Acute kidney injury in major abdominal surgery: incidence, risk factors, pathogenesis and outcomes

被引：181

作者：

Gameiro, Joana ^{[1
]}

Fonseca, Jose Agapito ^{[1
]}

Neves, Marta ^{[1
]}

Jorge, Sofia ^{[1
]}

Lopes, Jose Antonio ^{[1
]}

机构：

[1] Ctr Hosp Lisboa Norte, Div Nephrol & Renal Transplantat, Dept Med, EPE, Av Prof Egas Moniz, P-1649035 Lisbon, Portugal

来源：

ANNALS OF INTENSIVE CARE | 2018年 / 8卷

关键词：

Acute kidney injury; Postoperative; Incidence; Prognosis; Risk factors; Pathogenesis; ACUTE-RENAL-FAILURE; LONG-TERM RISK; HYDROXYETHYL STARCH; CARDIAC-SURGERY; CARDIOPULMONARY BYPASS; SERUM CREATININE; HIGHER MORTALITY; CLINICAL IMPACT; RIFLE CRITERIA; DISEASE;

D O I：

10.1186/s13613-018-0369-7

中图分类号：

R4 [临床医学];

学科分类号：

100218 [急诊医学];

摘要：

Acute kidney injury (AKI) is a common complication in patients undergoing major abdominal surgery. Various recent studies using modern standardized classifications for AKI reported a variable incidence of AKI after major abdominal surgery ranging from 3 to 35%. Several patient-related, procedure-related factors and postoperative complications were identified as risk factors for AKI in this setting. AKI following major abdominal surgery has been shown to be associated with poor short-and long-term outcomes. Herein, we provide a contemporary and critical review of AKI after major abdominal surgery focusing on its incidence, risk factors, pathogeny and outcomes.

引用

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