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Central venous pressure combined with renal venous impedance index in predicting the acute kidney injury after thoracic and abdominal (non-cardiac) surgery

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机构: [1]Hebei Med Univ, Hosp 4, Dept Crit Care, Chinese Crit Ultrasound Study Grp CCUSG, Shijiazhuang, Peoples R China
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关键词: Acute kidney injury Central venous pressure Thoracic Abdominal surgery Renal vein impedance index

摘要:
Background: In the 21st century, 13% of patients undergoing open abdominal surgery, 25% of patients undergoing heart surgery, and 57% of patients admitted to the intensive care unit (ICU) are affected by acute kidney injury (AKI). Methods: This prospective observational study included patients admitted directly to the ICU between June 2021 and December 2021. Results: A total of 81 patients were enrolled after thoracic and abdominal (non-cardiac) surgery; 36 patients (44.4%) were diagnosed with AKI occurred within 7 days after surgery. Six-hour postoperative central venous pressure(CVP) was a risk factor for AKI in thoracic and abdominal (non-cardiac) postoperative patients (odds ratio [OR], 1.418; 95% confidence intervals [CI], 1.106-1.819; P = 0.006). Six-hour postoperative vein impedance index(VII) and CVP were significantly positively correlated (P = 0.031). The combination of 6-h postoperative VII with CVP (VII >= 0.34, CVP >= 7.5 mmHg) showed an area under the curve (AUC) of 0.787, In the subgroup analysis of patients with 6-h postoperative CVP <7.5 mmHg, there was a significant statistical difference in 6-h postoperative VII between the groups and those without AKI (P = 0.048). At 6-h postoperative CVP <7.5 mmHg, VII of >= 0.44 had a predictive value for AKI after thoracic and abdominal (non-cardiac) surgery, with an AUC of 0.669, a sensitivity of 41.2%, and a specificity of 94.4%. Conclusion: Six-hour postoperative CVP combined with VII can better predict the occurrence of AKI occurred within 7 days after thoracic and abdominal (non-cardiac) surgery but cannot predict the severity of AKI. (c) 2023 Asian Surgical Association and Taiwan Robotic Surgery Association. Publishing services by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/ licenses/by-nc-nd/4.0/).

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中科院分区:
出版当年[2025]版:
大类 | 3 区 医学
小类 | 3 区 外科
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 外科
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出版当年[2024]版:
Q1 SURGERY
最新[2024]版:
Q1 SURGERY

影响因子: 最新[2024版] 最新五年平均 出版当年[2024版] 出版当年五年平均 出版前一年[2023版]

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第一作者机构: [1]Hebei Med Univ, Hosp 4, Dept Crit Care, Chinese Crit Ultrasound Study Grp CCUSG, Shijiazhuang, Peoples R China
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通讯机构: [1]Hebei Med Univ, Hosp 4, Dept Crit Care, Chinese Crit Ultrasound Study Grp CCUSG, Shijiazhuang, Peoples R China
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