Incidence and associations of acute kidney injury after major abdominal surgery

@article{OConnor2015IncidenceAA,
  title={Incidence and associations of acute kidney injury after major abdominal surgery},
  author={M E O'Connor and Christopher J. Kirwan and Rupert M. Pearse and John R. Prowle},
  journal={Intensive Care Medicine},
  year={2015},
  volume={42},
  pages={521-530}
}
PurposeAcute kidney injury (AKI) is a recognised risk factor for adverse outcomes in critical illness and hospitalised patients in general. To understand the incidence and associations of AKI as a peri-operative complication of major abdominal surgery, we conducted a systematic literature review and meta-analysis.MethodsUsing a systematic strategy, we searched the electronic reference databases for articles describing post-operative renal outcomes using consensus criteria for AKI diagnosis… 
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TLDR
It is shown that acute kidney injury was common in patients undergoing major abdominal surgery and was associated with in-hospital mortality, and postoperative AKI was related with increased in- hospital mortality.
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TLDR
Perioperative risk factors for AKI after liver resection surgery are similar to those established for other surgical procedures, and interventions on modifiable risk factors can reduce the incidence of postoperative AKI and improve patient outcome.
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TLDR
A retrospective study of patients with normal renal function who underwent partial or total gastrectomy for gastric cancer between June 2002 and December 2011 identified several factors associated with postoperative AKI; recognition of these predictive factors may help reduce the incidence of AKI.
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TLDR
AKI was common after major surgery, with similar risk factor and outcome associations across surgery type, and can inform the design of clinical trials in postoperative AKI to the noncardiac surgery setting.
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TLDR
Urine NGAL was useful in the early diagnosis of postoperative AKI as well as in predicting the 6 months renal outcome after hepatobiliary surgery, and the maximum urine NGAL level during 24 h postsurgery, intraoperative fluid balance, and having liver transplantation were significantly associated with a poor 6  Months renal outcome.
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TLDR
This study shows that age, emergency and high risk surgery, ischemicHeart disease, congestive heart disease, ASA physical status and RCRI score were considered risk factors for the development of AKI, in patients needing intensive care after surgery.
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TLDR
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TLDR
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