Postoperative Acute Kidney Injury

Postoperative AKI is a common complication of major surgery and is associated with significant morbidity and mortality. The Kidney Disease Improving Global Outcomes AKI definition allows consensus classification and identification of postoperative AKI through changes in serum creatinine and/or urine...

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Veröffentlicht in:Clinical journal of the American Society of Nephrology 2022-10, Vol.17 (10), p.1535-1545
Hauptverfasser: Boyer, Naomi, Eldridge, Jack, Prowle, John R, Forni, Lui G
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container_issue 10
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container_title Clinical journal of the American Society of Nephrology
container_volume 17
creator Boyer, Naomi
Eldridge, Jack
Prowle, John R
Forni, Lui G
description Postoperative AKI is a common complication of major surgery and is associated with significant morbidity and mortality. The Kidney Disease Improving Global Outcomes AKI definition allows consensus classification and identification of postoperative AKI through changes in serum creatinine and/or urine output. However, such conventional diagnostic criteria may be inaccurate in the postoperative period, suggesting a potential to refine diagnosis by application of novel diagnostic biomarkers. Risk factors for the development of postoperative AKI can be thought of in terms of preoperative, intraoperative, and postoperative factors and, as such, represent areas that may be targeted perioperatively to minimize the risk of AKI. The treatment of postoperative AKI remains predominantly supportive, although application of management bundles may translate into improved outcomes.
doi_str_mv 10.2215/CJN.16541221
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subjects Acute Kidney Injury - diagnosis
Acute Kidney Injury - etiology
Acute Kidney Injury - therapy
Biomarkers
Creatinine
Critical Care Nephrology and Acute Kidney Injury
Humans
Postoperative Complications - diagnosis
Postoperative Complications - etiology
Postoperative Complications - therapy
Risk Factors
title Postoperative Acute Kidney Injury
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