Predictors and outcomes of acute kidney injury after thoracic aortic endograft repair

Abstract

Preoperative poor renal function, blood transfusions, and the thoracoabdominal extent of the aortic disease were the most important predictors for AKI.

The Impact of Deep Versus Moderate Hypothermia on Postoperative Kidney Function After Elective Aortic Hemiarch Repair

“…To redress this issue, in 2004 the Acute Dialysis Quality Initiative workshop convened to develop the Risk, Injury, Failure, Loss, End-Stage (RIFLE) criteria, which emerged as a new consensus definition for AKI [12]. Numerous studies using the more sensitive RIFLE criteria have shown associations between even mild forms of AKI and outcomes after cardiac operations [9,[13][14][15][16][17][18][19][20][21]. Accordingly, the recent version of The Society of Thoracic Surgeons (STS) data form now uses the RIFLE criteria as the definition for postoperative kidney injury.…”

Meta-analysis for outcomes of acute kidney injury after cardiac surgery

“…However, for ICU stay and hospital LOS, the results were reversed when removing certain studies. Omitting the study by Piffaretti et al [24] (SMD = 0.34, 95% CI: 0.56–1.23) reversed the pooled effect of ICU stay on AKI; omitting the study by Bossard et al [20] and Haase et al [18] reversed the pooled effect of hospital LOS on AKI, indicating that the result for ICU stay and hospital LOS might be not robust (Fig. 3).…”

Vascular Surgery Kidney Injury Predictive Score: A Historical Cohort Study

“…[4] In a recent study of 171 patients who underwent thoracic endovascular aneurysm repair (TEVAR), the incidence of AKI was 14%; the independent predictors of the AKIs in this study were found to be a low preoperative eGFR, thoracoabdominal extent, and postoperative transfusion. [22] Improved quantification of risk for the development of AKI following major vascular surgery would allow more informed patient decision-making while allowing clinicians an opportunity to provide earlier preventive care by adjusting the modifiable risk factors of AKI. Several risk stratification models for general and cardiac surgery are routinely used in patient care areas, as well as to enroll higher-risk patients in diagnostic, preventive, and therapeutic investigations.…”