The correlation between intraoperative renal resistive index and cardiac surgery-associated acute kidney injury – A pilot, prospective, observational, single center study

According to the Kidney Disease: Improving Global Outcomes (KDIGO) standard, the patients were divided into AKI group and non-AKI group. [...]74 patients were enrolled in this study. Characteristic AKI (n = 20) Non-AKI(n = 54) Preoperative baseline data Age in years 60.95 ± 7.45 57.70 ± 10.09 Sex(fe...

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Veröffentlicht in:Journal of clinical anesthesia 2020-12, Vol.67, p.110066-110066, Article 110066
Hauptverfasser: Zhou, Kang, Ren, Aolin, Zhu, He, Zhang, Hui, Li, Qing, Liu, Jindong
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container_title Journal of clinical anesthesia
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Ren, Aolin
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Zhang, Hui
Li, Qing
Liu, Jindong
description According to the Kidney Disease: Improving Global Outcomes (KDIGO) standard, the patients were divided into AKI group and non-AKI group. [...]74 patients were enrolled in this study. Characteristic AKI (n = 20) Non-AKI(n = 54) Preoperative baseline data Age in years 60.95 ± 7.45 57.70 ± 10.09 Sex(female) 20 (12) 54 (28) BMI(kg/m2) 23.47 ± 2.55 22.58 ± 2.85 LVEF (%) 62.22 ± 5.17 60.02 ± 6.94 Euro Score II(score) 3 (1,5) 4 (2,5) Hypertension, n (%) 10 (50) 17 (31.5) Diabetes, n (%) 5 (25) 6 (11.1) Smoking history, n (%) 7 (35) 14 (23.5) Preoperative Scr (μmol/L) 73.40 ± 21.58 63.46 ± 11.51 Preoperative uric acid (μmol/L) 310.44 ± 115.32 307.88 ± 93.42 Type of surgery Valve surgery, n (%) 9 (45) 27 (50) CABG, n (%) 8 (40) 15 (27.8) CABG+ Valve surgery, n (%) 1 (5) 2 (3.7) Others, n (%) 2 (10) 10 (18.5) Intraoperative variables Surgery time (min) 245(200,380) 235(205,360) Anesthesia time (min) 295(240,425) 280(240,410) Aortic cross-clamping time (min) 88.65 ± 47.30 67.56 ± 43.82 CPB (min) 126.40 ± 59.84 101.11 ± 58.54 Urine volume (ml) Before-CPB 180(145,245) 95(30,287.5) During-CPB 325(200,475) 390(227.5652.5) After-CPB 500(340,700) 525(400,875) Ultrafiltration volume(ml) 525(250,800) 350(200,475) Blood transfusion, n (%) 7* (35) 10 (18.5) Crystal liquid (ml) 1450(1155,1892.5) 1350(1075.51652.5) Colloidal liquid (ml) 755(625.51155) 685(607.5975) Postoperative outcomes Mechanical ventilation time (h) 19.65 ± 3.68 18.49 ± 3.76 ICU LOS (h) 42.74 ± 8.83 38.23 ± 9.52 Hospital LOS (h) 14.25(11,17.25) 12(11,14.5) RRT, n (%) 3* (15) 0 (0) Table 1 Baseline characteristics and clinical outcomes between groups with AKI and without AKI.
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Characteristic AKI (n = 20) Non-AKI(n = 54) Preoperative baseline data Age in years 60.95 ± 7.45 57.70 ± 10.09 Sex(female) 20 (12) 54 (28) BMI(kg/m2) 23.47 ± 2.55 22.58 ± 2.85 LVEF (%) 62.22 ± 5.17 60.02 ± 6.94 Euro Score II(score) 3 (1,5) 4 (2,5) Hypertension, n (%) 10 (50) 17 (31.5) Diabetes, n (%) 5 (25) 6 (11.1) Smoking history, n (%) 7 (35) 14 (23.5) Preoperative Scr (μmol/L) 73.40 ± 21.58 63.46 ± 11.51 Preoperative uric acid (μmol/L) 310.44 ± 115.32 307.88 ± 93.42 Type of surgery Valve surgery, n (%) 9 (45) 27 (50) CABG, n (%) 8 (40) 15 (27.8) CABG+ Valve surgery, n (%) 1 (5) 2 (3.7) Others, n (%) 2 (10) 10 (18.5) Intraoperative variables Surgery time (min) 245(200,380) 235(205,360) Anesthesia time (min) 295(240,425) 280(240,410) Aortic cross-clamping time (min) 88.65 ± 47.30 67.56 ± 43.82 CPB (min) 126.40 ± 59.84 101.11 ± 58.54 Urine volume (ml) Before-CPB 180(145,245) 95(30,287.5) During-CPB 325(200,475) 390(227.5652.5) After-CPB 500(340,700) 525(400,875) Ultrafiltration volume(ml) 525(250,800) 350(200,475) Blood transfusion, n (%) 7* (35) 10 (18.5) Crystal liquid (ml) 1450(1155,1892.5) 1350(1075.51652.5) Colloidal liquid (ml) 755(625.51155) 685(607.5975) Postoperative outcomes Mechanical ventilation time (h) 19.65 ± 3.68 18.49 ± 3.76 ICU LOS (h) 42.74 ± 8.83 38.23 ± 9.52 Hospital LOS (h) 14.25(11,17.25) 12(11,14.5) RRT, n (%) 3* (15) 0 (0) Table 1 Baseline characteristics and clinical outcomes between groups with AKI and without AKI.</description><identifier>ISSN: 0952-8180</identifier><identifier>EISSN: 1873-4529</identifier><identifier>DOI: 10.1016/j.jclinane.2020.110066</identifier><identifier>PMID: 32979610</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Anesthesia ; Biomarkers ; Blood transfusions ; Cardiac surgery-associated acute kidney injury ; Creatinine ; Diabetes ; Esophagus ; Funding ; Heart surgery ; Hypertension ; Kidney diseases ; Kidneys ; Postoperative period ; Regression analysis ; Renal resistive index ; Transesophageal echocardiography ; Urine ; Ventilators ; Visualization ; Writing</subject><ispartof>Journal of clinical anesthesia, 2020-12, Vol.67, p.110066-110066, Article 110066</ispartof><rights>2020</rights><rights>Copyright Elsevier Limited Dec 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-d6a68f2e2d6ce07162649e101c9437a843b44dedac832c55a3492db559f859833</citedby><cites>FETCH-LOGICAL-c396t-d6a68f2e2d6ce07162649e101c9437a843b44dedac832c55a3492db559f859833</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2461542878?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3548,27922,27923,45993,64383,64385,64387,72239</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32979610$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhou, Kang</creatorcontrib><creatorcontrib>Ren, Aolin</creatorcontrib><creatorcontrib>Zhu, He</creatorcontrib><creatorcontrib>Zhang, Hui</creatorcontrib><creatorcontrib>Li, Qing</creatorcontrib><creatorcontrib>Liu, Jindong</creatorcontrib><title>The correlation between intraoperative renal resistive index and cardiac surgery-associated acute kidney injury – A pilot, prospective, observational, single center study</title><title>Journal of clinical anesthesia</title><addtitle>J Clin Anesth</addtitle><description>According to the Kidney Disease: Improving Global Outcomes (KDIGO) standard, the patients were divided into AKI group and non-AKI group. [...]74 patients were enrolled in this study. Characteristic AKI (n = 20) Non-AKI(n = 54) Preoperative baseline data Age in years 60.95 ± 7.45 57.70 ± 10.09 Sex(female) 20 (12) 54 (28) BMI(kg/m2) 23.47 ± 2.55 22.58 ± 2.85 LVEF (%) 62.22 ± 5.17 60.02 ± 6.94 Euro Score II(score) 3 (1,5) 4 (2,5) Hypertension, n (%) 10 (50) 17 (31.5) Diabetes, n (%) 5 (25) 6 (11.1) Smoking history, n (%) 7 (35) 14 (23.5) Preoperative Scr (μmol/L) 73.40 ± 21.58 63.46 ± 11.51 Preoperative uric acid (μmol/L) 310.44 ± 115.32 307.88 ± 93.42 Type of surgery Valve surgery, n (%) 9 (45) 27 (50) CABG, n (%) 8 (40) 15 (27.8) CABG+ Valve surgery, n (%) 1 (5) 2 (3.7) Others, n (%) 2 (10) 10 (18.5) Intraoperative variables Surgery time (min) 245(200,380) 235(205,360) Anesthesia time (min) 295(240,425) 280(240,410) Aortic cross-clamping time (min) 88.65 ± 47.30 67.56 ± 43.82 CPB (min) 126.40 ± 59.84 101.11 ± 58.54 Urine volume (ml) Before-CPB 180(145,245) 95(30,287.5) During-CPB 325(200,475) 390(227.5652.5) After-CPB 500(340,700) 525(400,875) Ultrafiltration volume(ml) 525(250,800) 350(200,475) Blood transfusion, n (%) 7* (35) 10 (18.5) Crystal liquid (ml) 1450(1155,1892.5) 1350(1075.51652.5) Colloidal liquid (ml) 755(625.51155) 685(607.5975) Postoperative outcomes Mechanical ventilation time (h) 19.65 ± 3.68 18.49 ± 3.76 ICU LOS (h) 42.74 ± 8.83 38.23 ± 9.52 Hospital LOS (h) 14.25(11,17.25) 12(11,14.5) RRT, n (%) 3* (15) 0 (0) Table 1 Baseline characteristics and clinical outcomes between groups with AKI and without AKI.</description><subject>Anesthesia</subject><subject>Biomarkers</subject><subject>Blood transfusions</subject><subject>Cardiac surgery-associated acute kidney injury</subject><subject>Creatinine</subject><subject>Diabetes</subject><subject>Esophagus</subject><subject>Funding</subject><subject>Heart surgery</subject><subject>Hypertension</subject><subject>Kidney diseases</subject><subject>Kidneys</subject><subject>Postoperative period</subject><subject>Regression analysis</subject><subject>Renal resistive index</subject><subject>Transesophageal echocardiography</subject><subject>Urine</subject><subject>Ventilators</subject><subject>Visualization</subject><subject>Writing</subject><issn>0952-8180</issn><issn>1873-4529</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkctu1DAUhi0EokPhFSpLbFhMBl8Sx95RVRSQKrEpa8uxzxSHjB3sZEp2vAOv0afiSfB0WhZs2Njy8Xdu_4_QGSUbSqh42296O_hgAmwYYSVICRHiCVpR2fKqbph6ilZENaySVJIT9CLnnhBSPuhzdMKZapWgZIXurr8CtjElGMzkY8AdTLcAAfswJRNHSCW8B5wgmKGc2ef7tw8OfmATHLYmOW8sznO6gbRUJudovZnAYWPnCfA37wIsJaOf04J___yFz_Hohzit8ZhiHsEeKq5x7DKk_f0UZljj7MPNUGaDMEHCeZrd8hI925ohw6uH-xR9uXx_ffGxuvr84dPF-VVluRJT5YQRcsuAOWGBtFQwUSsosllV89bImnd17cAZKzmzTWN4rZjrmkZtZaMk56fozbFume_7DHnSO58tDEORO85Zs7oWom0UZwV9_Q_axzmVBQ6UoE3NZCsLJY6ULQvnBFs9Jr8zadGU6IOfutePfuqDn_roZ0k8eyg_dztwf9MeDSzAuyMARY-9h6Sz9RAsOJ-KsNpF_78efwDBFrjQ</recordid><startdate>202012</startdate><enddate>202012</enddate><creator>Zhou, Kang</creator><creator>Ren, Aolin</creator><creator>Zhu, He</creator><creator>Zhang, Hui</creator><creator>Li, Qing</creator><creator>Liu, Jindong</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>202012</creationdate><title>The correlation between intraoperative renal resistive index and cardiac surgery-associated acute kidney injury – A pilot, prospective, observational, single center study</title><author>Zhou, Kang ; 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[...]74 patients were enrolled in this study. Characteristic AKI (n = 20) Non-AKI(n = 54) Preoperative baseline data Age in years 60.95 ± 7.45 57.70 ± 10.09 Sex(female) 20 (12) 54 (28) BMI(kg/m2) 23.47 ± 2.55 22.58 ± 2.85 LVEF (%) 62.22 ± 5.17 60.02 ± 6.94 Euro Score II(score) 3 (1,5) 4 (2,5) Hypertension, n (%) 10 (50) 17 (31.5) Diabetes, n (%) 5 (25) 6 (11.1) Smoking history, n (%) 7 (35) 14 (23.5) Preoperative Scr (μmol/L) 73.40 ± 21.58 63.46 ± 11.51 Preoperative uric acid (μmol/L) 310.44 ± 115.32 307.88 ± 93.42 Type of surgery Valve surgery, n (%) 9 (45) 27 (50) CABG, n (%) 8 (40) 15 (27.8) CABG+ Valve surgery, n (%) 1 (5) 2 (3.7) Others, n (%) 2 (10) 10 (18.5) Intraoperative variables Surgery time (min) 245(200,380) 235(205,360) Anesthesia time (min) 295(240,425) 280(240,410) Aortic cross-clamping time (min) 88.65 ± 47.30 67.56 ± 43.82 CPB (min) 126.40 ± 59.84 101.11 ± 58.54 Urine volume (ml) Before-CPB 180(145,245) 95(30,287.5) During-CPB 325(200,475) 390(227.5652.5) After-CPB 500(340,700) 525(400,875) Ultrafiltration volume(ml) 525(250,800) 350(200,475) Blood transfusion, n (%) 7* (35) 10 (18.5) Crystal liquid (ml) 1450(1155,1892.5) 1350(1075.51652.5) Colloidal liquid (ml) 755(625.51155) 685(607.5975) Postoperative outcomes Mechanical ventilation time (h) 19.65 ± 3.68 18.49 ± 3.76 ICU LOS (h) 42.74 ± 8.83 38.23 ± 9.52 Hospital LOS (h) 14.25(11,17.25) 12(11,14.5) RRT, n (%) 3* (15) 0 (0) Table 1 Baseline characteristics and clinical outcomes between groups with AKI and without AKI.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>32979610</pmid><doi>10.1016/j.jclinane.2020.110066</doi><tpages>1</tpages></addata></record>
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subjects Anesthesia
Biomarkers
Blood transfusions
Cardiac surgery-associated acute kidney injury
Creatinine
Diabetes
Esophagus
Funding
Heart surgery
Hypertension
Kidney diseases
Kidneys
Postoperative period
Regression analysis
Renal resistive index
Transesophageal echocardiography
Urine
Ventilators
Visualization
Writing
title The correlation between intraoperative renal resistive index and cardiac surgery-associated acute kidney injury – A pilot, prospective, observational, single center study
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