Multicentre evaluation of renal impairment in thoracic surgery (MERITS): a retrospective cohort study
| Autor: | Naruka, Vinci, McKie, Mikel Alexander, Ahmadi, Navid, Pama, EA Claudia, Coonar, Aman S, Collaborators, Merits |
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| Přispěvatelé: | Naruka, Vinci [0000-0002-9222-2684], McKie, Mikel Alexander [0000-0002-1711-4034], Ahmadi, Navid [0000-0002-0425-2606], Pama, EA Claudia [0000-0002-0260-5615], Coonar, Aman S [0000-0001-7858-3283], Apollo - University of Cambridge Repository |
| Rok vydání: | 2022 |
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| Popis: | Peer reviewed: True Acknowledgements: This work was supported by the Society for Cadiothoracic Surgery of Great Britain & Ireland (SCTS) and was made possible by the efforts of their student wing SCTS STUDENTS OBJECTIVES: To measure the unit-level variation in Acute Kidney Injury (AKI) incidence post-thoracic surgery over a contemporary 1-year period. Secondary aims include examining the associations with sex, age group, operation type, length of stay and mortality. DESIGN: A multicentre, observational, retrospective study in thoracic surgery. SETTING: 17 of 35 Society for Cardiothoracic Surgery of Great Britain and Ireland (SCTS) units participated. The student wing, known as SCTS STUDENTS, supported data collection. PARTICIPANTS: Overall, 15 229 patients were collected of which 15 154 were included for analysis after exclusions. All patients (age≥18 years) undergoing any thoracic surgery from 1 April 2016 to 31 March 2017 were included. For analysis, we excluded patients with preoperative end-stage renal failure and those with incomplete data. MAIN OUTCOME MEASURES: The primary outcome is the incidence of AKI within 7 days of the procedure or discharge date if earlier. Secondary outcomes include assessing associations with patient demographics (age, sex), type of procedure (open and minimally invasive), length of stay and mortality. RESULTS: Out of 15 154 patients AKI was diagnosed in 1090 patients (7.2%) within 7 days of surgery with AKI stage 1 (4.8%), stage 2 (1.7%) and stage 3 (0.7%). There was a statistically significant variation in AKI incidence between units from 3.1 to 16.1% (p |
| Databáze: | OpenAIRE |
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