ArticleAnnals of vascular surgery2016
Mortality and Cost of Acute and Chronic Kidney Disease after Vascular Surgery.
Article in Annals of vascular surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 52 citations in OpenAlex.
- Comparison of Renal Tubular Damage with Kidney Injury Molecule-1 in Open and Laparoscopic Colorectal Cancer Surgery.Medicina (Kaunas, Lithuania) · 2024Trial
- Remote Ischaemic Preconditioning Reduces Kidney Injury Biomarkers in Patients Undergoing Open Surgical Lower Limb Revascularisation: A Randomised Trial.Oxidative medicine and cellular longevity · 2020Trial
- Risk of complications in vascular surgery: development of a clinical predictive model.Jornal vascular brasileiro · 2026Article
- Persistent Acute Kidney Injury is Associated with Poor Outcomes and Increased Hospital Cost in Vascular Surgery.Annals of vascular surgery · 2024Article
- Bilateral renal artery stenosis impacts postoperative complications after major vascular surgery.Surgery open science · 2023Article
- Nitric Oxide in Cardiac Surgery: A Review Article.Biomedicines · 2023Review
- The Impact of Diabetes on Outcomes and Health Care Costs Following Anterior Cervical Discectomy and Fusion.Global spine journal · 2022Article
- Acute Kidney Injury and 3-Year Mortality in Elderly Patients After Non-cardiac Surgery.Frontiers in medicine · 2022Article
- Optimizing predictive strategies for acute kidney injury after major vascular surgery.Surgery · 2021Article
- Mild increases in plasma creatinine after intermediate to high-risk abdominal surgery are associated with long-term renal injury.BMC anesthesiology · 2021Article
- Acute Renal Failure/Acute Kidney Injury (AKI) Associated with Endovascular Procedures.Diagnostics (Basel, Switzerland) · 2020Review
- Postoperative anemia is a risk factor for acute kidney injury after open aorta and vena cava surgeries.PloS one · 2020Article
- Predicting mortality in patients admitted to the intensive care unit after open vascular surgery.Surgery today · 2019Article
- Improved predictive models for acute kidney injury with IDEA: Intraoperative Data Embedded Analytics.PloS one · 2019Article
- Epidemiology, outcomes, and management of acute kidney injury in the vascular surgery patient.Journal of vascular surgery · 2018Review
- Cardiac and Vascular Surgery-Associated Acute Kidney Injury: The 20th International Consensus Conference of the ADQI (Acute Disease Quality Initiative) Group.Journal of the American Heart Association · 2018Review
- Mortality and cost of acute and chronic kidney disease after cardiac surgery.Current opinion in anaesthesiology · 2017Review
- Article
- Review
- Cardiovascular-Specific Mortality and Kidney Disease in Patients Undergoing Vascular Surgery.JAMA surgery · 2016Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
backgroundBoth acute kidney injury (AKI) and chronic kidney disease (CKD) are common yet underappreciated risk factors for adverse perioperative outcomes. We hypothesize that AKI and CKD are associated with similar increases in 90-day mortality and cost in patients undergoing major vascular surgery.
methodsWe used multivariable regression analyses to evaluate the associations between AKI and CKD and incremental 90-day mortality and hospital cost in a single-center cohort of 3646 adult patients undergoing major vascular surgery. We defined AKI using Kidney Disease: Improving Global Outcomes criteria as change in creatinine ≥ 0.3 mg/dL or ≥ 50% increase from the reference value. CKD was determined from medical history. Regression models were adjusted for demographic and socioeconomic characteristics, comorbid conditions, surgery type, and postoperative complications.
resultsThe prevalence of kidney disease among vascular surgery patients is high with 49% of patients developing AKI during hospitalization and 17% presenting with CKD on admission. In risk-adjusted logistic regression analysis, perioperative AKI (odds ratio 2.2, 95% confidence interval 1.5-3.3) was the most significant predictor of 90-day mortality. The risk-adjusted average cost was significantly higher for patients with any type of kidney disease. The incremental cost of having any type of kidney disease ranged from $9100 to $19,100, even after adjustment for underlying comorbidities and other postoperative complications.
conclusionsKidney disease after major vascular surgery is associated with significant increases in 90-day mortality and cost with the highest risk observed among patients with AKI regardless of previous CKD.
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