Perioperative medicine & outcomes

Association between peripheral perfusion index and postoperative acute kidney injury in major noncardiac surgery patients receiving continuous vasopressors: a post hoc exploratory analysis of the VEGA-1 trial

Br J AnaesthPublished Secondary analysis of the VEGA-1 randomised trial

Primary result · Postoperative AKIResult — go to the resultAdjusted odds ratio 1.32 95% CI 1.00–1.74

Authors' conclusion

Larger areas and longer cumulative times under thresholds of perfusion index and lower time-weighted average perfusion index were associated with postoperative acute kidney injury in patients undergoing major noncardiac surgery and receiving continuous vasopressor infusions.

Study context

Population
Patients undergoing major noncardiac surgery and receiving continuous vasopressor infusions
Participants
2,534 patients
Comparison
Intraoperative perfusion index and postoperative AKI
Primary endpoint
Postoperative AKI
Methodological detailsexploratory post hoc analysis, pragmatic, cluster-randomised, multicentre
  • Exploratory post hoc analysis
  • Pragmatic
  • Cluster-randomised
  • Multicentre

Primary result

As reported in the abstract

Adjusted odds ratio

1.32

95% CI 1.00–1.74

P = 0.050

Area under perfusion index of 1% (per 100%∗min increase)
aOR 1.32 (95% CI 1.00–1.74); P = 0.050

Per 100%∗min increase, as printed

Incidence of postoperative AKI
8.9%

Secondary outcomes

Postoperative AKI, time-weighted average perfusion index

aOR (95% CI)P value
Time-weighted average perfusion index0.82 (0.74–0.91)P < 0.001

30-day mortality, time-weighted average perfusion index

aOR (95% CI)P value
Time-weighted average perfusion index0.68 (0.49–0.95)P = 0.024

Original publication

Association between peripheral perfusion index and postoperative acute kidney injury in major noncardiac surgery patients receiving continuous vasopressors: a post hoc exploratory analysis of the VEGA-1 trial. Br J Anaesth. Published 19 January 2024. doi:10.1016/j.bja.2023.11.054

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