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Incidence of and Risk Factors for Delayed Acute Kidney Injury in Patients Undergoing Colorectal Surgery

Authors
 Youn Kyung Kee  ;  Hyoungnae Kim  ;  Jong Hyun Jhee  ;  Seung Hyeok Han  ;  Tae-Hyun Yoo  ;  Shin-Wook Kang  ;  Jung Tak Park 
Citation
 AMERICAN JOURNAL OF SURGERY, Vol.218(5) : 907-912, 2019-11 
Journal Title
 AMERICAN JOURNAL OF SURGERY 
ISSN
 0002-9610 
Issue Date
2019-11
MeSH
Acute Kidney Injury / diagnosis ; Acute Kidney Injury / epidemiology ; Acute Kidney Injury / etiology* ; Adolescent ; Adult ; Aged ; Colectomy* ; Female ; Follow-Up Studies ; Humans ; Incidence ; Male ; Middle Aged ; Postoperative Complications / diagnosis ; Postoperative Complications / epidemiology ; Postoperative Complications / etiology* ; Proctectomy* ; Retrospective Studies ; Risk Factors ; Young Adult
Abstract
Background: The risk of delayed AKI (AKI development beyond the perioperative period) in patients undergoing colorectal surgery is greater than that in patients undergoing other major operations. However, the characteristics of and risk factors for delayed AKI are unclear. Methods: We investigated 683 patients who underwent colorectal surgery with intestinal resection at a single tertiary hospital. All patients were followed-up for a year postoperatively. The primary outcome was the development of AKI during follow-up. Results: AKI occurred in 177 (25.9%) during the first postoperative year. Patients who developed AKI were significantly older, showed a lower body mass index, and significantly lower preoperative hemoglobin and serum albumin levels. AKI occurred most commonly during the first 3 months postoperatively. However, AKI occurred persistently even after this initial period. Older age, lower preoperative serum albumin levels, and late ostomy closure were independently associated with a higher risk of delayed AKI. Conclusion: AKI commonly occurs beyond the perioperative period. Careful risk stratification and modification of risk factors may prevent delayed AKI in patients undergoing colorectal cancer surgery.
Full Text
https://www.sciencedirect.com/science/article/pii/S0002961018314144
DOI
10.1016/j.amjsurg.2019.03.027
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Shin Wook(강신욱) ORCID logo https://orcid.org/0000-0002-5677-4756
Park, Jung Tak(박정탁) ORCID logo https://orcid.org/0000-0002-2325-8982
Yoo, Tae Hyun(유태현) ORCID logo https://orcid.org/0000-0002-9183-4507
Jhee, Jong Hyun(지종현)
Han, Seung Hyeok(한승혁) ORCID logo https://orcid.org/0000-0001-7923-5635
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/175805
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