Association of preoperative risk factors with postoperative acute renal failure.

Abstract:

:We performed a systematic review of 28 studies that examined preoperative risk factors for postoperative renal failure. Included in the studies were 10,865 patients who underwent either vascular, cardiac, general, or biliary surgery. No two studies used the same criteria for acute renal failure. Variability in definitions of renal failure, lack of consistent criteria for establishing risk factors, and nonuniformity in the statistical methods employed result in a literature that is not adequate to support a comprehensive quantitative review. Of the 30 variables considered in the studies, preoperative renal risk factors, such as increased serum creatinine, increased blood urea nitrogen, and preoperative renal dysfunction were repeatedly found to predict postoperative renal dysfunction. The literature provides little quantitative information concerning the degree of risk associated with other factors. Cardiac risk factors, such as left ventricular dysfunction, were reported to be predictive of postoperative renal failure more consistently than was advanced age.

journal_name

Anesth Analg

journal_title

Anesthesia and analgesia

authors

Novis BK,Roizen MF,Aronson S,Thisted RA

doi

10.1213/00000539-199401000-00023

subject

Has Abstract

pub_date

1994-01-01 00:00:00

pages

143-9

issue

1

eissn

0003-2999

issn

1526-7598

journal_volume

78

pub_type

杂志文章,评审
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