Cardiothoracic & vascular anesthesia

Perioperative Acute Renal Injury: Revisiting Pathophysiology

AnesthesiologyPublished Prospective cohort study

Authors' conclusion

Patients developing postoperative acute renal dysfunction had significantly higher urinary NGAL concentrations early after cardiac surgery.

Study context

Population
Adult cardiac surgical patients
Participants
81 patients
Exposure
Patients with vs without postoperative acute renal dysfunction
  • Acute renal dysfunctionn = 16
Outcome
Postoperative urinary NGAL concentration (quantitative immunoblotting)

Main finding

As reported in the abstract

Urinary NGAL concentration · 1 h after surgery

P < 0.01

Observational data: associations, not effects.

Further findings

Incidence of postoperative acute renal dysfunction

Patients developing postoperative acute renal dysfunction
16 of 81 (20%)

Urinary NGAL concentration · 3 and 18 h after surgery

Continued to increase and remained significantly higher in patients with acute renal dysfunction; decreased rapidly in patients without

Original publication

Perioperative Acute Renal Injury: Revisiting Pathophysiology. Anesthesiology. Published 10 May 2024. doi:10.1097/aln.0000000000004993

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