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SCI REP：非心血管手术后AKI患者的住院死亡率和危险因素分析！

2017-10-24 xing.T MedSci原创

非心血管手术AKI住院死亡率危险因素
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由此可见，非心血管手术后AKI已经成为中国一个巨大的医疗负担。手术后AKI的特点在中国不同地区的差异很大。医务工作者必须对潜在的肾性AKI的患者关注更多，特别是患者暴露于肾毒性因素或合并症时。

近日，Scientific reports杂志上发表了一篇研究文章，研究人员通过一个全国性的关于急性肾损伤（AKI）调查为基础，旨在描述中国非心血管手术后AKI患者死亡率和住院死亡危险因素。

该研究的样本来自于AKF 0研究，这是一个全国性的在中国大陆22个省份进行的横断面调查。非心血管手术后AKI是根据2012年KDIGO中AKI肌酐标准或扩大标准来确定的。

总的来说，3468例患者为医院获得性AKI（HA-AKI）患者。其中，1059例患者被诊断为非心血管手术后的AKI。术后AKI与非手术AKI在病因上类似，并且需要进行RRT干预。大手术后AKI患者的全因死亡率为17%（180/1059）。年龄较大（比值比为1.14，P=0.046），更严重的合并症（比值比为9.29，P＜0.001），心血管疾病史（比值比为1.85，P=0.007），更严重的AKI峰值分期和位于中国的西北地区（比值比为2.47，P=0.012）均与手术后AKI患者住院死亡率增加的风险显著相关。

由此可见，非心血管手术后AKI已经成为中国一个巨大的医疗负担。手术后AKI的特点在中国不同地区的差异很大。医务工作者必须对潜在的肾性AKI的患者关注更多，特别是患者暴露于肾毒性因素或合并症时。

原始出处：

Yu Pan,et al. Incidence and Risk Factors of in-hospital mortality from AKI after non-cardiovascular operation: A nationwide Survey in China.Scientific reports. 2017. https://www.nature.com/articles/s41598-017-13956-2

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    2018-09-07 yangshch

    #非心血管手术#

    0

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    2018-02-11 aids213

    #血管手术#

    0

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    2017-10-26 ms4468361851264128

    #AKI#

    0

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    2017-10-26 changjitao2009

    #住院死亡率#

    0

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    2017-10-25 天地飞扬

    谢谢分享!

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1819403, encodeId=5ea81819403ef, content=<a href='/topic/show?id=614999423f8' target=_blank style='color:#2F92EE;'>#非心血管手术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=99423, encryptionId=614999423f8, topicName=非心血管手术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=26a9200, createdName=yangshch, createdTime=Fri Sep 07 07:38:00 CST 2018, time=2018-09-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1972001, encodeId=fe6b19e2001de, content=<a href='/topic/show?id=0424896596c' target=_blank style='color:#2F92EE;'>#血管手术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89659, encryptionId=0424896596c, topicName=血管手术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ec19483, createdName=aids213, createdTime=Sun Feb 11 18:38:00 CST 2018, time=2018-02-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1341103, encodeId=7d3213411038d, content=<a href='/topic/show?id=b97e223562' target=_blank style='color:#2F92EE;'>#AKI#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2235, encryptionId=b97e223562, topicName=AKI)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f7482500171, createdName=ms4468361851264128, createdTime=Thu Oct 26 10:38:00 CST 2017, time=2017-10-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1366158, encodeId=d7cc136615849, content=<a href='/topic/show?id=7d2f26450be' target=_blank style='color:#2F92EE;'>#住院死亡率#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=26450, encryptionId=7d2f26450be, topicName=住院死亡率)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=db7c233, createdName=changjitao2009, createdTime=Thu Oct 26 10:38:00 CST 2017, time=2017-10-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=255709, encodeId=a420255e0938, content=谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Wed Oct 25 00:13:19 CST 2017, time=2017-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=255670, encodeId=23a02556e0e6, content=不错的.学习了.学习分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=47, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NdqKgfW3nMpOkC3jXxiaW2po0PtglY5ZuVjERqKADW4HyMI8bcZXWlKgH7tEP9ULBoBzuQMibia4pr1s9rQPqLvqQJ/0, createdBy=e8c02060444, createdName=中医痴, createdTime=Tue Oct 24 20:41:49 CST 2017, time=2017-10-24, status=1, ipAttribution=)]
    2017-10-24 中医痴

    不错的.学习了.学习分享!

    0