Association of Kidney Function With Major Postoperative Events After Noncardiac Ambulatory Surgeries A Population-Based Cohort Study
Association of Kidney Function With Major Postoperative Events After Noncardiac Ambulatory Surgeries A Population-Based Cohort Study
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DOI：
10.1097/sla.0000000000005040
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发表时间：
2023-02-01
影响因子：
9
通讯作者：
Ronksley, Paul E.
中科院分区：
文献类型：
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作者：
Harrison, Tyrone G.;Hemmelgarn, Brenda R.;Ronksley, Paul E.
目的：本研究的目的是估计估计肾小球滤过率（eGFR）与非心脏手术后急性心肌梗死（AMI）或死亡之间的关系。背景资料：慢性肾脏疾病（CKD）患者通常接受外科手术。尽管大多数手术是在门诊环境下进行的，但CKD患者门诊手术后主要围手术期预后的风险尚不清楚。方法：在这项基于人群的回顾性队列研究中，我们使用了加拿大艾伯塔省的行政卫生数据，纳入了2005年4月1日至2017年2月28日期间接受非心脏门诊手术的术前肾功能测量的成年人。参与者被分为6个eGFR类别（以mL/min/1.73m(2)为单位），>= 60 (G1-2)， 45至59 (G3a)， 30至44 (G3b)， 15至29 (G4)，
Objective:The aim of this study was to estimate the association between estimated glomerular filtration rate (eGFR) and acute myocardial infarction (AMI) or death after ambulatory noncardiac surgery. Summary Background Data:People with chronic kidney disease (CKD) commonly undergo surgical procedures. Although most are performed in an ambulatory setting, the risk of major perioperative outcomes after ambulatory surgery for people with CKD is unknown. Methods:In this retrospective population-based cohort study using administrative health data from Alberta, Canada, we included adults with measured preoperative kidney function undergoing ambulatory noncardiac surgery between April 1, 2005 and February 28, 2017. Participants were categorized into 6 eGFR categories (in mL/min/1.73m(2))of >= 60 (G1-2), 45 to 59 (G3a), 30 to 44 (G3b), 15 to 29 (G4),