Clinical study on acute kidney injury after myeloablative allogeneic hematopoietic cell transplantation

To explore the incidence, pathogenesis, risk factors, prophylaxis and treatment of acute kidney injury (AKI) after myeloablative allogeneic hematopoietic stem cell transplantation (allo-HSCT). Clinical data of 120 patients received myeloablative allo-HSCT were retrospectively analyzed. Serum creatin...

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Veröffentlicht in:Zhōnghuá xuèyèxué zázhì 2008-06, Vol.29 (6), p.401-404
Hauptverfasser: Bao, Yu-shi, Jiang, Er-lie, Wang, Mei, Huang, Yong, Wei, Jia-lin, Yang, Dong-lin, Feng, Si-zhou, Han, Ming-zhe
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container_issue 6
container_start_page 401
container_title Zhōnghuá xuèyèxué zázhì
container_volume 29
creator Bao, Yu-shi
Jiang, Er-lie
Wang, Mei
Huang, Yong
Wei, Jia-lin
Yang, Dong-lin
Feng, Si-zhou
Han, Ming-zhe
description To explore the incidence, pathogenesis, risk factors, prophylaxis and treatment of acute kidney injury (AKI) after myeloablative allogeneic hematopoietic stem cell transplantation (allo-HSCT). Clinical data of 120 patients received myeloablative allo-HSCT were retrospectively analyzed. Serum creatinine level in the patients showed significantly higher than baseline value at 28-60 days after transplantation (P
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Clinical data of 120 patients received myeloablative allo-HSCT were retrospectively analyzed. Serum creatinine level in the patients showed significantly higher than baseline value at 28-60 days after transplantation (P&lt;0.05). 73 patients (60.8%) developed AKI at a median of 33 days after allo-HSCT, including grade 2 in 32 patients (26.7%). Patients with grade 1 AKI showed significant higher serum cyclosporine A (CsA) levels (P&lt;0.05). Hepatic veno-occlusive disease( HVOD), acute graft-versus-host disease (aGVHD) and total bilirubin &gt; 40 micromol/L were high risk factors of occurring AKI (P&lt;0.05). 19 patients died within 100 days after allo-HSCT, grade 2 AKI was a high risk factor of mortality (P&lt; 0.05). 180-day survival rate was significantly lower in patients with grade 2 AKI after allo-HSCT (P&lt;0.05). 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Clinical data of 120 patients received myeloablative allo-HSCT were retrospectively analyzed. Serum creatinine level in the patients showed significantly higher than baseline value at 28-60 days after transplantation (P&lt;0.05). 73 patients (60.8%) developed AKI at a median of 33 days after allo-HSCT, including grade 2 in 32 patients (26.7%). Patients with grade 1 AKI showed significant higher serum cyclosporine A (CsA) levels (P&lt;0.05). Hepatic veno-occlusive disease( HVOD), acute graft-versus-host disease (aGVHD) and total bilirubin &gt; 40 micromol/L were high risk factors of occurring AKI (P&lt;0.05). 19 patients died within 100 days after allo-HSCT, grade 2 AKI was a high risk factor of mortality (P&lt; 0.05). 180-day survival rate was significantly lower in patients with grade 2 AKI after allo-HSCT (P&lt;0.05). 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Clinical data of 120 patients received myeloablative allo-HSCT were retrospectively analyzed. Serum creatinine level in the patients showed significantly higher than baseline value at 28-60 days after transplantation (P&lt;0.05). 73 patients (60.8%) developed AKI at a median of 33 days after allo-HSCT, including grade 2 in 32 patients (26.7%). Patients with grade 1 AKI showed significant higher serum cyclosporine A (CsA) levels (P&lt;0.05). Hepatic veno-occlusive disease( HVOD), acute graft-versus-host disease (aGVHD) and total bilirubin &gt; 40 micromol/L were high risk factors of occurring AKI (P&lt;0.05). 19 patients died within 100 days after allo-HSCT, grade 2 AKI was a high risk factor of mortality (P&lt; 0.05). 180-day survival rate was significantly lower in patients with grade 2 AKI after allo-HSCT (P&lt;0.05). AKI is one of the</abstract><cop>China</cop><pmid>19031744</pmid><tpages>4</tpages></addata></record>
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subjects Acute Kidney Injury - etiology
Acute Kidney Injury - prevention & control
Adolescent
Adult
Female
Hematopoietic Stem Cell Transplantation
Humans
Male
Middle Aged
Postoperative Complications - prevention & control
Retrospective Studies
Risk Factors
Transplantation Conditioning
Transplantation, Homologous
Young Adult
title Clinical study on acute kidney injury after myeloablative allogeneic hematopoietic cell transplantation
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