Incidence and mortality of postoperative acute kidney injury in non-dialysis patients: comparison between the AKIN and KDIGO criteria

Renal Failure
Hung-Chieh WuWei-Jie Wang

Abstract

This retrospective study determines whether the kidney disease: improving global outcomes (KDIGO) criteria are superior to acute kidney injury network (AKIN) criteria in detecting non-dialysis AKI events and predicting mortality in chronic kidney disease (CKD) patients after surgery. Surgical patients who were admitted to the intensive care unit were enrolled. Non-dialysis AKI cases were defined using either KDIGO or AKIN creatinine criteria and stratified by CKD stages. The adjusted hazard ratios (AHRs) for in-hospital mortality are compared to those without AKI. The cumulative survival curves and the predictability for mortality are accessed by Kaplan-Meier method and calculating the area under the curve (AUC) for the receiver operating characteristic (ROC) curve, respectively. From a total of 826 postoperative patients, the overall in-hospital mortality rate was 11.6% (96 cases) and that for AKI according to KDIGO and AKIN criteria was 30.0% (248 cases) and 31.0% (256 cases). The cumulative survival curve stratified by CKD and AKI stages were comparable between KDIGO and AKIN criteria. The discriminative power for mortality stratified by CKD stages for KDIGO and AKIN criteria are as followed: all subjects: 0.678 versus 0.670...Continue Reading

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Citations

Nov 4, 2016·Renal Failure·Aydın GüçlüMücahit Seçme
Jul 21, 2020·Cardiovascular and Interventional Radiology·Luca BertoglioRoberto Chiesa
Oct 3, 2018·Journal of Clinical Medicine·Joana GameiroJose Antonio Lopes
Jan 1, 2021·PloS One·Marcelo BelliFábio Luiz de Menezes Montenegro
Jan 1, 2020·Deutsches Ärzteblatt International·Raphael WeissAlexander Zarbock

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