Acute kidney injury after non-cardiac major surgery: has it reduced?

ABSTRACT:

Background

It remains unclear whether the incidence of post-operative acute kidney injury (PO-AKI) has been reduced despite the recent emphasis on its early recognition and prevention in clinical practice. We aimed to investigate the trend in the incidence of PO-AKI and to identify the associated factors affecting its changes.

Methods

We gathered clinical data from patients who underwent non-cardiac major surgeries at three referral hospitals from 2005 to 2020. PO-AKI was defined as KDIGO AKI criteria within 7 days after surgery. Severe PO-AKI (S-PO-AKI) was defined as stage 2 or 3 AKI. The temporal change of PO-AKI was evaluated by joinpoint regression analysis and multivariable logistic regression based on a 3-year interval.

Results

Among 138 235 patients, 8156 (5.9

SUBMITTER: Cho JM 

PROVIDER: S-EPMC11739792 | biostudies-literature | 2024 Jul

REPOSITORIES: biostudies-literature