The best time window of intake and output volume observation after partial nephrectomy and its predictive value for acute renal injury
10.3760/cma.j.issn.1674-2907.2018.31.008
- VernacularTitle:肾部分切除术后患者出入量观测的最佳时间窗及对急性肾损伤的预测价值
- Author:
Xiaojing WANG
1
;
Danping ZHENG
;
Yujia YANG
;
Yanya SHEN
;
Ying QIN
Author Information
1. 100730,北京协和医院国际医疗部
- Keywords:
Nephrectomy;
Acute renal injury;
Time window;
Intake and output volume;
The curve of the receiver operating characteristic
- From:
Chinese Journal of Modern Nursing
2018;24(31):3754-3759
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the best time window of intake and output volume observation after partial nephrectomy and its predictive value for acute renal injury. Methods The information of totally 134 renal cancer patients with regular subsequent visits after partial nephrectomy in Peking Union Medical College Hospital from December 2014 to December 2015 were collected. The intake and urine volume per hour was recorded. The receiver operating characteristic (ROC) curve was used to explore the best time wind of intake and output volume observation and its predictive value for acute renal injury in patients with partial nephrectomy. Results Acute renal injury was found in 19.4% of the 134 patients. The differences between intake and output volumes 10, 14, 16 and 18 h postoperatively in the acute renal injury group were bigger than those in the non acute renal injury group (P＜0.05). According to the multiple regression analysis, the intake and output volume 10 h postoperatively and the time of warm ischemia were the independent risk factors to postoperative renal injury (P＜0.05). The intake and output volume 10 h postoperatively had predictive power to acute renal injury, whose area under the ROC was 0.747 (95%CI:0.592-0.903, P＜0.05). Conclusions The intake and output volume 10 h postoperatively may be the best time window for observing the intake and output volume in patients with acute renal injury after partial nephrectomy.
