Long-Term Survival in Patients With Acute Kidney Injury After Acute Type A Aortic Dissection Repair

Abstract

Stage 3 AKI is significantly associated with lower long-term survival after operation for AAAD. Patient follow-up after discharge that focuses on cardiovascular issues may benefit patients who survive AKI after AAAD operation.

Retracted: Early Detection of Postoperative Acute Kidney Injury in Acute Stanford Type A Aortic Dissection With Doppler Renal Resistive Index

“…The different results also were the result of the different classification system for AKI. The Acute Kidney Injury Network classification system is more sensitive than the RIFLE classification system …”

“…The Acute Kidney Injury Network classification system is more sensitive than the RIFLE classification system. 4,9 According to ROC analysis, the largest AUC was found in DRRImax and DRRI T6 . DRRI max with a cutoff value of 0.71 should be the optimal marker for predicting AKI.…”

“…Surgery is the optimal management for acute Stanford type A aortic dissection (AAAD) . After the surgery, acute kidney injury (AKI) occurs in 44.9 to 66.7% of the patients, and 11.2 to 13.9% of the patients require dialysis, which is higher than other kinds of cardiac procedures . Acute kidney injury after a cardiac surgery leads to prolonged hospital stay, increased costs and adverse prognosis, and even death .…”

“…Acute kidney injury after a cardiac surgery leads to prolonged hospital stay, increased costs and adverse prognosis, and even death . Detection of AKI after AAAD with current markers, such as serum creatinine (sCr) and urine output, is not early enough for timely treatment . Using sCr level or clearance to detect postoperative AKI is usually delayed from the actual AKI onset .…”

“…7,8 Detection of AKI after AAAD with current markers, such as serum creatinine (sCr) and urine output, is not early enough for timely treatment. 4,9 Using sCr level or clearance to detect postoperative AKI is usually delayed from the actual AKI onset. 10 Moreover, AKI may be present in person with normal urine output.…”