Perioperative medicine & outcomes

Incidence of acute kidney injury after noncardiac surgery in patients receiving intraoperative dexmedetomidine: a retrospective study

BJA OpenPublished Retrospective cohort study

Authors' conclusion

The administration of dexmedetomidine during major non-cardiothoracic cancer surgery is not associated with a reduction in AKI within 72 h after surgery.

Study context

Population
Patients undergoing major non-cardiothoracic cancer surgery
Participants
6,625 patients
Exposure
Intraoperative dexmedetomidine vs no dexmedetomidine
  • Dexmedetomidinen = 1,301
Outcome
Postoperative acute kidney injury (AKI) (KDIGO creatinine-alone criteria)
Follow-up
Postoperative Days 1, 2, and 3
Methodological detailspropensity score matched
  • Propensity score matched

Main finding

As reported in the abstract

Incidence of AKI

P = 0.333

Observational data: associations, not effects.

Further findings

Anaesthesia duration

Longer anaesthesia duration with dexmedetomidine vs non-dexmedetomidine

30-day mortality

Not statistically different between the groups

Safety

Infection, cardiovascular complications, reoperation attributable to bleeding · 30 day

Higher rates in patients treated with dexmedetomidine

Original publication

Incidence of acute kidney injury after noncardiac surgery in patients receiving intraoperative dexmedetomidine: a retrospective study. BJA Open. Published 9 April 2023. doi:10.1016/j.bjao.2023.100136

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