Trends in Kidney Function and Chronic Kidney Disease after Surgery for Acute Type A Aortic Dissection.

• Tác giả: Danial Ahmad, Johannes Bonatti, Danny Chu, Carlos E Diaz Castrillon, David Kaczorowski, Julie Phillippi, Michel Pompeu Sá, Derek Serna-Gallegos, Ibrahim Sultan, Floyd Thoma, Yisi Wang, David West, Pyongsoo Yoon
• Ngôn ngữ: eng
• Ký hiệu phân loại: 658.32259 Personnel management (Human resource management)
• Thông tin xuất bản: Netherlands : Annals of vascular surgery , 2025
• Bộ sưu tập: NCBI
• ID: 614416

Tóm tắt

 BACKGROUND: We sought to assess the effect of postoperative renal failure (RF) on outcomes of acute type A aortic dissection (ATAAD) and identify predictors of chronic kidney disease (CKD) following ATAAD. METHODS: This retrospective single-center analysis included all adults with ATAAD from 2011 to 2023. Patients were stratified into RF and no RF groups. Logistic regression analyses were performed to identify predictors of CKD. A linear mixed effect regression model was created to identify the differences in glomerular filtration rate (GFR) change over time. RESULTS: A total of 515 patients comprising 39.6% women were included in this analysis. Estimated GFR at admission was lower in the RF group (59 vs. 65 mL/min/1.73 m CONCLUSIONS: ATAAD-related postoperative RF is associated with significant morbidity and mortality
  however, it is not predictive of CKD. Creatinine at admission was the most consistent predictor of CKD development at 1 and 5 years post-ATAAD.