Association between the preoperative N-terminal pro-B-type natriuretic peptide and acute kidney injury in gastrointestinal surgery patients managed with enhanced recovery strategy: a retrospective cohort study

Perioper Med (Lond)Published Retrospective cohort study

Main finding · Postoperative AKIResult — go to the resultAdjusted odds ratio 1.75 95% CI 1.12–2.73

Authors' conclusion

Increased preoperative NT-proBNP is associated with an elevated risk of postoperative AKI in patients who underwent gastrointestinal surgery and managed with ERAS strategy.

Study context

Population
Adults (≥18 y) undergoing elective gastrointestinal surgery managed with enhanced recovery after surgery (ERAS) strategy, Xijing Hospital, May 2017–June 20221,932 records screened
Participants
629 adults
Exposure
High vs low preoperative NT-proBNP
Outcome
Incidence of postoperative AKI
Methodological detailssingle-centre
  • Single-centre

Main finding

Postoperative AKI

Adjusted odds ratio

1.75

95% CI 1.12–2.73

By group

High NT-proBNP vs Low NT-proBNP
aOR 1.75 (95% CI 1.12–2.73)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Overall postoperative acute kidney injury (AKI) incidence

Developed postoperative AKI
112 (17.8%)

Original publication

Association between the preoperative N-terminal pro-B-type natriuretic peptide and acute kidney injury in gastrointestinal surgery patients managed with enhanced recovery strategy: a retrospective cohort study. Perioper Med (Lond). Published 22 April 2025. doi:10.1186/s13741-025-00528-6

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