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Causes of death for intensive care survivors with and without acute kidney injury in five‐year follow‐up

Acta Anaesthesiologica Scandinavica Dec 16, 2020

Niittyvuopio M, Vaara S, Ohtonen P, et al. - By performing this predetermined sub‐study of a prospective, observational, multi‐center cohort from the FINNAKI study, researchers assessed reasons for death in critically ill patients during a 5‐year observation span. A total of 2,436 patients who were discharged from the hospital were examined. Deaths of 765 (31%) patients were documented during the follow‐up, of these, 295 (39%) suffered from acute kidney injury (AKI) and 73 (9.5%) had received renal replacement therapy. Cardiovascular diseases (36%), malignancies (21%), and neurological diseases (11%) were reported as the three most common reasons of death in AKI. Findings revealed that in patients who had encountered AKI, cardiovascular causes and malignancies accounted for more than half of the causes of death, and rarely, death occurred due to kidney disease post-AKI. In AKI vs non‐AKI patients, there was a greater prevalence of early cardiovascular deaths.

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