Relationship between postoperative acute kidney injury and preoperative dehydration in patients undergoing surgery for gastrointestinal tumor
10.3760/cma.j.cn131073.20210823.01106
- VernacularTitle:胃肠肿瘤手术患者术后急性肾损伤与术前脱水的关系
- Author:
Junfeng ZHONG
1
;
Shuangyan HU
;
Rui HE
;
Jinquan QIAN
;
Yuhong LI
Author Information
1. 绍兴市人民医院疼痛科 312000
- Keywords:
Gastrointestinal neoplasms;
Acute kidney injury;
Dehydration
- From:
Chinese Journal of Anesthesiology
2021;41(11):1303-1306
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the relationship between postoperative acute kidney injury (AKI) and preoperative dehydration in the patients undergoing surgery for gastrointestinal tumor.Methods:A total of 231 patients, of American Society of Anesthesiologists physical statusⅠ or Ⅱ, aged≥18 yr, undergoing elective surgery for gastrointestinal tumor with general anesthesia, were enrolled.Preoperative dehydration index was calculated according to preoperative urine color, specific gravity, osmotic pressure and creatinine.Preoperative dehydration was defined as dehydration index≥3.5.AKI was defined according to the Kidney Disease Improving Global Outcomes criteria.Logistic regression analysis was conducted to assess the association between preoperative dehydration and postoperative AKI.Results:Of the 231 patients who met our inclusion criteria, 27 (11.7%) developed postoperative AKI, and 13 patients (48.1%) had preoperative dehydration among the patients developed postoperative AKI.The results of logistic analysis showed that preoperative dehydration was an independent risk factor for postoperative AKI in the patients undergoing surgery for gastrointestinal tumor ( OR=4.03, 95% confidence interval 1.72-9.39). Conclusion:Preoperative dehydration is an independent risk factor for postoperative AKI in the patients undergoing surgery for gastrointestinal tumor.
