Risk factors of acute kidney injury after robot-assisted radical prostatectomy: a single-centre retrospective study / 中国医师进修杂志

ABSTRACT

Objective:To explore the risk factors of acute kidney injury (AKI) after robot-assisted radical prostatectomy.Methods:The clinical data of 605 patients who underwent robot-assisted radical prostatectomy in Nanjing Drum Tower Hospital from June 2017 to June 2019 were retrospectively analyzed. The independent risk factors of AKI were analyzed by Logistic regression.Results:Univariate analysis showed that age ( P = 0.001), anemia ( P = 0.036), hypoalbuminemia ( P = 0.001), coronary heart disease ( P = 0.040), hypertension ( P = 0.042), use of ACEI/ARB drugs ( P = 0.025), duration of MAP < 55 mmHg (1 mmHg = 0.133 kPa)( P = 0.000) presented statistical significance( P < 0.05). Multivariate Logistic regression analysis showed that there were significant difference in age ( P = 0.016), hypoalbuminemia ( P = 0.009), duration of MAP < 55 mmHg ( P = 0.003). Conclusions:Age, anemia, hypoalbuminemia, coronary artery disease, hypertension, use of ACEI/ARB drugs, duration of MAP < 55 mmHg are risk factors of postoperative AKI, among which age, hypoalbuminemia, duration of MAP < 55 mmHg are independent risk factors.