Acute kidney injury in patients operated on for type A acute aortic dissection: incidence, risk factors and short-term outcomes
Acute kidney injury in patients operated on for type A acute aortic dissection: incidence, risk factors and short-term outcomes
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A 型急性主动脉夹层手术患者的急性肾损伤：发生率、危险因素和短期结果
DOI：
10.1093/icvts/ivaa164
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发表时间：
2020-11-01
影响因子：
--
通讯作者：
Wang, Dongjin
中科院分区：
文献类型：
--
作者：
Wang, Zhigang;Ge, Min;Wang, Dongjin
OBJECTIVES: Acute kidney injury (AKI) is a relatively common complication after an operation for type A acute aortic dissection and is indicative of a poor prognosis. We examined the risk factors for and the outcomes of developing AKI in patients being operated on for thoracic aortic diseases.METHODS: We retrospectively analysed 712 patients with acute type A dissection who had deep hypothermic circulatory operations from January 2014 to December 2018, emphasizing those who developed AKI. Logistic regression models were used to identify predisposing factors for the postoperative development of AKI.RESULTS: Among all enrolled patients, 359 (50.4%) had AKI; of these, 133 were diagnosed as stage 1 (18.7%), 126 were stage 2 (17.7%) and 100 were stage 3 (14.0%). Postoperative haemodialysis was required in 111 patients (15.9%). The development of AKI after aortic surgery contributed to the higher mortality rate within 30 days after surgery (P
