Neuroanesthesia & neurocritical care

Association between perioperative flurbiprofen administration and acute kidney injury (AKI) in spine surgery: a retrospective cohort study

Perioper Med (Lond)Published Retrospective cohort study

Main finding · Postoperative AKIResult — go to the resultOdds ratio 0.51 95% CI 0.31–0.82

Authors' conclusion

The study concluded that perioperative flurbiprofen treatment was associated with a lower risk of postoperative AKI in adult patients undergoing spinal surgery.

Study context

Population
Adults undergoing spinal surgery, Third Xiangya Hospital of Central South University, January 1, 2012–July 31, 2018
Participants
3,882 adults
Exposure
Intraoperative flurbiprofen vs no flurbiprofen
Outcome
Incidence of postoperative AKI
Methodological detailssingle-centre, multivariable regression adjustment
  • Single-centre
  • Multivariable regression adjustment

Main finding

Postoperative AKI

Odds ratio

0.51

95% CI 0.31–0.82

By group

Flurbiprofen vs Non-flurbiprofen
OR 0.51 (95% CI 0.31–0.82)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)
Postoperative AKI, patients without diabetes (subgroup)0.61 (0.19–0.74)
Postoperative AKI, surgical time 2-5 h (subgroup)0.54 (0.23–0.75)
Postoperative AKI, preoperative anemia (subgroup)0.57 (0.21–0.74)

Original publication

Association between perioperative flurbiprofen administration and acute kidney injury (AKI) in spine surgery: a retrospective cohort study. Perioper Med (Lond). Published 18 June 2024. doi:10.1186/s13741-024-00419-2

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