Acute kidney injury (AKI) in the perioperative period has serious implications, being with a more complicated hospital course and associated cost implications. Identii cation of risk factors, close monitoring of renal function, and early adoption of both preventive measures and treatments remain important considerations for those taking care of perioperative patients who are likely to develop AKI. The aim of this study is to determine if the AKI risk index by Kheterpal [4] is able to identify those patients at risk for AKI undergoing non-cardiac surgery. This is a cross-sectional study, wherein a total of 145 patients’ charts were reviewed from September 2016 to May 2017. About 59 patients had AKI and 86 patients did not develop AKI. The most common operations done are hindgut, urologic, and musculoskeletal surgeries. The baseline characteristics of patients included in the study show that those in the AKI group are signii - cantly older with a mean age of 66.2 vs. 60.2 years (p-value 0.017); renal insufi ciency, emergency surgery, ascites, active congestive heart failure, hypertension, lower estimated glomerular i ltration rate (eGFR), recent myocardial infarction (MI), and peripheral arterial occlusive disease (PAOD). Whereas there is no signii cant difference between the groups in terms of the male gender, intraperitoneal surgery, type II diabetes, previous cardiac intervention, and cerebrovascular accident (CVA). A ROC curve was then formulated and the area under the curve (AUC) determined to be 0.799 (95% CI: 0.729–0.870). Hence, the AKI risk index by Kheterpal is an acceptable predictor of AKI among non-cardiac surgery patients. Therefore, it is recommended that this risk scoring be used at the University of Santo Tomas Hospital. It has a sensitivity of 57.6% and 86% sensitivity with more than i ve risk factors identii ed.
Kidney ; Patients