1. The Effect of Postoperative Fluid Balance on the Occurrence and Progression of Acute Kidney Injury After Cardiac Surgery
- Author
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Yang Li, Xin Chen, Jiarui Xu, Wuhua Jiang, Xiaoqiang Ding, Wenlv Lv, Jie Teng, Chunsheng Wang, Bo Shen, and Zhe Luo
- Subjects
China ,medicine.medical_specialty ,Urology ,030204 cardiovascular system & hematology ,urologic and male genital diseases ,Logistic regression ,03 medical and health sciences ,Postoperative Complications ,0302 clinical medicine ,Risk Factors ,030202 anesthesiology ,Humans ,Medicine ,Cardiac Surgical Procedures ,Stage (cooking) ,Risk factor ,Retrospective Studies ,business.industry ,Incidence (epidemiology) ,Acute kidney injury ,Perioperative ,Odds ratio ,Acute Kidney Injury ,Water-Electrolyte Balance ,medicine.disease ,female genital diseases and pregnancy complications ,Cardiac surgery ,Anesthesiology and Pain Medicine ,Cardiology and Cardiovascular Medicine ,business - Abstract
OBJECTIVES In addition to the association between positive fluid balance (FB) and acute kidney injury (AKI) after cardiac surgery reported by former studies, this study examined the relationship between FB and progressive AKI. DESIGN A retrospective, observational study. SETTING University teaching, grade A tertiary hospital in Shanghai, China. PARTICIPANTS Adult patients after cardiac surgery from July-December 2016. INTERVENTIONS Perioperative data relating to postoperative fluid intake and output were collected. AKI progression was defined as a worsening of AKI stage. FB was calculated as (fluid intake [L] - fluid output [L]/body weight [kg] × 100%). MEASUREMENTS AND MAIN RESULTS The study comprised 1,522 patients. The incidences of AKI and progressive AKI were 33.1% (n = 504) and 18.1% (n = 91), respectively. There was an exponential increase between 24-hour FB and AKI occurrence, and an approximate "U"-shape association between 48-hour FB and AKI progression. Multivariate logistic regression showed that 24-hour FB ≥5% was an independent risk factor for AKI incidence (odds ratio [OR] 3.976; p < 0.001) and 48-hour FB
- Published
- 2021
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