Incidence of acute kidney injury within 3 days after lung transplantation, related risk factors and its influences on short-term prognosis / 中华器官移植杂志
Chinese Journal of Organ Transplantation
;
(12): 328-332, 2020.
Article
in Chinese
| WPRIM
| ID: wpr-870593
ABSTRACT
Objective:
To explore the incidence and relevant risk factors of acute kidney injury (AKI)after lung transplantation(LT).Methods:
Retrospective analysis was performed for clinical data of 70 recipients of LT at China-Japan Friendship Hospital.Results:
Among them, 61.4 % developed AKI within 3 days post-LT. As compared with non-AKI and AKI 1 groups, AKI 2~3 group had more plasma transfusion(median 0, 0, 200 ml, P=0.027) and more cardiovascular events during operation(0, 0, 14.3 %, P=0.023). As compared with non-AKI group, AKI 1 and 2~3 groups had lower postoperative hemoglobin in the first day(median 119, 106, 104 g/L, P=0.032). The duration of invasive mechanical ventilation was longer in AKI 2~3 group(median 56 h)than non-AKI group (median 49 h, P=0.034). The 3-month all-cause mortality post-LT was higher in AKI 2~3 (24.1 %)and AKI 1 recipients(21.4 %)than that in non-AKI counterparts(0)( P=0.034, P=0.007).Conclusions:
Recipients with more blood transfusion and cardiovascular events during operation and those with more severe anemia in the first day post-LT might be at higher risks for postoperative AKI. Postoperative AKI prolongs the duration of invasive mechanical ventilation and increases 3-month all-cause mortality post-LT.
Full text:
Available
Index:
WPRIM (Western Pacific)
Type of study:
Etiology study
/
Incidence study
/
Prognostic study
/
Risk factors
Language:
Chinese
Journal:
Chinese Journal of Organ Transplantation
Year:
2020
Type:
Article
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