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Independent risk factors for postoperative AKI and the impact of the AKI on 30-day postoperative outcomes in patients with type A acute aortic dissection: An updated meta-analysis and meta-regression

Journal of Thoracic Disease Jun 16, 2018

Wang J, et al. - Researchers analyzed reports assessing the impacts of postoperative acute kidney injury (AKI) on 30-day postoperative outcomes and the independent risk factors for postoperative AKI in patients with type A acute aortic dissection (TAAD). These reports, searched in multiple electronic literature databases, were published between January 1, 2011 and May 31, 2017. The meta-analysis included a total of seven eligible articles. For the first time, clinical evidence demonstrating the adverse impacts of postoperative AKI on 30-day postoperative outcomes in patients with TAAD was found via this inquiry. The identified independent risk factors for postoperative AKI included high body mass index, advanced age, and perioperative sepsis. In such a patient population, 30-day postoperative outcomes may be improved via effective management of postoperative AKI.
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