An evaluation of perioperative acute kidney injury during laparoscopic sleeve gastrectomy using the acute kidney injury network classification

Ryohei Miyazaki, Emi Kajiyama, Tadashi Kandabashi, Sumio Hoka

研究成果: ジャーナルへの寄稿記事

抄録

Objective: Perioperative acute kidney injury (AKI) is associated with increased morbidity and mortality, and we investigated risk factors of perioperative AKI. In addition, we measured the incidence of perioperative AKI and intraoperative hypotension in patients with advanced obesity. Methods: Fifty consecutive patients who underwent laparoscopic sleeve gastrectomy were identified using hospital records. Perioperative AKI was diagnosed and classified using serum creatinine (sCr)-based AKIN criteria. Results: Twelve patients (24%) developed perioperative AKI. Patients developed perioperative AKI had more elevated preoperative sCr (p = 0.035) and lower intraoperative urine output (p = 0.006). Male sex (OR 13.59, p = 0.004), BMI > 40 kg/m2 (OR 6.18, p = 0.019) and intraoperative sustained hypotension (mean arterial pressure < 55 mmHg, duration > 10 minutes (OR 5.33, p = 0.021)) were risk factors that affected the incidence of perioperative AKI. In addition, the duration of hypotension (mean arterial pressure < 55 mmHg) was positively correlated with BMI (R2 = 0.36). Conclusion: Patient undergoing sleeve gastrectomy developed perioperative AKI at a high rate. High preoperative sCr, male sex, BMI > 40 kg/m2 and intraoperative sustained hypotension are associated with perioperative AKI in morbidly obese patients. It is important to maintain blood pressure and avoid the use of drugs that may impair renal function in these patients.

元の言語英語
ページ(範囲)51-55
ページ数5
ジャーナルAnesthesia and Resuscitation
52
発行部数2
出版物ステータス出版済み - 6 1 2016

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Gastrectomy
Acute Kidney Injury
Hypotension
Creatinine
Arterial Pressure
Hospital Records
Incidence
Serum
Obesity
Urine
Blood Pressure
Morbidity
Kidney
Mortality
Pharmaceutical Preparations

All Science Journal Classification (ASJC) codes

  • Emergency Medicine
  • Anesthesiology and Pain Medicine

これを引用

An evaluation of perioperative acute kidney injury during laparoscopic sleeve gastrectomy using the acute kidney injury network classification. / Miyazaki, Ryohei; Kajiyama, Emi; Kandabashi, Tadashi; Hoka, Sumio.

:: Anesthesia and Resuscitation, 巻 52, 番号 2, 01.06.2016, p. 51-55.

研究成果: ジャーナルへの寄稿記事

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abstract = "Objective: Perioperative acute kidney injury (AKI) is associated with increased morbidity and mortality, and we investigated risk factors of perioperative AKI. In addition, we measured the incidence of perioperative AKI and intraoperative hypotension in patients with advanced obesity. Methods: Fifty consecutive patients who underwent laparoscopic sleeve gastrectomy were identified using hospital records. Perioperative AKI was diagnosed and classified using serum creatinine (sCr)-based AKIN criteria. Results: Twelve patients (24{\%}) developed perioperative AKI. Patients developed perioperative AKI had more elevated preoperative sCr (p = 0.035) and lower intraoperative urine output (p = 0.006). Male sex (OR 13.59, p = 0.004), BMI > 40 kg/m2 (OR 6.18, p = 0.019) and intraoperative sustained hypotension (mean arterial pressure < 55 mmHg, duration > 10 minutes (OR 5.33, p = 0.021)) were risk factors that affected the incidence of perioperative AKI. In addition, the duration of hypotension (mean arterial pressure < 55 mmHg) was positively correlated with BMI (R2 = 0.36). Conclusion: Patient undergoing sleeve gastrectomy developed perioperative AKI at a high rate. High preoperative sCr, male sex, BMI > 40 kg/m2 and intraoperative sustained hypotension are associated with perioperative AKI in morbidly obese patients. It is important to maintain blood pressure and avoid the use of drugs that may impair renal function in these patients.",
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T1 - An evaluation of perioperative acute kidney injury during laparoscopic sleeve gastrectomy using the acute kidney injury network classification

AU - Miyazaki, Ryohei

AU - Kajiyama, Emi

AU - Kandabashi, Tadashi

AU - Hoka, Sumio

PY - 2016/6/1

Y1 - 2016/6/1

N2 - Objective: Perioperative acute kidney injury (AKI) is associated with increased morbidity and mortality, and we investigated risk factors of perioperative AKI. In addition, we measured the incidence of perioperative AKI and intraoperative hypotension in patients with advanced obesity. Methods: Fifty consecutive patients who underwent laparoscopic sleeve gastrectomy were identified using hospital records. Perioperative AKI was diagnosed and classified using serum creatinine (sCr)-based AKIN criteria. Results: Twelve patients (24%) developed perioperative AKI. Patients developed perioperative AKI had more elevated preoperative sCr (p = 0.035) and lower intraoperative urine output (p = 0.006). Male sex (OR 13.59, p = 0.004), BMI > 40 kg/m2 (OR 6.18, p = 0.019) and intraoperative sustained hypotension (mean arterial pressure < 55 mmHg, duration > 10 minutes (OR 5.33, p = 0.021)) were risk factors that affected the incidence of perioperative AKI. In addition, the duration of hypotension (mean arterial pressure < 55 mmHg) was positively correlated with BMI (R2 = 0.36). Conclusion: Patient undergoing sleeve gastrectomy developed perioperative AKI at a high rate. High preoperative sCr, male sex, BMI > 40 kg/m2 and intraoperative sustained hypotension are associated with perioperative AKI in morbidly obese patients. It is important to maintain blood pressure and avoid the use of drugs that may impair renal function in these patients.

AB - Objective: Perioperative acute kidney injury (AKI) is associated with increased morbidity and mortality, and we investigated risk factors of perioperative AKI. In addition, we measured the incidence of perioperative AKI and intraoperative hypotension in patients with advanced obesity. Methods: Fifty consecutive patients who underwent laparoscopic sleeve gastrectomy were identified using hospital records. Perioperative AKI was diagnosed and classified using serum creatinine (sCr)-based AKIN criteria. Results: Twelve patients (24%) developed perioperative AKI. Patients developed perioperative AKI had more elevated preoperative sCr (p = 0.035) and lower intraoperative urine output (p = 0.006). Male sex (OR 13.59, p = 0.004), BMI > 40 kg/m2 (OR 6.18, p = 0.019) and intraoperative sustained hypotension (mean arterial pressure < 55 mmHg, duration > 10 minutes (OR 5.33, p = 0.021)) were risk factors that affected the incidence of perioperative AKI. In addition, the duration of hypotension (mean arterial pressure < 55 mmHg) was positively correlated with BMI (R2 = 0.36). Conclusion: Patient undergoing sleeve gastrectomy developed perioperative AKI at a high rate. High preoperative sCr, male sex, BMI > 40 kg/m2 and intraoperative sustained hypotension are associated with perioperative AKI in morbidly obese patients. It is important to maintain blood pressure and avoid the use of drugs that may impair renal function in these patients.

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