Correlation between perioperative parecoxib use and postoperative acute kidney injury in patients undergoing non-cardiac surgery: a retrospective cohort analysis
| Autor: | Yong-Zhong Tang, Zheng Qin, Hao Zhang, Dan Li, Yan Liao, Pingping Zeng, Wen Ouyang, Bo Li |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Urology acute renal failure Cohort Studies Postoperative Complications Parecoxib Risk Factors medicine Humans adult anaesthesia Retrospective Studies business.industry Medical record Incidence (epidemiology) Acute kidney injury Retrospective cohort study General Medicine Perioperative Isoxazoles Stepwise regression Acute Kidney Injury medicine.disease pain management Anesthesia Non cardiac surgery Medicine business medicine.drug |
| Zdroj: | BMJ Open BMJ Open, Vol 11, Iss 8 (2021) |
| ISSN: | 2044-6055 |
| Popis: | ObjectiveThe association of non-steroidal anti-inflammatory drugs with postoperative acute kidney injury (AKI) is controversial. However, there are few studies focusing on the association between parecoxib and postoperative AKI. Our study aimed at the possible correlation between the intraoperative administration of cyclooxygenase-2 inhibitors parecoxib and perioperative AKI.DesignA retrospective cohort study.SettingThird Xiangya Hospital of Central South University in Hunan Province, China.ParticipantsThe electronic medical records and laboratory results were obtained from 9246 adult patients (18–60 years) undergoing non-cardiac surgery performed between 1 January 2012 and 31 August 2017. Study groups were treated with or without parecoxib.InterventionsUnivariable analysis identified demographic, preoperative laboratory and intraoperative factors associated with AKI. Logistic stepwise regression was used to calculate the adjusted OR of parecoxib and AKI association.ResultsThe incidence of AKI was lower in the parecoxib-administered group (4%) than that in the group without parecoxib (6.3%, p=0.005). In the multivariable regression analysis, postoperative AKI risk reduced by 39% (OR 0.61; 95% CI 0.43 to 0.87) in the parecoxib-administered group after adjusting for interference factors. Sensitivity analysis showed that postoperative AKI risk reduced in four subgroups: eGRF 2 (OR 0.49; 95% CI 0.29 to 0.82), non-smoker (OR 0.55; 95% CI 0.37 to 0.83), blood loss ConclusionsThus, parecoxib is associated with a modest reduction of postoperative AKI risk among adult patients undergoing non-cardiac surgery. |
| Databáze: | OpenAIRE |
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