defined by the RIFLE (risk, injury, failure, loss of function, and end-stage kidney disease) criteria. Results Eighty-one patients (6.7%) met the AKI criteria. Multivariate analysis identified age, diabetes, revised cardiac risk index, and American Society of Anesthesiologists physical status as independent predictors of AKI. Patients with AKI had more cardiovascular (33.3% vs 11.3%, P <.001) complications and a higher in-hospital mortality rate (6.1% vs 0.9%, P =.003) compared with patients without AKI. Conclusions Several preoperative predictors are found to be associated with AKI after NCS. Perioperative AKI is an independent risk factor for outcome after NCS.
dc.identifier.citationBiteker, M., Dayan, A., Tekkeşin, A. İ., Can, M. M., Taycı, İ., İlhan, E. ... Şahin, G. (2014). Incidence, risk factors, and outcomes of perioperative acute kidney injury in noncardiac and nonvascular surgery. American Journal of Surgery, 207(1), 53-59. https://dx.doi.org/10.1016/j.amjsurg.2013.04.006
dc.identifier.doi10.1016/j.amjsurg.2013.04.006
dc.identifier.endpage59
dc.identifier.issn0002-9610
dc.identifier.issue1
dc.identifier.scopusqualityQ1
dc.identifier.startpage53
dc.identifier.urihttps://hdl.handle.net/20.500.12511/753
dc.identifier.urihttps://dx.doi.org/10.1016/j.amjsurg.2013.04.006
dc.identifier.volume207
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherElsevier
dc.relation.ispartofAmerican Journal of Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectNoncardiac Surgery
dc.subjectOutcome
dc.subjectPerioperative Acute Kidney Injury
dc.titleIncidence, risk factors, and outcomes of perioperative acute kidney injury in noncardiac and nonvascular surgery
dc.typeArticle

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