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Cited by 8Acute Kidney Injury ResearchAortic Disease and Treatment ApproachesChronic Kidney Disease and Diabetes

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Incidence and outcomes of acute kidney disease in patients after type A aortic dissection surgery

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Chen, Xuelian, Fang, Miao, Yang, Jia, Wang, Siwen, Wang, Xin, Li, Linji, Zhou, Jiaojiao, Yang, Lichuan·2023·Asian Journal of Surgery
DOI 10.1016/j.asjsur.2022.08.002
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Abstract

BACKGROUND: Acute kidney injury (AKI), acute kidney disease (AKD) and CKD (chronic kidney disease) were a continuous process. There has been little discussion of risk factors for AKD in the population undergoing surgery for acute type A aortic dissection (AAAD). OBJECTIVE: The main objective of this study was to investigate the risk factors for AKD after surgery for acute type A aortic dissection and the impact of AKD on early and late mortality. DESIGN: AKI was to be defined as an increase in serum creatinine to >0.3 mg/dL or 1.5 times above baseline within 7 days. AKD was defined as the kidney damage within 90 days after AKI. Logistic regression models were performed to identify the risk factors of AKD and the association between AKD and early mortality after AAAD surgery. PARTICIPANTS: Patients with AKI after AAAD surgery admitted in ICU from March 2009 to September 2021 were included. KEY RESULTS: Among the 328 patients who developed AKI after AAAD surgery, 98 patients (29.9%) progressed to AKD. Multivariable analysis revealed that AKI stage 2 (OR, 3.032) and AKI stage 3 (OR, 4.001) have been shown to be independent risk factors for the development of AKD. AKD (OR, 3.175) proved to be an independent risk factor for early mortality, while no significant difference in late mortality was observed between patients in the AKD and non-AKD groups. CONCLUSION: The severity of AKI after surgery of AAAD was independently associated with AKD. The occurrence of AKD had a negative impact on early mortality. CLINICAL TRIAL REGISTRATION: ChiCTR, ChiCTR1900021290. Registered 12 February 2019, http://www.chictr.org.cn/showproj.aspx?proj=35795.

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References 32 · Cited by 8

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Metadata

Authors
Chen, X., Fang, M., Yang, J., Wang, S., Wang, X., Li, L., Zhou, J., & Yang, L.
Affiliations
  • West China Hospital of Sichuan University (CN)
  • Chengdu Second People's Hospital (CN)
  • Sichuan University (CN)
  • North Sichuan Medical University (CN)
Corresponding author
  • Zhou, Jiaojiao
  • Yang, Lichuan
ORCID
Venue
Asian Journal of Surgery
Publisher
Elsevier BV
Published
2023-03
Volume
46
Issue
3
Pages
1207-1214
ISSN
  • 0219-3108 (ISSN-L)
  • 1015-9584
DOI
10.1016/j.asjsur.2022.08.002
OpenAlex
W4293522722
Cited by
8
References
32
Citations by year
2026: 2 · 2025: 4 · 2024: 2
FWCI
0.95
Type
journal article
Language
en
Open access
Licence
Locations
  • Asian Journal of Surgery (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • National Natural Science Foundation of China (82102067)
  • Sichuan University (2020HXFH049)
  • West China Hospital, Sichuan University
Topics
  • Health Sciences › Medicine › Nephrology › Acute Kidney Injury Research
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Aortic Disease and Treatment Approaches
  • Health Sciences › Medicine › Nephrology › Chronic Kidney Disease and Diabetes
Keywords
acute kidney injury, acute kidney disease, type A aortic dissection, aortic dissection surgery, risk factors, AKI severity, early mortality, late mortality, chronic kidney disease, intensive care unit
MeSH terms
Acute Disease, Humans, Prognosis, Risk Factors, Incidence, Renal Insufficiency, Chronic, Acute Kidney Injury

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