CIRRHOTIC PATIENTS WITH ACUTE KIDNEY INJURY (AKI) HAVE HIGHER MORTALITY AFTER ABDOMINAL HERNIA SURGERY.

Autor:	Ducatti L; Department of Gastroenterology, University Hospital, School of Medicine, University of São Paulo - USP, São Paulo, SP, Brazil., Haddad LBP; Department of Gastroenterology, University Hospital, School of Medicine, University of São Paulo - USP, São Paulo, SP, Brazil., Meyer A; Department of Gastroenterology, University Hospital, School of Medicine, University of São Paulo - USP, São Paulo, SP, Brazil., Nacif LS; Department of Gastroenterology, University Hospital, School of Medicine, University of São Paulo - USP, São Paulo, SP, Brazil., Arantes RM; Department of Gastroenterology, University Hospital, School of Medicine, University of São Paulo - USP, São Paulo, SP, Brazil., Martino RB; Department of Gastroenterology, University Hospital, School of Medicine, University of São Paulo - USP, São Paulo, SP, Brazil., Rocha-Santos V; Department of Gastroenterology, University Hospital, School of Medicine, University of São Paulo - USP, São Paulo, SP, Brazil., Waisberg DR; Department of Gastroenterology, University Hospital, School of Medicine, University of São Paulo - USP, São Paulo, SP, Brazil., Pinheiro RS; Department of Gastroenterology, University Hospital, School of Medicine, University of São Paulo - USP, São Paulo, SP, Brazil., D Albuquerque LAC; Department of Gastroenterology, University Hospital, School of Medicine, University of São Paulo - USP, São Paulo, SP, Brazil., Andraus W; Department of Gastroenterology, University Hospital, School of Medicine, University of São Paulo - USP, São Paulo, SP, Brazil.
Jazyk:	English; Portuguese
Zdroj:	Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery [Arq Bras Cir Dig] 2022 Jan 05; Vol. 34 (3), pp. e1622. Date of Electronic Publication: 2022 Jan 05 (Print Publication: 2022).
DOI:	10.1590/0102-672020210002e1622
Abstrakt:	Background: The incidence of abdominal hernia in cirrhotic patients is as higher as 20%; in cases of major ascites the incidence may increase up to 40%. One of the main and most serious complications in cirrhotic postoperative period (PO) is acute kidney injury (AKI). Aim: To analyze the renal function of cirrhotic patients undergoing to hernia surgery and evaluate the factors related to AKI. Methods: Follow-up of 174 cirrhotic patients who underwent hernia surgery. Laboratory tests including the renal function were collected in the PO.AKI was defined based on the consensus of the ascite´s club. They were divided into two groups: with (AKI PO) and without AKI . Results: All 174 patients were enrolled and AKI occurred in 58 (34.9%). In the AKI PO group, 74.1% had emergency surgery, whereas in the group without AKI PO it was only 34.6%.In the group with AKI PO, 90.4% presented complications, whereas in the group without AKI PO they occurred only in 29.9%. Variables age, baseline MELD, baseline creatinine, creatinine in immediate postoperative (POI), AKI and the presence of ascites were statistically significant for survival. Conclusions: There is association between AKI PO and emergency surgery and, also, between AKI PO and complications after surgery. The factors related to higher occurrence were initial MELD, basal Cr, Cr POI. The patients with postoperative AKI had a higher rate of complications and higher mortality.
Databáze:	MEDLINE
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