Acute Kidney Injury, Pneumonectomy
Conditions
Keywords
Acute Kidney Injury, lung resection surgery, malnutrition, prediction model
Brief summary
The incidence of postoperative acute kidney injury (AKI) is high in patients undergoing lung resection surgery, especially in the elderly. Early identification of high-risk postoperative AKI patients can help develop prevention and treatment management strategies.
Detailed description
The goal of this retrospective study is to investigate the predictive value of preoperative nutritional status, as measured by three scoring systems - the geriatric nutritional risk index (GNRI), prognostic nutritional index (PNI), and controlling nutritional status (CONUT) score - on postoperative AKI in elderly patients under lung resection surgery.
Interventions
OTHERno intervention
no intervention
Sponsors
Wanmin Liao
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
65 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
1. aged ≥ 65 years 2. lung resection surgery including：pneumonectomy , bilobectomy , lobectomy, segmentectomy, wedge resection/bullectomy.
Exclusion criteria
1. patients with an American Society of Anesthesiologists (ASA) physical status V. 2. those with end-stage renal disease (i.e. a glomerular filtration rate of 15 mL/min/1.73 m2 or receiving haemodialysis). 3. those did not have sufficient data required for nutritional evaluation or AKI evaluation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative acute kidney injury | Within 7 days after surgery | In accordance with the KDIGO creatinine criteria: a serum creatinine increases of 26.5 mmol/L within 48 hours or 1.5 times baseline within 7 days after surgery. |
Outcome results
None listed