Association of Preoperative Risk Factors with Postoperative Acute Renal Failure

We performed a systematic review of 28 studies that examined preoperative risk factors for postoperative renal failure. Included in the studies were 10,865 patients who underwent either vascular, cardiac, general, or biliary surgery. No two studies used the same criteria for acute renal failure. Var...

Full description

Saved in:

Bibliographic Details
Published in:	Anesthesia and analgesia Vol. 78; no. 1; pp. 143 - 149
Main Authors:	Novis, Bruce K., Roizen, Michael F., Aronson, Solomon, Thisted, Ronald A.
Format:	Journal Article
Language:	English
Published:	Hagerstown, MD International Anesthesia Research Society 01-01-1994 Lippincott
Subjects:	Acute Kidney Injury - epidemiology Acute Kidney Injury - etiology Age Factors Aged Biological and medical sciences Female Heart - physiology Humans Kidneys Male Medical sciences Middle Aged Nephrology. Urinary tract diseases Postoperative Complications - epidemiology Preoperative Care Risk Factors Sex Factors Urinary system involvement in other diseases. Miscellaneous Human Postoperative Surgery Risk factor Renal failure Complication Intraoperative
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	We performed a systematic review of 28 studies that examined preoperative risk factors for postoperative renal failure. Included in the studies were 10,865 patients who underwent either vascular, cardiac, general, or biliary surgery. No two studies used the same criteria for acute renal failure. Variability in definitions of renal failure, lack of consistent criteria for establishing risk factors, and nonuniformity in the statistical methods employed result in a literature that is not adequate to support a comprehensive quantitative review. Of the 30 variables considered in the studies, preoperative renal risk factors, such as increased serum creatinine, increased blood urea nitrogen, and preoperative renal dysfunction were repeatedly found to predict postoperative renal dysfunction. The literature provides little quantitative information concerning the degree of risk associated with other factors. Cardiac risk factors, such as left ventricular dysfunction, were reported to be predictive of postoperative renal failure more consistently than was advanced age.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 ObjectType-Feature-4 ObjectType-Undefined-1 ObjectType-Review-2 ObjectType-Article-3
ISSN:	0003-2999 1526-7598
DOI:	10.1213/00000539-199401000-00023