ArticleIntensive care medicine2006
Incidence, risk factors and prognosis of changes in serum creatinine early after aortic abdominal surgery.
Article in Intensive care medicine, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 87 citations in OpenAlex.
- Relationship between intraoperative dopamine infusion and postoperative acute kidney injury in patients undergoing open abdominal aorta aneurysm repair.BMC anesthesiology · 2022Trial
- Association of serum albumin to creatinine ratio with mortality in patients with aortic disease: a cohort study.Scientific reports · 2025Article
- NAD+ Biosynthesis Impairment and Acute Kidney Injury after Major Vascular Surgery.Antioxidants (Basel, Switzerland) · 2023Article
- Development of In-Hospital Outcomes in Patients undergoing Transcatheter Aortic Valve Implantation (TAVI) at an Interdisciplinary Heart Center: A Single-Center Experience of 489 Consecutive Cases.Cardiology and cardiovascular medicine · 2023Article
- Protective effects of safranal on kidney tissue in a rat model of distant ischemia-reperfusion injury with infrarenal aortic occlusion.Turkish journal of medical sciences · 2023Article
- Postoperative Intensive Care Management of Aortic Repair.Journal of personalized medicine · 2022Review
- A "crush" course on rhabdomyolysis: risk stratification and clinical management update for the perioperative clinician.Journal of anesthesia · 2020Review
- Acute kidney injury during daptomycin versus vancomycin treatment in cardiovascular critically ill patients: a propensity score matched analysis.BMC infectious diseases · 2019Article
- Predictors of renal dysfunction after endovascular and open repair of abdominal aortic aneurysms.Journal of vascular surgery · 2017Article
- The Risk Factors and Outcomes of Acute Kidney Injury after Thoracic Endovascular Aortic Repair.The Korean journal of thoracic and cardiovascular surgery · 2016Article
- Postoperative renal dysfunction independently predicts late mortality in patients undergoing aortic reconstruction.Journal of vascular surgery · 2015Article
- Relationship between acute kidney injury before thoracic endovascular aneurysm repair and in-hospital outcomes in patients with type B acute aortic dissection.Journal of geriatric cardiology : JGC · 2015Article
- Postconditioning in major vascular surgery: prevention of renal failure.Journal of translational medicine · 2015Article
- Acute Kidney Injury in Critically Ill Vascular Surgery Patients is Common and Associated with Increased Mortality.Frontiers in surgery · 2015Article
- Protective effect of melatonin on infrarenal aortic occlusion: this effect is related to anti-inflammatory effect and antioxidant effect.Inflammation · 2014Article
- Increased prothrombotic property as a risk factor of acute kidney injury after surgical repair of abdominal aortic aneurysm: a prospective observational study.Journal of intensive care · 2014Article
- Risk factors and outcomes associated with acute kidney injury following ruptured abdominal aortic aneurysm.BMC nephrology · 2013Article
- Comparison of analytical mathematical approaches for identifying key nuclear magnetic resonance spectroscopy biomarkers in the diagnosis and assessment of clinical change of diseases.The Journal of comparative neurology · 2010Article
- Temporary perioperative decline of renal function is an independent predictor for chronic kidney disease.Clinical journal of the American Society of Nephrology : CJASN · 2010Article
- Relationships among haemoglobin level, packed red cell transfusion and clinical outcomes in patients after cardiac surgery.Intensive care medicine · 2009Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine the incidence, risk factors, and prognostic implications of serum creatinine changes following major vascular surgery.
designObservational study. SETTINGS: University hospital. PATIENTS: Cohort of 599 consecutive patients undergoing elective abdominal aortic surgery.
interventionsReview of prospectively collected data from 1993 to 2004. MEASUREMENTS AND
resultsThe receiver-operator characteristic (ROC) curve analysis was used to detect the best threshold for postoperative elevation in serum creatinine (Delta Creat) in relation to major complications. A cut-off value of +0.5 mg/dl was selected to define renal dysfunction (RD(0.5) group, n=91; no RD(0.5), n=508) that was associated with higher mortality (7.7% in RD(0.5) group vs 1.4% in no RD(0.5) group, P<0.05), rate of admission to the ICU (34% vs 13%, P<0.05), and incidence of cardiovascular (9% vs 4%, P<0.05), respiratory (21% vs 7%, P<0.05), surgical (24% vs 10%, P<0.05), and septic complications (9% vs 3%, P<0.05). After multivariate analysis with logistic regression, renal dysfunction was independently related to low preoperative creatinine clearance [<40 ml/min; odds ratio (OR) 1.5, 95% confidence interval (CI) 1.1-3.9], prolonged renal ischemic time (>40 min; OR, 3.8, 95% CI, 1.9-7.2), blood transfusion (>5 units; OR, 1.9, 95% CI 1.2-6.1), and rhabdomyolysis (OR, 3.6, 95% CI 1.7-7.9).
conclusionsPostoperative RD(0.5) (Delta Creat >0.5 mg/dl) occurs in 15% of vascular patients and carries a bad prognosis. Preoperative renal insufficiency and factors related to the complexity of surgery are the main predictors of renal dysfunction.
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